Senior Data Analyst (Healthcare Claims)

Location: Remote

Company

hirify.global is a data and AI engineering firm serving public-sector and highly regulated-industry customers, including U.S. government organizations in health, civilian, and national security missions.

What you will do

• Gather data requirements, resolve data challenges, and collaborate with client and project teams.
• Develop data models to identify vulnerabilities, anomalous activity, and risks in Medicare and Medicaid programs.
• Analyze provider billing and utilization patterns in large healthcare claims datasets.
• Advise on statistical modeling, hirify.globall techniques, emerging tools, and proven approaches.
• Document hirify.globall methods and findings through white papers and other technical materials.
• Test and quality-assure hirify.globall solutions, monitor Medicare and Medicaid billing compliance, and present findings to customers and stakeholders.

Requirements

• Bachelor’s or Master’s degree in Data Analytics, Statistics, Health Policy, Public Health, or a related field; a Master’s degree is preferred.
• Experience working with Medicare and/or Medicaid data.
• Strong SQL skills with large claims datasets, including tracing joins and filters and explaining changes in record counts.
• Proficiency in Python and strong knowledge of statistical programming concepts and best practices.
• Experience developing machine learning models, including anomaly detection techniques such as Isolation Forest.
• Experience with Databricks, Snowflake, or another notebook-based development environment.
• Strong communication skills, including presenting technical concepts and hirify.globall findings to clients and project teams.

Nice to have

• Program integrity experience.
• Experience with MLflow and MLOps practices.
• Experience with Esri or other geospatial mapping and analytics tools.
• Experience with Tableau and data visualization techniques.
• Ability to read and interpret SAS code.

Culture & Benefits

• Remote full-time position supporting public-sector and highly regulated-industry missions.
• Competitive compensation with opportunities for bonuses.
• Employer-paid healthcare and a 401k match.
• Training and development funds.
• Equal opportunity employment and reasonable accommodations for applicants and employees with disabilities.