Healthcare Claims Data Analyst

General Dynamics Information Technology

. Support Centers for Medicare and Medicaid Services anti-fraud activities .

Posted 9/19/2026full-timeRemote • United StatesMid-LevelSenior💰 $76,500 - $103,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in developing fraud, waste, and abuse analytics using SQL and Python, with a strong focus on healthcare claims data. Capable of translating complex analytic requirements into actionable insights while ensuring reproducibility and clarity in documentation.

Highest-signal resume keywords

SQL Query WritingPython Data AnalysisHealthcare Claims Data ExperienceFraud, Waste, and Abuse AnalyticsData Documentation and Presentation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

SQLPythonData AnalysisAnalytic DocumentationData LineageCTEsWindow FunctionsMulti-Table JoinsPerformance AwarenessData Visualization

Soft Skills

Attention to DetailOrganizational DisciplineClear CommunicationProblem-SolvingAdaptability

Tools & Technologies

SnowflakeSnowSQLTableauGit

Certifications & Qualifications

Public Trust Eligibility

Industry Keywords

Fraud PreventionWaste ManagementAbuse AnalyticsProgram IntegrityPayment IntegrityUtilization ReviewICD-10CPTHCPCSDRG

Tech Stack

Tools & technologies

CloudPythonSQLTableau

About the role

Key responsibilities & impact

Support Centers for Medicare and Medicaid Services anti-fraud activities
Develop fraud, waste and abuse analytics from concept to finished product at the Trusted Third Party
Work against a multi-billion-record claims warehouse assembled from public and private healthcare payers
Translate Partner and client requests into specifiable analytic questions
Determine what can and cannot be answered with available data and raise limitations early
Develop FWA analytics end to end using SQL and Python against billions of claim records
Test and refine analytics with FWA Subject Matter Experts
Separate genuine aberrancy from patterns explained by legitimate clinical practice, coverage policy or claim edits
Document methodology, assumptions and data lineage for reproducibility and incorporation into the analytic suite
Document findings and present results to internal stakeholders
Participate in Partner discussions to clarify analytic requirements
Manage several concurrent requests against firm deadlines in a queue driven by Partner and client demand
Work with Data Scientists, Business Intelligence Developers and FWA Subject Matter Experts on a fully remote multidisciplinary team

Requirements

What you’ll need

Bachelor's degree in a quantitative or health-related field, or equivalent hands-on experience
4+ years writing SQL against large relational data, including CTEs, window functions and multi-table joins at scale
Performance awareness to understand why a query is slow
Working proficiency in Python for data analysis, producing clean and reproducible analysis code
Ability to turn an ambiguous request into a defined analytic question
Experience documenting analytic work so another person can reproduce it
Ability to come up to speed quickly in an unfamiliar data domain
Ability to explain analytic results clearly to non-analyst audiences
Accuracy, attention to detail and organizational discipline
US citizen or Permanent Resident
Must be able to obtain/maintain Public Trust
Work visa sponsorship will not be provided
Desired: experience with healthcare claims data and coding systems such as ICD-10, CPT, HCPCS, and DRG
Desired: exposure to fraud, waste and abuse, program integrity, payment integrity or utilization review
Desired: experience with Snowflake and SnowSQL or comparable cloud data warehouse
Desired: Git and collaborative code review practices
Desired: familiarity with payer coverage policy and claim edits such as NCCI
Desired: Tableau or other data visualization software

Benefits

Comp & perks

Competitive pay and benefits
Flexible work schedule
Medical plan options, some with Health Savings Accounts
Dental plan options
Vision plan
401(k) plan with pre-tax and post-tax contributions and company match
Full flex work weeks where possible
Paid time off plans including vacation, sick, personal, holiday, parental, military, bereavement, and jury duty leave
Typically 15 days of paid leave per calendar year
10 paid holidays per year
Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees
Short- and long-term disability benefits
Life insurance
Accidental death and dismemberment insurance
Personal accident insurance
Critical illness insurance
Business travel and accident insurance