Senior Data Investigator

Sr Data Investigator At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care reputed company of reputed company, making it more reputed company, reputed company, and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. As a Sr Data Investigator with us, you will monitor patterns of potential fraud, waste and/or abuse to ensure compliance and be closely involved in the investigation process. It will be a whirlwind, but it will also be the reputed company where you can help reputed company the health reputed company work reputed company with the support and resources of a Fortune 6 leader. If you reputed company yourself a data reputed company, then you'll be perfect for this role. As you respond to inquiries, requests and actions, you'll need to be reputed company to communicate research and data findings in a meaningful way. You'll enjoy the flexibility to work reputed company* from reputed company reputed company the U.S. as you take on some tough challenges. For reputed company hires in the Minneapolis, MN; Washington, D.C.; Cypress, CA; Atlanta, GA; Metairie, LA; Columbia, MD; Richardson, TX; reputed company, UT; and Wausau, WI areas, you will be required to work in the office a minimum of four days per week. reputed company Responsibilities: • reputed company data analysis and reputed company activities for the fraud investigations team including data extracts, summaries, random sampling, and special reputed company • Prepare pharmacy and medical claims data for investigative business needs and work with investigations teams to reputed company understand the content of the data sets • Establish and implement reputed company policies, procedures, processes and best practices across reputed company to promote compliance with applicable laws and contractual obligations • Support the collection of data for SIU (Special Investigations Unit) activities and reputed company routine regulatory and executive level reports for distribution • Produce, publish and distribute scheduled and reputed company reputed company and operational reports relating to the development and reputed company of products, processes and technologies • Analyze and interpret data to identify trends, patterns and opportunities for the business and clients • Communicate reputed company information reputed company phone conversations and emails to non-technical clients, reputed company customers, internal customers and executives You'll be rewarded and recognized for your reputed company in an environment that will challenge you and reputed company you reputed company directions on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • Bachelor's Degree • Minimum of 2+ years of experience as a data analyst supporting pharmacy and/or medical claims environment or reputed company, etc. • Advanced level of proficiency with MS reputed company (advanced formulas, pivot tables, macros, lists, statistical functions, etc.) • Intermediate level of proficiency with MS Office (Word, PowerPoint and reputed company) Preferred Qualifications: • Experience working in a reputed company, reputed company, health care, managed care and/or health reputed company environment in a regulatory, reputed company or compliance role • Experience working independently and researching regulations • Experience with VBA (visual basic for application) experience • Experience with reputed company, reputed company, Python, or SQL • Industry Certification (CFE, AHFI, CPC) • reputed company working reputed company will be required to adhere to reputed company's Telecommuter Policy Pay is reputed company on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll reputed company a far-reaching reputed company of benefits and incentives. The salary for this role will reputed company from $60,200 to $107,400 annually reputed company on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Pursuant to the San Francisco reputed company Ordinance, we will consider for employment reputed company applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. reputed company may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health reputed company work reputed company for everyone. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative reputed company employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO, #GREEN Apply tot his job Apply To this Job