Jobs in the United States

25+ jobs

Group jobs by employerEmail me new jobs Save this search

Added just now
Sr Data Engineer - Assortment and Space Planning
HOME DEPOT U.S.A., INC.
United States
Experience with SQL, NoSQL databases, relational databases, and query authoring
Added just now
Product Intern - Summer 2027
Addepar
NY
Added 1 min ago
Business Analyst
NOV
Houston, TX
Candidate must have strong oral and written communication skills to include the ability to provide group presentations in a seminar environment
Added 2 mins ago
TT
Manager, Database Administration
Team TAG Services, LLC
Chicago, IL
- $156,000 to $177,000 USD / year
…Administrators, set the standards for how we run Microsoft SQL Server, PostgreSQL, and NoSQL technologies such as MongoDB Atlas, and stay close enough to the technology to step in when a…
Added 2 mins ago
DBT Engineer with Airflow & SQL
NTT DATA Services
King Of Prussia, PA
We are currently seeking a DBT Engineer with Airflow & SQL to join our team in King Of Prussia, Pennsylvania (US-PA), United States (US).
Added 2 mins ago
User Acceptance Tester III
Labcorp
Burlington, NC · Durham, NC
Collaborate with Business Analyst and Software Developer frequently for requirements and issues clarification
Added 3 mins ago
UG
Principal Business Data Consultant - Remote
UnitedHealth Group
Schaumburg, IL
- $112,700 to $193,200 USD / year
area, you will be required to work in the office a minimum of four days per week
Added 3 mins ago
Principal Software Developer - Data
Redfin Corporation
Seattle, WA
Processing Frameworks: Advanced proficiency in SQL, Python, and distributed compute engines (Spark, Ray, or native Snowflake compute).
Added 3 mins ago
C
Director, Strategic Intelligence
CreatorIQ
New York City, NY
- $150,000 to $188,000 USD / year
…developed analysts. You're comfortable directing technical work in SQL, Python, and data pipelines, partnering closely with the specialists who build…
Added 4 mins ago
SI
Summer 2027 Intern - AI Foundry Incubation
Salesforce, Inc.
CA
- $54 to $70 USD / hour
Experience working with qualitative and quantitative research tools, including Excel, SQL, Python, R, or survey platforms.
Added 5 mins ago
Software Engineering Manager
Neumo Holdings LLC
AL · Decorah, IA · VA
Added 6 mins ago
Senior Software Engineer
Northwest Bank
Columbus, OH · Warren, PA · Fishers, IN · Bellevue, PA · Independence, OH
The Senior Software Engineer designs, develops, and supports applications and solutions using Visual Studio, .NET platform and SQL server.
Added 6 mins ago
Product Engineering Intern
Rambus
San Jose, CA
Employees are encouraged to spend an average of at least three days per week onsite, allowing for two days of remote work
Added 6 mins ago
SDC BCMT Back End Engineer---Senior----Charlotte
EY
Charlotte, NC
To qualify for the role you must have:
Added 7 mins ago
Senior GTM Operations Analyst
projects/helpful-passage-853/companies/9810ab3a-d8cd-4ba4-9ee5-ca421241fe3c
San Francisco, CA · Chicago, IL · Seattle, WA
…a global or complex, matrixed organization Experience using SQL, Python, or similar analytical tools to investigate complex scenarios, reconcile data, and develop repeatable analytical…
Added 8 mins ago
Business Intelligence (BI) Analyst / Developer
Dairy Farmers of America, Inc.
Kansas City, KS
- 2-3 years of experience as a SQL developer, Snowflake developer, Data Warehouse developer, or BI Developer
Added 8 mins ago
Senior Revenue Operations Specialist - Salesforce & GTM Automation
DataCamp
NY
Strong quantitative/data skills. Experience building BI reports using SQL.
Added 10 mins ago
WC
AI Solutions Engineer
Wings Credit Union
Colorado Springs, CO
- $108,000 to $126,000 USD / year
Added 11 mins ago
Innovation Lab Engineer
Avista 1
Spokane, WA
Experience using Python, C Sharp, SQL, or other code-based methods to create custom tools and integrate data between systems
Added 11 mins ago
Web and Data Administrator
LGI Homes
The Woodlands, TX
…public-facing websites. The role also administers Microsoft SQL Server/MySQL databases and Microsoft SQL Reporting Services, and performs security and access audits for SQL servers and SSRS…
Added 12 mins ago
Application Integration, SME
Cayuse Holdings
Washington, DC
Design, develop, and maintain data integration and migration pipelines using tools such as Azure Data Factory, SQL Server Integration Services (SSIS), and Power Apps/Power Platform…
Added 12 mins ago
WD
Kinaxis Solution Architect - Supply Chain Planning
Western Digital
San Jose, CA
- $145,800 to $194,400 USD / year
Experience integrating Kinaxis with Oracle Cloud ERP, MES, PLM, cloud data platforms, SQL-based environments, Power BI or Tableau.
Added 14 mins ago
IS
QA Engineer
INSPYR Solutions
Charlotte, NC
- $53 to $60 USD / hour
Experience with AWS services, SQL, and Azure Boards is preferred. Proficiency in English is essential.
Added 14 mins ago
IS
Python Engineer
INSPYR Solutions
Cupertino, CA
- $70 to $84 USD / hour
Design and implement scalable data layers, service endpoints, and integrations with SQL-based data sources
Added 14 mins ago
Technical Apps Specialist IV (Non Clinical Apps)
Emory Healthcare
Atlanta, GA

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