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Senior Full Stack Engineer - NBA
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…and Command Center experience, the operational system used by business and program teams to create, configure, govern, and publish member actions across the enterprise. Built on React,…
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Senior Decision Intelligence Engineer
Humana
Topeka, KS
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Medicare Program Partner
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…performance of the organization’s Medicare Advantage line of business. This role ensures operational excellence, regulatory compliance, and alignment with CMS requirements while driving…
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Dealer Development Specialist (Seasonal)
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Support the annual Dealer Agreement process and Seasonal dealer policy or program updates, including minimum standards, minimum advertised price requirements, minimum credit lines, order…
Added 1 min ago
Senior Solution Architect
LotusFlare
Remote, United States
Act as a key interface between the customer and the LotusFlare organization including product, engineering, support and business.
Added 7 mins ago
Procurement Analyst
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New York, NY
…providing information, analysis, and administrative and technical support to programs and divisions throughout the agency. The Fiscal team’s daily operations include, but are not limited…
Added 7 mins ago
Senior Procurement Analyst
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New York, NY
…providing information, analysis, and administrative and technical support to programs and divisions throughout the agency. The Fiscal team’s daily operations include, but are not limited…
Added 7 mins ago
Deputy Controller for Fiscal Management, Bureau of Controller
City of New York
Long Island City, NY
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Added 7 mins ago
Controller/Assistant Commissioner, Bureau of Controller
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ASSISTANT COMMISSIONER FOR STRATEGIC PLANNING AND PROCUREMENT
City of New York
New York City, NY
…quality of capacity and increase efficiencies of the procurement process, CPD seeks to fill the role of Assistant Commissioner of Strategic Planning and Procurement Management. Reporting to…
Added 8 mins ago
Branch Office Administrator
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Added 8 mins ago
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Quality Technician
Eaton Corporation
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- $47,000 to $69,000 USD / year
Support implementation of continuous improvement projects focused on reducing defects, improving process capability, and enhancing customer satisfaction.
Added 8 mins ago
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Account Analyst (Technology Innovation)
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Portland, OR
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Hospice Intake Specialist
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Added 11 mins ago
Senior Director, Finance Transformation
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Added 14 mins ago
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Added 22 mins ago
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Software Engineering Intern - Summer 2027
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Added 22 mins ago
Senior Software Development Engineer in Test (SDET)
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…owning the automated quality engineering capabilities that support the long-term success of the SPM Cloud platform. The role will initially focus on gaining knowledge of the testing…
Added 23 mins ago
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Infrastructure & Capital Projects - Director, ANS
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Jobgether

Sr. Data Analyst

Remote, United States

$70,000 to $100,000 USD / year

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Job details

Pay: $70,000 to $100,000 USD / year
Posting language: English
Posted: Oct 30, 2026

Original job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Sr. Data Analyst based in the United States.

We are seeking an experienced Senior Data Analyst to support healthcare program integrity initiatives through advanced analytics and fraud detection modeling. In this fully remote role, you will work with complex Medicare and Medicaid claims data to identify patterns associated with fraud, waste, and abuse (FWA). You will develop analytical models, investigate anomalies, and transform data-driven findings into actionable insights that strengthen program oversight. Working with statistical and data analysts, you will combine healthcare policy knowledge with technical expertise in Python, R, SQL, and SAS. You will also contribute to project delivery, provide technical guidance, and help ensure the quality of analytical outputs. This opportunity offers the chance to apply sophisticated quantitative methods to meaningful challenges across public healthcare programs. Accountabilities

As Senior Data Analyst, you will develop and execute advanced analytical approaches to detect potential fraud, waste, and abuse while supporting high-quality project delivery and collaboration across analytical teams.

• Develop and implement analytical models and methodologies to support Medicare and Medicaid fraud, waste, and abuse detection initiatives.

• Apply healthcare data and policy expertise to known fraud schemes, identifying potential patterns and indicators within claims data.

• Design and execute tests to validate analytical hypotheses and use findings to build and improve fraud detection models.

• Detect anomalies, investigate unusual activity, and identify outliers or patterns potentially associated with fraud, waste, or abuse.

• Build advanced analytical models using Python, R, SQL, SAS, and other appropriate tools.

• Extract, manipulate, merge, and analyze large Medicare, Medicaid, and other healthcare claims datasets stored in cloud environments.

• Design and conduct targeted analyses and prepare supporting materials aligned with project objectives.

• Monitor Medicare and Medicaid policy developments, assess their impact on fraud detection methodologies, and update analytical models accordingly.

• Participate in testing sprints and contribute to related project initiatives.

• Provide subject matter expertise, technical guidance, and analytical support to Statistical and Data Analysts.

• Support task execution, conduct peer reviews, and help maintain the quality and accuracy of project deliverables.

• Prepare detailed analytical reports communicating findings, methodologies, and recommendations.

• Potentially serve as a Team Lead, coordinating project activities, documenting progress, managing team performance, and acting as a primary client liaison.

Requirements

The ideal candidate combines strong quantitative and statistical expertise with hands-on experience analyzing complex healthcare claims data and developing analytical solutions for program integrity initiatives.

• Bachelor's degree in Statistics, Mathematics, Computer Science, or a related field, or at least 6 years of healthcare data analysis experience.

• At least 6 years of professional experience working with large and complex datasets.

• Advanced knowledge of analytical, mathematical, and statistical methods.

• Demonstrated experience working with healthcare claims data, particularly Medicare and Medicaid claims.

• Experience or working knowledge of ICD-10 codes, HCPCS, and Diagnosis Related Groups (DRGs).

• Strong SQL and data manipulation skills, including merging disparate datasets, INNER/LEFT/RIGHT joins, and functions such as COALESCE() and CAST().

• Familiarity with SAS functions and procedures, including SUBSTR(), LAG(), and PROC SQL.

• Proficiency in one or more of the following analytical tools: SAS, Python, R, and SQL.

• Background in a health-related, scientific, public policy, or business discipline, supported by strong quantitative and statistical knowledge.

• Knowledge of analytical methodologies, program integrity analytics, and relevant principles.

• Proficiency with Microsoft Office applications, including Excel, Word, PowerPoint, and Outlook.

• Ability to perform complex mathematical calculations and translate analytical findings into clear conclusions.

• Strong analytical, organizational, customer service, leadership, and presentation skills.

• Excellent collaboration and communication abilities, with the capacity to work independently and as part of a multidisciplinary team.

• Ability to manage multiple assignments, adapt to changing priorities, and consistently meet deadlines.

• Demonstrated responsiveness, initiative, and a cooperative approach to tasks and requests.

Additional Requirements

• Must successfully pass post-hire background screening checks.

• Must have reliable wired and/or wireless internet access to work remotely.

• Must be able to obtain security clearance if required by the client or contract.

Benefits

• Annual salary range of $70,000–$100,000 for U.S.-based remote candidates.

• Paid vacation and sick leave.

• Paid holidays.

• Health, dental, and vision insurance.

• Short-term and long-term disability coverage.

• Life insurance.

• Employee Assistance Program.

• 401(k) retirement plan.

• Educational benefits.

• Fully remote working arrangement.

• Salary determined by relevant experience, geographic location, skills, internal equity, and applicable contractual requirements.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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