Data Analyst Fraud Waste & Abuse jobs in United States
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RIT Solutions, Inc. · 1 day ago

Data Analyst Fraud Waste & Abuse

RIT Solutions, Inc. is a company focused on safeguarding state Medicaid programs. The Fraud, Waste, and Abuse Analyst will identify, analyze, and prevent fraudulent activities within Medicaid claims while assisting in the development and deployment of algorithms to support program integrity.

Staffing & Recruiting
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H1B Sponsor Likelynote

Responsibilities

Assist in the development and deployment of algorithms designed to support program integrity across various platforms and states
Support fraud and abuse detection product and services

Qualification

SQLFraud data miningHealthcare claimsData analysisStatistical analysisMedicaid policyHealthcare adjudication systemsCPC certificationCFE certificationRally

Required

3+ years experience writing intermediate SQL queries
3+ years fraud, waste and abuse data mining experience
2+ year data analysis experience working with database structures
2+ years of healthcare claims experience

Preferred

Industry certifications: Certified Professional Coder (CPC) or Certified Fraud Examiner (CFE)
Experience with statistical analysis of data
Knowledge of Medicaid policy and real-life fraud, waste, abuse schemes
Knowledge of healthcare claim adjudication systems
Experience with Rally

Company

RIT Solutions, Inc.

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Jobdiva Job Portal: https://www1.jobdiva.com/candidates/myjobs/searchjobsdone.jsp?a=xbjdnwgjodtga1y1im2g881fkkeiwd0775lbvq8yqgps8vb2q36w2vj1ga6xxork&compid=-1 Recruitment (contingency search and campus selection).

H1B Sponsorship

RIT Solutions, Inc. 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 (1)
2023 (2)

Funding

Current Stage
Growth Stage
Company data provided by crunchbase