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Data Analyst - Medicare
  • Data Analysis
  • Excel
  • Perl
Perspecta
Camp Hill, PA 17001
119 days ago
Business Group Highlights

Risk Decision

The Risk Decision group is a mission-critical provider of specialized investigative services to a broad range of organizations spanning the federal, intelligence and civilian sectors. Leveraging a nationwide footprint of highly experienced investigators and subject matter experts, we provide critical information to support sensitive decisions.

Responsibilities

Every day at Perspecta, we enable hundreds of thousands of people to take on our nation’s most important work. We’re a company founded on a diverse set of capabilities and skills, bound together by a single promise: we never stop solving our nation’s most complex challenges. Our team of engineers, analysts, developers, investigators, integrators and architects work tirelessly to create innovative solutions. We continually push ourselves—to respond, to adapt, to go further. To look ahead to the changing landscape and develop new and innovative ways to serve our customers. Perspecta works with U.S. government customers in defense, intelligence, civilian, health care, and state and local markets. Our high-caliber employees are rewarded in many ways—not only through competitive salaries and benefits packages, but the opportunity to create a meaningful impact in jobs and on projects that matter. Perspecta’s talented and robust workforce—14,000 strong—stands ready to welcome you to the team. Let’s make an impact together.

SafeGuard Services (SGS), a subsidiary of Perspecta, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

Since 1999, SGS has prevented more than $9.5 billion in inappropriate payments, consisting of over $5.9 billion in proactively Prevented Dollars and $3.6 billion in Recovered Dollars. Our experience with fraud and abuse analytics has resulted in the referral of thousands of cases to law enforcement and resulted in successful criminal and civil prosecution and civil monetary penalties.

Position Overview:

The position requires the individual to conduct research on Medicare claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools to detect situations of potential fraud and support ongoing fraud investigations and requests for data.

Qualifications

Prerequisites:

  • BS 5-7 Years, MS 3-5, PhD 0-2
  • Strong computer skills including Microsoft Access, experience in relational data base design, extract, and reporting, Excel, and the Internet
  • Strong proven analytical ability and basic knowledge of statistics and sampling techniques
  • Proven Ability to work with a variety of systems, sources of data and analytic tools
  • Strong communication and organization skills

Essential Functions:

  • This position may require the incumbent to appear in court to testify about work findings.
  • Ability to analyze data to identify and compare norms, trends and patterns.
  • Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government.
  • Ability to communicate effectively, internally and externally
  • Ability to report work activity on a timely basis.
  • Ability to handle confidential material.
  • Ability to conduct self-directed research to uncover problems in Medicare payments made to a variety of provider types including physicians, suppliers, hospital, rehabilitation facilities, Skilled Nursing Facilities, Rural Health Care Facilities, and other healthcare professionals as well as Home Health Agencies and Hospices
  • Ability to organize a case file, research violations and accurately and thoroughly document all steps taken in project development.
  • Ability to attend meetings, training and conferences, overnight travel required in some instances.
  • Ability to work independently and as a member of a team to deliver high quality work

About Perspecta

What matters to our nation, is what matters to us. At Perspecta, everything we do, from conducting innovative research to cultivating strong relationships, supports one imperative: ensuring that your work succeeds. Our company was formed to bring a broad array of capabilities to all parts of the public sector—from investigative services and IT strategy to systems work and next-generation engineering.

Our promise is simple: never stop solving our nation’s most complex challenges. And with a workforce of approximately 14,000, more than 48 percent of which is cleared, we have been trusted to do just that, as a partner of choice across the entire sector.

Perspecta is anAA/EEO Employer - Minorities/Women/Veterans/Disabled and other protected categories.

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As a government contractor, Perspecta abides by the following provision
PAY TRANSPARENCY NONDISCRIMINATION PROVISION
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

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