Jobs in the United States

25+ jobs

Group jobs by employerEmail me new jobs Save this search

Added 1 min ago
Software Developer
LEIDOS, INC.
Colorado Springs, CO
This Software Developer role includes trade studies, system engineering, model-based system engineering, portfolio analysis, software development demonstration and product testing and…
Added 1 min ago
Director, Network Product Management
LEIDOS, INC.
Remote, United States
…EHRs, and other critical provider workflows to ensure seamless data flow and reduce provider…
Added 1 min ago
Microsoft Project / Project Management Specialist
LEIDOS, INC.
San Antonio, TX
Advanced analytical proficiency in Microsoft Excel (data modeling, Pivot Tables, Power Query) and PowerPoint presentation design
Added 1 min ago
Microsoft Project / Project Management Specialist
LEIDOS, INC.
Las Vegas, NV
Advanced analytical proficiency in Microsoft Excel (data modeling, Pivot Tables, Power Query) and PowerPoint presentation design
Added 1 min ago
Architect
LEIDOS, INC.
Remote, United States
This position is fully remote - you must live in the Eastern part of the US
Added 1 min ago
Network Engineer II
LEIDOS, INC.
Shiloh, IL
Perform engineering tasks related to the design, implementation, and integration of network changes and sustainment of customer systems in an Wide Area Network environment.
Added 1 min ago
Software Engineer- AI, Autonomy and Platform Development
LEIDOS, INC.
Reston, VA · Huntsville, AL · San Diego, CA
Design and develop platform software, including APIs and SDKs, data and knowledge services, and user-facing applications.
Added 1 min ago
Technical Integration Lead (Cybersecurity and Systems Integration)
LEIDOS, INC.
Remote, United States
…integrate security concepts, controls, and mechanisms into the design and architecture phases to produce a reliably secure…
Added 1 min ago
Microsoft Project / Project Management Specialist
LEIDOS, INC.
Hampton, VA
Advanced analytical proficiency in Microsoft Excel (data modeling, Pivot Tables, Power Query) and PowerPoint presentation design
Added 1 min ago
Microsoft Project / Project Management Specialist
LEIDOS, INC.
Oakland, SC
Advanced analytical proficiency in Microsoft Excel (data modeling, Pivot Tables, Power Query) and PowerPoint presentation design
Added 1 min ago
Senior Mechanical Engineer, Space Hardware
IRPI
Wilsonville, OR
…spacesuit subsystems. We take hardware from requirements through design, build, test, and delivery, often for…
Added 1 min ago
Test Engineer II
Blue Origin Personnel, LLC
United States
…hardware failures, risk identification and mitigation, automated data review scripts to support predictive maintenance, and a wide range of continuous process…
Added 1 min ago
Metabolics Lead
Life Time
Brooklyn, NY
…This role requires strong knowledge of physiology, program design, and a passion for education and member…
Added 1 min ago
Metabolic Lead Technician
Life Time
Wayne, PA
…This role requires strong knowledge of physiology, program design, and a passion for education and member…
Added 1 min ago
Global Lead, Scientific Platforms & Engagement Strategy
(5100) Genzyme Corporation
Cambridge, MA · Morristown, NJ
…This leader redefines "Scientific Exchange" from traditional data delivery to dynamic, personalized, and immersive science experiences for HCPs, patients, and payers - designing how science…
Added 1 min ago
Real World Evidence Scientific Lead
(0207) Sanofi US Services Inc.
Morristown, NJ · Cambridge, MA
Deliver strategic scientific input in all stages of RWE study conceptualization through study closure, including study design, cohort construction, protocol & statistical analysis plan…
Added 2 mins ago
Senior Systems Engineer
The Mitre Corporation
Huntsville, AL
Must be based in Huntsville, AL or able to relocate to Huntsville · Must have an active Secret U.S Government issued Security Clearance
Added 3 mins ago
II
Process Engineer
Ingredion Incorporated (NA-US)
Bedford Park, IL
- $84,400 to $112,533.33 USD / year
…quality, and ensuring safe and compliant operations through data-driven decision making and engineering…
Added 4 mins ago
Principal Engineer - Field Safety & Emergency Response
GLOBALFOUNDRIES U.S. INC.
NY
GlobalFoundries is a leading full-service semiconductor foundry providing a unique combination of design, development, and fabrication services to some of the world’s most inspired…
Added 4 mins ago
TL
Program Manager, GRC & AI Strategy
TransUnion LLC
Chicago, IL · Reston, VA · Crum Lynne, PA · White Plains, NY
- $142,500 to $237,500 USD / year
Lead a small team responsible for Cyber GRC reporting, performance metrics, data analysis, governance reporting, and executive communications.
Added 4 mins ago
Aerospace Engineer 2 (5221C), Space Sciences Laboratory #89688
University of California, Berkeley
CA
…ultra-violet instrumentation. The role consists of engineering design and development for ground support and space-flight mission objectives (e.g., vacuum test chambers, U-V light sources…
Added 4 mins ago
Manager Electronics Engineering 3
Northrop Grumman
San Diego
…tools, and methods); champion the adoption of modern hardware design practices, test automation, and data-driven decision making while aligning with sector…
Added 4 mins ago
Engineer Systems/Principal Engineer Systems (Performance Analysis) - AHT
Northrop Grumman
Huntsville
…performed at all levels of total system product to include concept, design, fabrication, test, installation, operation, maintenance, and disposal. Ensures the logical and systematic…
Added 4 mins ago
Principal / Senior Principal Systems Engineer
Northrop Grumman
Los Angeles
…with providing the skills, innovative technologies to develop, design, produce and sustain optimized product lines across the sector while providing a decisive advantage to the warfighter.…
Added 4 mins ago
NG Fellow 1 – Software Architect
Northrop Grumman
Chandler
…frameworks, reference architectures, interface architectures, data models, real-time execution approaches, modular reuse, and digital engineering practices across the relevant…

CareSource Management Services LLC

FWA Payment Integrity Data Analyst III (Health Plan & SQL exp required)

Remote, United States

Apply on caresource.wd1.myworkdayjobs.com About employer

Applications open in a new tab.

