Data Analyst III

CoventBridge Group

CoventBridge Group, a leader in comprehensive investigations, is searching for a Data Analyst III. Responsible for identifying and eliminating healthcare fraud, this role significantly contributes to CoventBridge's commitment to improving healthcare delivery. The position emphasizes collaboration with management and law enforcement for case development and data analysis.

In this role you can expect to have the responsibilities:

• Provide statistical research and analytics for case development and law enforcement data requests.
• Communicate with internal and external customers, including federal law enforcement.
• Validate analysis results and identify potential fraud and abuse in Medicare/Medicaid cases.
• Support management with CMS reporting requirements.
• Utilize data mining and predictive modeling to analyze Medicare/Medicaid claims data.
• Prepare and conduct trainings related to Medicare/Medicaid fraud data analysis.
• Ensure document confidentiality and maintain the chain of custody.

This role comes with the following benefits:

• Medical, Dental, Vision plans.
• Employer-paid Life, LTD, and STD insurance.
• 401(k) with a 4% company match.
• Paid Time Off and company-paid holidays.
• Tuition assistance after 1 year.

This role requires you to have:

• High proficiency in MS Word and Excel.
• Proficiency in SQL, SAS, or similar database programming languages.
• Experience with large datasets and relational databases.
• Strong communication, critical thinking, and problem-solving skills.

You would benefit from having:

• Knowledge of Medicare and Medicaid rules and regulations.

CoventBridge Group is an equal opportunity employer and maintains a drug-free workplace. They are committed to inclusivity and offer reasonable accommodations for persons with disabilities. Pursuant to the San Francisco Fair Chance Ordinance, they consider qualified applicants with arrest and conviction records.