Haystack
Linkedin · Posted 5d ago
Data Scientist
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Indexed description
A public service organization dedicated to protecting its state's most vulnerable populations and safeguarding public funds is seeking a skilled data professional. This organization is at the forefront of legal theories and issues, tackling complex cases ranging from abuse and neglect in nursing homes to large-scale organized fraudulent activity.
The Role
- Perform research, querying, and analysis of complex Medicaid claim and encounter data
- Review financial, billing, and healthcare records to identify trends, anomalies, and patterns indicative of fraud
- Assist in designing, writing, and executing data queries utilizing SQL and other programming languages
- Implement advanced statistical models and data algorithms to identify potential fraud schemes
- Analyze complex healthcare service claim and encounter data to determine utilization and respond to data requests
- Research Medicaid billing, program guides, policies, and medical coding systems to identify irregularities
- Bachelor's degree in informatics, data science, mathematics, computer science, statistics, biostatistics, epidemiology, or a related technical field
- One (1) year of experience performing data science or informatics data work
- Proficiency with Microsoft Excel, including complex spreadsheets with macros and advanced functions
- Basic skills and experience with medical coding terminology and systems (CPT, HCPCS, ICD9, ICD10)
- Basic knowledge of medical billings and experience with Microsoft Word, Outlook, and Access
- Ability to examine, analyze, and research financial, billing, and healthcare records
- Comprehensive training program to familiarize you with Medicaid data and querying techniques
- Excellent benefits package including medical, dental, vision, generous leave, and retirement plans
- Opportunities for professional development, growth, and a positive work environment
- Flexible schedules and potential for hybrid telework options to support work-life balance
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