Data Scientist

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

What You'll Need

• 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

What's On Offer

• 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

Apply via Haystack today!