Data Analyst II

As a Data Analyst II, you will conduct thorough evaluations and advanced analyses of potential fraud cases and data inquiries by leveraging claims information and multiple data sources. You will provide critical support in developing complex, high-value, or sensitive cases that warrant referral to law enforcement, recovery of overpayments, or administrative action—driven by both proactive and reactive data analysis strategies. Key responsibilities include performing comprehensive analysis of healthcare claims data, collaborating with investigators, applying data mining techniques, validating analytical outputs, communicating insights, responding to management requests, and contributing to training sessions.