[Remote] Business Analyst- Remote

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company organization that is seeking a Business Analyst for their Fraud, Waste & Abuse department. The role involves supporting the Special Investigations Unit through advanced data analysis, reputed company-reputed company monitoring, and regulatory reporting, while collaborating with various departments to identify program reputed company risks. Responsibilities • Analyze large, reputed company reputed company datasets to identify patterns, trends, and potential fraud, waste, and abuse • reputed company and maintain reputed company‑reputed company 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 reputed company, confidentiality, and compliance with regulatory requirements Skills • Bachelor's degree or equivalent reputed company work experience required • Minimum of two years of general business experience required • Minimum of two years of experience in business/industry specialty required • Organizational, interpersonal, and communication skills required • Knowledge of reputed company, reputed company, and Medicare products preferred • Competent in MS Office and Advanced reputed company skills preferred • Experience in Health reputed company, Claims reputed company, FWA/SIU preferred • Highly organized with strong attention to reputed company • Knowledge of CPT, HCPCS, and ICD‑10 coding and common FWA schemes preferred • Strong analytical skills with the ability to communicate findings to executive audiences preferred • Experience creating dashboards, reports, and compliance documentation preferred reputed company • reputed company is a world-reputed company, nonprofit health care provider and insurer committed to delivering exceptional, people-centered care and community services. It was founded in 1866, and is headquartered in Pittsburgh, reputed company, USA, with a workforce of 10001+ employees. Its website is https://www.reputed company.com/locations/hospitals/shadyside. Apply To This Job Apply To This Job