Job details

Pay: $83,000.00 - $132,800.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Posting language: English
Posted: Nov 10, 2026

Original job description

Job Summary:

The FWA Payment Integrity Data Analyst III is responsible for developing, implementing, managing and presenting in-depth analyses that meet the information needs associated with Fraud, Waste and Abuse.

Essential Functions:

Lead and implement data analytic Ideation and R&D activities and strategy to support decision-making across multiple lines of business and clients to enable FWA growth.
Validate Program Integrity vendor deliverables, results and collaborate with PI vendors to understand and drive CareSource FWA analytic needs and results, function as consultant to propose business solutions, and communicate results of data analytics outcomes against goals and strategic plan.
Participate in analytical, experimental, investigative, and other fact-finding work in support of concept development and in conjunction with vendors.
Monitor emerging internal and external FWAE data vulnerabilities and trends which may impact CareSource and create solutions to mitigate risk.
Identify trends and patterns using standard corporate, processes, tools, reports, and databases as well as leveraging other processes and data sources
Research policies, coding guidelines, and regulations that would support the hypothesis being developed.
Conduct outcome analyses to determine impact and effectiveness of corporate and SIU initiatives.
Collaborate on the examination and explanation of complex data relationships to answer questions identified either within the department or by other departments as it relates to Fraud Waste and Abuse.
Generate graphics that effectively describe, explore, and summarize analysis for communication to appropriate parties.
Manage processes and reporting to ensure that claims associated with investigations are processed appropriately and in a timely manner.
Collaborate with the Legal Department, generating data and analyses to support Legal proceedings.
Perform data analyses in support of both the SIU Program Integrity and Audit Functions.
Incorporate critical thinking skills and judgment in the analysis process to determine best course of action for each inquiry/problem.
Review reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques that will reveal intelligence for identification of any associative or causal relationships pertaining to Fraud Waste and Abuse and Error, providing management level summaries that explain key findings and providing documentation for use during Audits.
Use descriptive statistical techniques to measure impact of various actions/studies, internal and external, develop sampling and hypothesis testing to help the organization determine outcomes.
Performs any other job related duties as requested.

Education and Experience:

Bachelor's degree or equivalent years of relevant work experience in Healthcare Data Analytics required
Seven (7) years of experience in data analysis, FWA Ideation and/or analytic programming required
Seven (7) years Health care delivery and/or payer experience required
Extensive experience with Data Visualization / Dashboard tools (Power BI) required
Extensive experience using SQL for analytics projects, including databases queries required
Three (3) years of experience with Medicare/Medicaid required
Healthcare management experience/exposure required
Clinical experience is preferred

Competencies, Knowledge and Skills:

Proven understanding of database development including: Implementing Database Relationships; Data Integration; Data Manipulation using SQL; Database Object Creation using SQA; Database Normalization; Dimensional Design Concepts
Insight in administering Microsoft SQL Server, Transact-SQL (ANSI-SQL) and Integration Services (SSIS) is required
Insight and understanding of in programming languages such as Microsoft Visual Basic, Python
Strong Knowledge of coding standards, billing rules and regulations and knowledge of procedure and diagnosis codes (CPT, ICD10 coding, HCPCS, APC and DRGs)
Proven analytic skills in solving multi-dimensional problems
Advanced level experience in Microsoft Applications: Excel, Access, Word, and PowerPoint
SAS and SQL skills
Graphic development/presentation skills
Knowledge of inferential statistics
Working knowledge of descriptive statistical application and techniques
Data Mapping Skills
Ability to document database design, application design
Ability to maintain documentation of changes and modifications
Critical listening, thinking skills, and verbal and written communication skills
Decision making/critical thinking skills
Ability to work independently and within a team environment
Knowledge of Medicaid, Medicare, and managed care
Ability to lead analytic efforts

Licensure and Certification:

Coding certification through AAPC or AHIMA preferred

Working Conditions:

General office environment; may be required to sit or stand for extended periods of time
Travel is not typically required

Compensation Range:

$83,000.00 - $132,800.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary Organization Level Competencies

Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Brand=CareSource

Apply on caresource.wd1.myworkdayjobs.com About employer

More about this job

Skills

SQL
Decision making
Data analysis
Strategic planning
Create solutions to problems
Research
Communication skills
Improve business processes
Critical thinking
Documentation
Data visualization
Microsoft Power BI
Microsoft SQL Server
Transact-SQL
SQL Server Integration Services
Programming languages
Microsoft Visual Basic
Python
CPT
HCPCS
Microsoft Excel
Microsoft Access
Microsoft Word
Microsoft PowerPoint
SAS
Presentation skills
Statistics
Work independently

Report this job

Work requirements

Jobs in the United States