Optum ยท 8 hours ago
Fraud Waste Abuse - FWA - Senior Data Analyst - Remote
United States
Full-time
Remote
Mid, Senior Level
$92K/yr - $164K/yr
5+ years expOptum is focused on improving health data flow and creating a connected system. The Fraud, Waste, and Abuse (FWA) Senior Data Analyst plays a critical role in safeguarding state Medicaid programs by identifying, analyzing, and preventing fraudulent activities within Medicaid claims.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Write simple to complex SQL statements to extract data for client inquiry and research
Utilize production reports to perform research and assess quality of overall data
Analyze and interpret data to identify FWA trends and patterns within claims data
Applies creative and analytical thinking to uncover and resolve complex fraud, waste, and abuse patterns
Engage with clients to triage and manage incoming operational inquiries and tasks
Identifies innovative approaches to resolve non-standard problems and deliver effective outcomes
Interface professionally with data engineers, software engineers and other development teams
Troubleshoot client operational issues quickly and comprehensively
Support, train and mentor fellow analysts and developers
Influences and provides input to improvement of operational processes
Qualification
Required
Certified Professional Coder (CPC) or Certified Fraud Examiner (CFE)
5+ years of fraud, waste and abuse data mining experience
5+ years of experience writing advanced SQL queries
4+ years of data analysis experience working with database structures
4+ years of healthcare claims experience
Proficiency with excel & visualization tools
Proficient in research, interpreting, and analyzing diverse and complex data, and assessing data quality
Intermediate to advanced computer skills consisting of Teams, Microsoft Excel, Outlook, Word, and Power Point
Ability to travel 10%
Preferred
Experience with statistical analysis of data
Experience with Rally
Knowledge of Medicaid policy and real-life fraud, waste, abuse schemes
Knowledge of healthcare claim adjudication systems
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Benefits
A comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase