Senior Research/Data Analyst (Fraud, Waste, and Abuse Data Analyst)

Job Location: These positions will be working in-office at 615 Howerton Court, Jefferson City, MO, 65109. Why You’ll Love This Position There are two openings for a Senior Research/Data Analyst (Fraud, Waste, and Abuse (FWA) Data Analyst). These analysts will be responsible for conducting complex research and analysis of MO HealthNet programs to prevent fraud, waste, and abuse.

They will be reviewing the data amongst these programs to make policy change recommendations for program improvements. When program changes are implemented, FWA Data Analysts will continue to monitor the programs for impacts and other improvement areas. Conduct complex research into program policy and claims payments using the data analytics tools available.

Using data collected during analysis, develop and present recommendations for program improvements to policy staff. Review policy manuals, bulletins, and state and federal regulations/statutes to gather information on programs. Create schedule and benchmarks with policy and adhere to timelines to complete program assessments and recommendations Monitor recommended programmatic changes for outcomes.

Help safeguard the agency against unnecessary utilization and help ensure program integrity safeguards are adhered to.

Minimum Qualifications

• Bachelor’s degree and 4-6 years of relevant experience and/or appropriate certification.
• (Substitutions may be allowed.)
• Preferred Qualifications Must be able to write, read, and debug code.
• Must be able to think independently, logically, and use creative problem-solving strategies.
• Must be able to communicate in English both verbally and in writing to relay data findings and progress to policy staff.
• Must be organized and able to prioritize work according to benchmark targets created in the project schedule.
• Must be able to analyze and interpret Medicaid data.
• Knowledge of Medicaid or health insurance claims, policy, or program design is essential.
• Experience leading health quality or social service projects or other project planning.
• Lack of post‐secondary education will not be used as the sole basis denying consideration to any applicant.
• The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage.
• Your total compensation is more than the dollars you receive in your paycheck.
• To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator.
• This tool provides a comprehensive view of benefits and more that are offered to prospective employees.
• The Total Compensation Calculator and other applicant resources can be found here.
• If you have questions about this position, please contact Katrina Falter at [email protected].
• If you experience accessibility issues while applying, please contact Courtney Hall at [email protected].