Dexian · 22 hours ago
Fraud Data Analyst
United States
Contract
Remote
Senior Level
5+ years expDexian is a leading provider of staffing, IT, and workforce solutions. They are seeking a Fraud Data Analyst to analyze and interpret data to identify fraud, waste, and abuse trends within claims data, engage with clients for operational inquiries, and support fellow analysts and developers.
ConsultingHuman ResourcesInformation TechnologyProfessional ServicesStaffing Agency
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
Work is self-directed, less structured, more complex issues
Function well within a matrix organization (E.g. – supporting multiple leaders)
Proficient in research, interpreting, and analyzing diverse and complex data, and assessing data quality
Proficiency with excel & visualization tools
Intermediate to advanced computer skills consisting of Teams, Microsoft Excel, Outlook, Word, and Power Point
Qualification
Required
5+ years of experience writing advanced SQL queries
5+ years of fraud, waste and abuse data mining experience
4+ years of data analysis experience working with database structures
4+ years of healthcare claims experience
Preferred
Industry certifications: Certified Professional Coder (CPC) or Certified Fraud Examiner (CFE)
Experience with statistical analysis of data
Knowledge of Medicaid policy and real-life fraud, waste, abuse schemes
Knowledge of healthcare claim adjudication systems
Experience with Rally
Company
Dexian
Dexian provides services for staffing, talent development, and consulting, with a focus on technology, finance, and project management.
1001-5000 employees
H1B Sponsorship
Dexian 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 (65)
Funding
Current Stage
Late StageLeadership Team
Mahfuz Ahmed
Chairman of the Board
Vikram Motiani
Managing Director
Recent News
2025-11-19
Company data provided by crunchbase