Fraud Data Analyst

Website MinnesotaDHS Department of Human Services

Department of Human Services

Job Summary
This posting will be used to fill two vacancies.

The Fraud Data Analyst is part of the Financial Fraud and Abuse Investigations Data Team within the Office of Inspector General (OIG). The data team conducts research, database design/development, and data management activities necessary in order to provide expert direction to divisional, interdivisional and federal/state data analysis projects regarding fraud and abuse investigations.

The Fraud Data Analyst is responsible for the analysis and the production of data and investigative reports using OIG databases, health care provider/recipient data, and external data in support of fraud and abuse investigations. Further, position provides analysis of health care, child care provider service/billing data, and recipient benefit data in order to identify aberrant patterns and outlier claims through complex algorithms.

Responsibilities include but are not limited to:

  • Analysis, research, report design and development, and data management activities; and provides expert analysis for projects regarding fraud and abuse investigations of DHS-enrolled  licensed providers and recipients
  • Utilization analysis necessary for management of health care program integrity
  • Respond to data requests from internal and external customers
  • Assisting internal and external customers with defining data needs, accessing DHS data using complex queries, and transforming data into useful forms using state-of-the-art tools and rigorous methodologies
  • Performing high-quality data analysis and interpretation in order to distill useful information from the data and presenting that information in a customer-friendly format

Minimum Qualifications:
Five years professional experience with one or more of the following:

  • Experience with programming software such Statistical Analysis Software (SAS) and/or Structured Query Language (SQL)
  • Experience with relational databases and/or data warehouse environments
  • Experience with data extraction, data manipulation, data transformation and interpretation

Preferred Qualifications:

  • Experience with SAS Business Intelligence software suite
  • Experience working in health services research or health care policy
  • Experience working with health care data systems, such as claims data or electronic health records
  • Experience with project management, technical and non-technical report writing, and oral presentation of analysis and results
  • Experience with DHS data and data systems
  • Knowledge of Minnesota public health care programs, including coverage policy and purchasing strategies
    Additional Requirements

To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.

REFERENCE/BACKGROUND CHECKS – The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.

Application Details

Why Work For Us

GREAT BENEFITS PACKAGE! The State of Minnesota offers a comprehensive benefits package including low cost medical and dental insurance, employer paid life insurance, short and long term disability, pre-tax flexible spending accounts, retirement plan, tax-deferred compensation, generous vacation and sick leave, and 11 paid holidays each year.

Our mission as an employer is to actively recruit, welcome and support a workforce, which is diverse and inclusive of people who are underrepresented in the development of state policies, programs and practices, so that we can support the success and growth of all people who call Minnesota home.

How to Apply

If you have questions about applying for jobs, contact the job information line at 651-259-3637.

For additional information about the application process, go to http://www.mn.gov/careers.

Contact

If you have questions about the position, contact Delores Lambert at Delores.Lambert@state.mn.us

If you are a Connect 700 applicant, please email your certificate to Joua Aeling at Joua.Aeling@state.mn.us by the position close date.

If you are an individual with a disability and need an ADA accommodation for an interview, you may contact the Department of Human Services’ ADA Coordinator at 651-431-4945 for assistance.

To apply for this job please visit careers.mn.gov.

Share