LivantaLLC · 10 hours ago

Data Analyst- Medicare Part Claims

Annapolis Junction, MD

Full-time

Remote

Entry, Mid Level

2+ years exp

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Health CareInformation Technology

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Responsibilities

Collects, manages, and analyzes data from various sources, including pharmacies, dispensers, and manufacturers, to identify trends and potential compliance issues.

Gather and organize data from various sources, including Medicare Part C claims, provider records, and beneficiary information.

Ensure data quality and integrity through rigorous validation and cleaning processes.

Perform detailed data analysis to identify trends, patterns, and insights related to Medicare Part C.

Use statistical methods and data visualization tools to interpret and present findings.

Develop and implement algorithms and models to detect potential FWA activities.

Develops data models, dashboards, and reports that summarize key findings and support decision-making for program leadership.

Develop comprehensive reports and dashboards to communicate data insights to stakeholders.

Document methodologies, processes, and findings in a clear and concise manner.

Work closely with cross-functional teams, including data scientists, policy analysts, and healthcare professionals, to support data-driven decision-making.

Provide technical support and training to team members on data analysis tools and techniques.

Ensures data integrity and accuracy throughout all program-related analysis, including during audits and investigations.

Ensure compliance with all relevant data privacy and security regulations, including HIPAA.

Implement best practices for data governance and management.

Qualification

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Medicare Part C dataData analysisSQLPythonRExcelData visualizationTableauPower BIStatistical analysisHealthcare sector experienceData governanceData privacy complianceHealthcare policy knowledgeData analysis certification