Fraud Waste Abuse - FWA - Data Analyst - Remote jobs in United States
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Optum ยท 9 hours ago

Fraud Waste Abuse - FWA - Data Analyst - Remote

positionUnited States
timeFull-time
remoteRemote
seniorityMid Level
money$73K/yr - $130K/yr
date3+ years exp

Optum is focused on improving the flow of health data and information to create a more connected healthcare system. The Fraud, Waste, and Abuse Analyst is responsible for identifying and preventing fraudulent activities within Medicaid claims, utilizing data analysis and algorithm development to support program integrity across various platforms.

EducationHealth CareMedicalPharmaceutical
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H1B Sponsor Likelynote

Responsibilities

Write simple to intermediate SQL statements to extract data for client inquiry and research
Utilize production reports to perform research and assess quality of overall data
Analyze and interpret data to identify FWA trends and patterns within claims data
Engage with clients to triage and manage incoming operational inquiries and tasks
Interface professionally with data engineers, software engineers and other development teams
Troubleshoot client operational issues quickly and comprehensively
Support, train and mentor fellow analysts and developers
Improve operational processes
Works with minimal guidance; seeks guidance on only the most complex tasks
Function well within a matrix organization (E.g. - supporting multiple leaders)
Proficient in research, interpreting, and analyzing diverse and complex data, and assessing data quality
Proficiency with excel & visualization tools
Intermediate to advanced computer skills consisting of Teams, Microsoft Excel, Outlook, Word, and Power Point

Qualification

SQLData analysisFraud detectionCertified Professional CoderHealthcare claimsStatistical analysisRallyMedicaid policyData visualizationMicrosoft ExcelMicrosoft TeamsMicrosoft OutlookMicrosoft WordMicrosoft PowerPoint

Required

Certified Professional Coder (CPC) or Certified Fraud Examiner (CFE)
3+ years of experience writing intermediate SQL queries
3+ years fraud, waste and abuse data mining experience
2+ years of data analysis experience working with database structures
2+ years of healthcare claims experience
Ability to travel up to 10%

Preferred

Experience with statistical analysis of data
Experience with Rally
Knowledge of Medicaid policy and real-life fraud, waste, abuse schemes
Knowledge of healthcare claim adjudication systems
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Benefits

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution

Company

Optum

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Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
dateFounded in 2011
location
Eden Prairie, Minnesota, USA
people-size10001+ employees
web-link
https://www.optum.com/

H1B Sponsorship

Optum has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)

Funding

Current Stage
Late Stage

Leadership Team

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Daniel Castillo
Chief Executive Officer, Optum Care Delivery
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J
Jay Green
Chief Financial Officer
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Recent News

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Optum to lay off 572 workers, close NJ medical clinics
2025-11-07
Company data provided by crunchbase