1+ months

Data Analyst - Medicare

Chantilly, VA 20151
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Peraton Overview

Peraton drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the worlds leading mission capability integrator and transformative enterprise IT provider, we deliver trusted and highly differentiated national security solutions and technologies that keep people safe and secure. Peraton serves as a valued partner to essential government agencies across the intelligence, space, cyber, defense, civilian, health, and state and local markets. Every day, our 22,000 employees do the cant be done, solving the most daunting challenges facing our customers.

Qualifications

Prerequisites:
  • BS 5-7 Years, MS 3-5, PhD 0-2
  • Strong computer skills including Microsoft Access, experience in relational data base design, extract, and reporting, Excel, and the Internet
  • Strong proven analytical ability and basic knowledge of statistics and sampling techniques
  • Proven Ability to work with a variety of systems, sources of data and analytic tools
  • Strong communication and organization skills


Essential Functions:
  • This position may require the incumbent to appear in court to testify about work findings.
  • Ability to analyze data to identify and compare norms, trends and patterns.
  • Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government.
  • Ability to communicate effectively, internally and externally
  • Ability to report work activity on a timely basis.
  • Ability to handle confidential material.
  • Ability to conduct self-directed research to uncover problems in Medicare 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
  • Ability to organize a case file, research violations and accurately and thoroughly document all steps taken in project development.
  • Ability to attend meetings, training and conferences, overnight travel required in some instances.
  • Ability to work independently and as a member of a team to deliver high quality work


Responsibilities

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.

Since 1999, SGS has preventedmore than$9.65 billion in inappropriate payments,consisting of nearly $5.98billion in proactively Prevented Dollars and more than $3.69 billion in Recovered Dollars. Our experience with fraud and abuse analytics has resulted in the referral of thousands of cases to law enforcement and resulted in successful criminal and civil prosecution and civil monetary penalties.

Position Overview:

The position requires the individual to conduct research on Medicare 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.

For Colorado Residents
Colorado Salary Minimum: $54,558.40 Colorado Salary Maximum:$116,625.60 The estimate displayed represents the typical salary range for this position, and is just one component of Peraton's total compensation package for employees. Other rewards may include annual bonuses, short- and long-term incentives, and program-specific awards. In addition, Peraton provides a variety of benefits to employees.

Industry

  • Information Technology
Posted: 2021-06-28 Expires: 2023-06-07

With offerings in mission services, digital transformation and enterprise operations, our team of 14,000 engineers, analysts, investigators and architects work tirelessly to create innovative solutions. We have the expertise and experience not only to devise solutions, but to execute on them successfully.

Sponsored by:
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Data Analyst - Medicare

Perspecta
Chantilly, VA 20151

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