Data Analyst (Healthcare Fraud)
Zachary Piper SolutionsUSARemote
Posted 19d ago · via Jobfound · Last checked 15d agoAbout the role
Zachary Piper Solutions is seeking a Data Analyst (Healthcare Fraud) to support the DVA VHA’s Fraud Rapid Response Center. The role analyzes federal healthcare data, develops fraud detection rules, identifies suspicious billing patterns, and generates prioritized leads using VA’s Palantir analytics platform. ResponsibilitiesDevelop, test, and document analytical business rules and algorithm logic designed to identify healthcare fraud, waste, and abuse schemesSupport provider risk scoring, case prioritization, and fraud detection criteria to help investigators identify high-risk providers and suspicious claimsSupport configuration, code development, deployment, and integration of data pipelines and analytics workflows within VA’s Palantir platformCombine claims, enrollment, and provider exclusion data to support a comprehensive Provider 360 view of community care providersPerform anomaly detection and network analysis to identify unusual billing patterns, relationships, and potential co