Senior Healthcare Data Analyst

Employment Type: Full-time Location Type: Remote Salary: Not Specified

Position Overview

Team CATHEXIS elevates the government contracting experience through rapid response, deep skill, and thoughtful problem-solving and communication. Our core capabilities are our top-tier program and project management, data analytics, and audit services, the backbone of which is our integrated approach to operational excellence. Team CATHEXIS operates with an all-in mindset, working together to create a company that supports shared values and individual goals. Our values are centered around Respect, Integrity, Teamwork, and Excellence.

We are looking for a dynamic Senior Healthcare Data Analyst to join our team! This exciting opportunity focuses on using data to shape healthcare delivery and policy. The analyst will collaborate with stakeholders across disciplines, leveraging large datasets and advanced statistical tools to drive strategic insights and support mission-critical decisions.

Responsibilities

• Provide analytical and data sampling support to ongoing audits of medical invoices for compliance with specific coding, service, and billing practices.
• Combine data into single tables to extract samples for the audit team for analysis.
• Complete comprehensive analytical review of all electronic invoices to ensure accuracy and completeness.
• Apply advanced analytical techniques to identify potential anomalies and irregularities as part of the audit team.
• Record methods and results as directed by the Audit Team Lead in compliance with the audit methodologies.
• Utilize IDEA auditing software to develop auditing methods and tests and export those results for audit team analysis.
• Ensure results and findings are delivered on time and accurately.
• Perform invoice testing and document processes and results using IDEA (audit software).
• Identify missing data fields, the use of incorrect codes, and other billing irregularities.
• Collaborate with the Audit Team to support audit research and root cause analysis.
• Develop IDEA analysis methods and scripts that are repeatable and applicable for each audit to ensure standardization of approach and accuracy of results.
• Perform other duties as required.

Requirements

• Security Clearance: Must have an active Public Trust or the ability to obtain and maintain a Public Trust, which requires U.S. citizenship and a favorable background check (including criminal, credit, and employment history).
• Education: Bachelor’s Degree in health information management, Nursing, Healthcare Administration, or a related field. (In lieu of a bachelor's degree, an additional 4 years of relevant work experience is acceptable).
• Experience: 5 to 10 years of relevant experience working with healthcare data, including claims, EHRs, or public health datasets, healthcare auditing, medical documentation evaluation, or a closely related area.
• Analytical Skills: Demonstrated past analytical expertise and the ability to master IDEA is necessary for this position.
• Statistical Software Proficiency: Proficiency in statistical analysis and the use of software tools such as SAS, R, SPSS, Python, or SQL, with a solid understanding of applying statistical methods to analyze healthcare data.
• Data Management: Experience with data collection, cleaning, and management practices, ensuring data integrity and usability.
• Software Proficiency: Proficient working knowledge of Microsoft Office suite, especially Excel, and familiarity with Access and SQL preferred.
• Organizational Skills: Ability to manage multiple issues, keep track of status, and contact relevant parties.

Company Information

Team CATHEXIS elevates the government contracting experience through rapid response, deep skill, and thoughtful problem-solving and communication. Our core capabilities are our top-tier program and project management, data analytics, and audit services, the backbone of which is our integrated approach to operational excellence.

We believe success is best when we listen and lead with empathy; model high standards of ethics to provide a rewarding candidate experience; work hard, have fun, and appreciate the strengths we all bring to the team; and empower our employees to create innovative and trusted results.