SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.
We are looking to add a Data Analyst to our SGS team of talented professionals.
What you'll do:
The position requires the individual to conduct research on Medicaid claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools to detect situations of potential fraud and support ongoing fraud investigations and requests for data.
- This position may require the incumbent to appear in court to testify about work findings.
- Analyze data to identify and compare norms, trends and patterns.
- Present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government.
- Conduct self-directed research to uncover problems in Medicaid payments made to a variety of provider types including physicians, suppliers, hospital, rehabilitation facilities, Skilled Nursing Facilities, Rural Health Care Facilities, and other healthcare professionals as well as Home Health Agencies and Hospices
- Organize case files, research violations and accurately and thoroughly document all steps taken in project development.
- Telework available from contiguous United States (Eastern or Central time zone preferred)