155298 Data Analyst Fraud Waste & Abuse jobs in United States
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JSM Consulting Inc. · 4 hours ago

155298 Data Analyst Fraud Waste & Abuse

positionUnited States
timeFull-time
remoteRemote
seniorityMid Level
date3+ years exp

JSM Consulting Inc. is focused on safeguarding state Medicaid programs, and they are seeking a Fraud, Waste, and Abuse (FWA) Analyst. The primary responsibility of this role is to identify, analyze, and prevent fraudulent activities within Medicaid claims by developing and deploying algorithms to support program integrity.

Business DevelopmentConsultingInformation TechnologyProject ManagementTechnical Support
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H1B Sponsor Likelynote

Responsibilities

Assist in the development and deployment of algorithms designed to support program integrity across various platforms and states
Support our fraud and abuse detection product and services

Qualification

SQLFraud data miningData analysisHealthcare claimsStatistical analysisMedicaid policyCPC certificationCFE certificationHealthcare adjudication systemsRally

Required

3+ years experience writing intermediate SQL queries
3+ years fraud, waste and abuse data mining experience
2+ year data analysis experience working with database structures
2+ 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
All employees working remotely will be required to adhere to Health Care Company's Telecommuter Policy

Company

JSM Consulting Inc.

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We focus on improving our client’s assets performance and optimizing the operations through our industry best practices and asset management capabilities.
dateFounded in 2011
location
Cranbury, New Jersey, USA
people-size11-50 employees
web-link
http://www.jsmconsultant.com/

H1B Sponsorship

JSM Consulting Inc. 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 (18)
2024 (7)
2023 (11)
2022 (12)
2021 (20)
2020 (19)

Funding

Current Stage
Early Stage
Company data provided by crunchbase