Data Analyst II @ CoventBridge Group
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Job Details
Company Overview
CoventBridge Group is the leading worldwide full-service investigation firm. They provide superior data analytics and investigative solutions to government and commercial clients to detect and prevent fraud, waste, and abuse in healthcare.
Position Summary
As a Data Analyst II, you will conduct advanced analyses of potential fraud cases using claims data and multiple data sources. Your work supports high-value cases potentially leading to law enforcement referrals, recovery of overpayments or administrative actions.
Key Responsibilities
- Perform comprehensive analysis of healthcare claims using advanced statistical methods.
- Collaborate with management, investigators, and analysts on case generation.
- Apply data mining, statistical modeling, and predictive analytics to identify anomalies.
- Validate outputs and ensure compliance with Medicare/Medicaid guidelines.
- Communicate analytical insights to internal stakeholders and law enforcement.
- Support CMS reporting with timely and accurate data analysis.
- Develop and deliver training sessions on fraud detection techniques.
- Maintain documentation integrity and adhere to confidentiality protocols.
- Perform additional duties as assigned.
Required & Preferred Qualifications
Candidates should have a Bachelor’s or Master’s degree in Mathematics, Statistics, Health Informatics, Data Science or related field with minimum 2 years’ experience in analyzing Medicare/Medicaid data and SQL/Python. Familiarity with SAS, Databricks, Snowflake, Spark, and relevant libraries or visualization tools is required. Experience with healthcare claims, ICD codes, and Medicare/Medicaid billing practices is essential. Preferred experience includes working with state Medicaid agencies or transitioning from SAS to modern tools.
Benefits
- Medical, Dental, and Vision plans
- Life, LTD, and STD covered by the employer
- 401(k) with company match up to 4%
- Paid Time Off and company paid holidays
- Tuition assistance after one year of service
Key skills/competency
- Data Analysis
- Fraud Detection
- SQL
- Python
- Healthcare Claims
- Statistical Modeling
- Data Mining
- Databricks
- Snowflake
- Reporting
How to Get Hired at CoventBridge Group
🎯 Tips for Getting Hired
- Customize your resume: Highlight SQL, Python, and fraud analysis skills.
- Research CoventBridge Group: Understand their investigation and data analytics culture.
- Prepare case studies: Showcase healthcare claims and statistical projects.
- Practice technical interviews: Brush up on SQL, Python, and data analysis techniques.