Data Analyst

Zachary Piper Solutions is seeking a Data Analyst to support an unnamed company focused on federal healthcare fraud prevention and payment integrity. The role develops fraud detection analytics, analyzes healthcare claims data, and generates actionable leads for fraud, waste, and abuse investigations.

Responsibilities:

• Develop, test, and maintain analytical business rules and fraud detection algorithms to identify healthcare fraud, waste, and abuse (FWA)
• Analyze healthcare claims, provider, and enrollment data to identify suspicious billing patterns, improper payments, overpayments, and high-risk providers
• Build and support data pipelines, workflows, dashboards, and reporting solutions using analytics platforms and visualization tools
• Perform anomaly detection, provider risk scoring, and network analysis to support fraud investigations and case prioritization
• Document analytical methodologies, support quality assurance efforts, and create executive-level reports, briefings, and recommendations

Requirements:

• 2-5 years of experience supporting healthcare data analytics, fraud detection, payment integrity, healthcare claims analysis, or related federal healthcare initiatives
• Strong technical experience with SQL, Python, and data analytics platforms, including data pipelines, transformations, and dashboard development
• Experience analyzing healthcare claims data, provider information, CPT/HCPCS codes, ICD-10 codes, beneficiary data, and fraud detection methodologies
• Bachelor's degree in Information Technology, Computer Science, Data Science, Statistics, Health Informatics, or a related field