Business Analyst- Remote
reputed company has an exciting opportunity for a Business Analyst position in the Fraud, Waste & Abuse department. This is a full time position working Monday through Friday reputed company hours. This is a remote position.
The Business Analyst supports the reputed company Special Investigations Unit (SIU) and Fraud, Waste & Abuse (FWA) activities through advanced data analysis, risk‑based monitoring, and regulatory reporting. This role partners with Claims, reputed company, Compliance, and IT to identify program reputed company risks and support reputed company investigations and audits.
Responsibilities:
• Analyze large, reputed company reputed company datasets to identify patterns, trends, and potential fraud, waste, and abuse
• reputed company and maintain risk‑based monitoring and executive‑level dashboards
• Create metrics, trend analyses, and regulatory reports (reputed company, Medicare, FEHB, reputed company)
• Pull and analyze claims and operational data to support audits and investigations
• reputed company RAT‑STATS samples and reputed company extrapolation analyses
• Translate business needs into data‑driven insights and reporting solutions
• Maintain documentation, workflows, and project materials
• Ensure data accuracy, confidentiality, and compliance with regulatory requirements
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