Peraton · 6 hours ago
Healthcare Statistician
United States
Full-time
Remote
Mid, Senior Level
$80K/yr - $128K/yr
3+ years expPeraton is a next-generation national security company that drives missions of consequence. They are seeking a Healthcare Statistician to develop sampling designs, collaborate with staff on projection methodologies, and analyze data to detect fraudulent behaviors.
Information TechnologyRobotics
No H1B
U.S. Citizen Only
Responsibilities
Develop sampling designs to support compliance and fraud case development
Collaborate with Investigations, Audits, and Medical Review staff to develop projection methodologies consistent with the client policy manuals, e.g. IOM 100-08 or IOM 100-15
Extract data from multiple systems, using various statistical tools, neural network and machine learning techniques for sampling, projections and analysis to detect potentially fraudulent behaviors and build designs to support fraud case development
Will present results of statistical work to non-statistical audiences, including investigators and law enforcement people at all levels
Extract, transform, and load data from various sources to support the sampling process
Perform statistical sampling and extrapolations to support program integrity investigations
Produce and submit required deliverables according to established time guidelines
Qualification
Required
Bachelor's Degree with 5 years of experience or Master's degree with 3 years in statistics or in a related field (e.g., psychometrics, biostatistics, econometrics, mathematics etc)
Working knowledge of Python and SAS
Significant coursework in sampling and estimation methodologies and experience in interpreting results
Ability to communicate effectively, internally and externally
Excellent analytic and quantitative skills
Good interpersonal skills
Extract, transform, and load data from various sources to support the sampling process
Perform statistical sampling and extrapolations to support program integrity investigations
Produce and submit required deliverables according to established time guidelines
Must be a US citizen
Preferred
Prior work experience in the health insurance industry, a utilization review firm, or another health care claims processing organization in a role that involved extrapolations and related activities
High proficiency with Microsoft Office applications, especially Word, Excel, PowerPoint and Access
Experience with Business Objects or equivalent
Knowledge of Medicare and Medicaid programs, rules and regulations preferred
Experience working with healthcare claims data and familiarity with CPT/HCPC, Procedure codes, Diagnosis codes
Ability to organize work and systematically pursue a hypothesis through statistical techniques including regression models and interaction with subcontractors on sophisticated predictive software
Ability to conduct self-directed research to uncover potentially fraudulent or abusive billing using a variety of data sources and analytic tools
Perform self-directed research and utilize data analysis tools and techniques to detect any issues with Medicare/Medicaid claims data
Perform statistical sampling and extrapolations to support program integrity investigations
Benefits
Employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.
Company
Peraton
Peraton Fearlessly solving the toughest national security challenges.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Thomas Terjesen
Chief Information Officer
Recent News
Washington Technology
2026-01-22
2025-09-25
Company data provided by crunchbase