GENERAL PROFESSIONAL IV (MED-QUEST - DATA ANALYST) - EWA, OAHU

State of Hawaiʻi

Situated within the Department of Human Services, the Med-QUEST Division is looking for a General Professional IV to undertake data analysis tasks crucial for identifying and mitigating potential fraud and abuse in Medicaid program operations. This role involves engaging in thorough research and analysis to support the integrity of statewide programs.

In this role you can expect to have the responsibilities:

• Conduct complex data analysis to support statewide program integrity functions.
• Analyze surveillance and utilization review reports, provider records, and claims to identify anomalies and potential fraud.
• Prepare and maintain detailed summaries and reports on findings.
• Work with MQD investigative staff to refer suspicious cases for further investigation.

This role comes with the following benefits:

• Participation in the Public Service Loan Forgiveness (PSLF) Program, subject to qualifying conditions.

This role requires you to have:

• Bachelor's degree in a relevant field.
• One year of professional experience with advanced analytical skills.
• Proficiency in data analysis tools and statistical applications.

You would benefit from having:

• Experience with data mining, database queries, and statistical sampling.
• Knowledge of health care provider billing and codes.

The State of Hawai'i offers reasonable accommodations for applicants with disabilities. The role requires in-person interviews and/or further testing in Hawaii, conducted at the applicant's own expense.