Peraton is looking to add a Data Scientist to their SafeGuard Services (SGS) team to perform data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse in Medicare and Medicaid programs.
Requirements
- Experience in constructing datasets from data warehouses or centralized databases for analysis using SQL, SAS, R, or Python.
- Experience in developing detection models using tools such as SAS, R, and/or Python.
- Experience managing statistical modeling projects.
- Strong understanding of Statistical models that include, but not limited to regression, Survival analysis, and functional data analysis to build analyses that address business problems .
- Strong understanding of machine language .
- Strong computer skills that include experience in relational database design, extract, and reporting, Excel, and the Internet.
- Strong proven analytical ability and basic knowledge of statistics and sampling techniques
Responsibilities
- Analyze and interpret data using a range of techniques, from basic aggregation to advanced machine learning models.
- Design, test, and implement fraud detection algorithms while leveraging advanced analytics to uncover sophisticated and large-scale fraud schemes.
- Analyze complex data to identify and compare norms, trends and patterns.
- Develop advanced programming queries to analyze complex data.
- Present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government.
- Conduct self-directed research to uncover problems in Medicare payments made to a variety of provider types including physicians, suppliers, hospital, rehabilitation facilities, Skilled Nursing Facilities, Rural Health Care Facilities, and other healthcare professionals as well as Home Health Agencies and Hospices
- Organize and coordinate project development, research violations.
Other
- This position may require the incumbent to appear in court to testify on work findings.
- Telework available (Central/Eastern Time Zone Preferred)
- U.S. citizenship required
- Strong communication and organization skills
