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Posted today

Job Requirements

Remote
Public Trust Polygraph Unspecified
Career Level not specified
$90,000 - $110,000

Job Description

Zachary Piper Solutions is seeking a Data Analyst (Healthcare Fraud) to support the Department of Veterans Affairs (VA) Veterans Health Administration (VHA) Office of Integrity and Compliance (OIC) in operating the VHA Fraud Rapid Response Center ("VA War Room"), a mission-focused initiative dedicated to protecting Veterans and taxpayer dollars through fraud detection, data analytics, and payment integrity efforts. This position is Remote with On-Site Requirements. The Data Analyst (Healthcare Fraud) will support fraud, waste, and abuse (FWA) analytics by leveraging healthcare claims data, developing fraud detection rules, supporting analytics within Palantir platforms, and producing actionable insights for government stakeholders. Join a team that helps safeguard federal healthcare programs through advanced analytics, anomaly detection, and data-driven fraud prevention.

Responsibilities for the Data Analyst (Healthcare Fraud) include:
  • Develop, test, document, and maintain fraud, waste, and abuse (FWA) business rules, algorithms, and provider risk-scoring methodologies
  • Analyze healthcare claims, enrollment, and exclusion data to identify anomalies, overpayments, fraud schemes, and prioritized investigative leads
  • Support Palantir platform configuration, analytics development, data pipelines, integrations, and weekly analytic runs for War Room operations
  • Build dashboards, visualizations, leadership reports, and fraud trend analyses to support governance and decision-making
  • Perform rule back-testing, quality assurance reviews, precision measurement, documentation, and knowledge transfer activities for VA personnel

Required Qualifications for the Data Analyst (Healthcare Fraud) include:
  • 2-5 years of experience in federal healthcare data analytics, healthcare fraud detection, payment integrity, Medicare, Medicaid, or VA healthcare data environments
  • Strong proficiency with SQL, Python, PySpark, R, healthcare data analytics platforms, data pipelines, transformations, and dashboard development
  • Experience working with healthcare claims data, CPT/HCPCS codes, ICD-10 coding, provider and beneficiary data, and handling sensitive PHI under HIPAA requirements
  • Bachelor's degree in Information Technology, Computer Science, Data Science, Statistics, Health Informatics, or a related field
  • Ability to pass a Public Trust clearance (Tier 2 / Moderate Background Investigation) and obtain a VA PIV card

Compensation for the Data Analyst (Healthcare Fraud) include:
  • Salary Range: $90,000 - $110,000 annually depending on experience
  • Full Benefits Package: PTO, Paid Holidays, Medical, Dental, Vision, 401K, Tuition Reimbursement, Sick Leave as required by law

#LI-ER1 #LI-REMOTE

Keywords: Data Analyst, Healthcare Fraud, Fraud Waste and Abuse, FWA Analytics, VA, VHA, Veterans Affairs, Office of Integrity and Compliance, OIC, Public Trust, Palantir Foundry, Palantir Gotham, Healthcare Analytics, Healthcare Claims Data, Medicare, Medicaid, Community Care, Payment Integrity, Provider 360, Network Analysis, Anomaly Detection, SQL, Python, PySpark, R, Data Pipelines, Data Visualization, Power BI, Tableau, Fraud Detection, Risk Scoring, Federal Healthcare, HIPAA, ICD-10, CPT, HCPCS, Healthcare Compliance, Certified Fraud Examiner, Data Science, Remote Jobs, Government Consulting, Analytics Reporting, Improper Payments, Claims Analysis, Healthcare Technology, Federal Contractor Jobs
group id: 10430981
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About Us
Zachary Piper Solutions is a National Security focused technology services and consulting firm with a top-secret facility clearance. We support mission-critical initiatives on behalf of the Intelligence Community, Department of Defense, Department of Homeland Security, Department of Justice, Department of State, and a variety of Civilian Agencies. ZPS is dedicated to help protect government networks against cyber threats and to maximize the wide-spectrum of intelligence and security-related technologies. Our dedicated support and proven experience drive results in support of our client’s mission objectives.
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Job Category
IT - Data Science
Clearance Level
Public Trust