Senior Statistician - CGS (REMOTE)

Summary Utilize innovative and effective data mining techniques to search and analyze data for useful patterns and/or relationships used to identify aberrant supplier billing behavior. Provide guidance in designing new metrics for reporting. Standardize and implement process improvements for reporting across lines of business (LOBs). Contribute to reduction of necessary risk management. Conduct applied research on business processes. Prepares charts, illustrations, and other graphics and narrative reports to identify and explain data findings. Description What You'll Do:

• Analyze claims data and perform statistical calculations using approaches such as longitudinal analysis, mixed effect modeling, logistic regression analyses, and model building techniques.
• Create and validate statistical samples of overpayment estimation, which includes calculating sample size and determining sample selection methodology.
• Design new metrics and draw conclusions or make predictions based on the statistical analyses.
• Communicate results or predictions to management and peers.
• Prepare statistical data for inclusion in reports to data monitoring committees, federal regulatory agencies, management, or clients.
• Analyze information and evaluate results to choose the best solution in solving problems.
• Develop, design or create new ideas, reports, and analyses to solve problems.
• Create requirements documents for report development.
• Respond to data requests.
• Design reports and suggest new methods of data analysis through data mining, exploration, and statistical methodologies.
• Streamline or automate statistical reports for scaling and replication.
• Document processes and standards for replication of the final process.
• Organize, lead, and initiate meetings and tasks related to coordinating data analysis efforts and problem solving.
• Determine project plans, timelines, or technical objectives for statistical aspects of projects.
• Provide guidance and direction to statistical programming staff in the design and development of complex data management tools.
• Review the Provider Integrity Manual and implement technical standards, guidelines, policies, and formal regulations that meet all appropriate requirements.
• Communicate scientific or technical information to the public, organizations, CMS, or internal audiences through oral briefings, written documents, conferences, or training sessions.
• Attend conferences and converse with colleagues to keep abreast of methodological or conceptual developments in statistics and Medicare claims review.
• Work environment is the typical office environment with some out of town travel may be required.
• Remote capability.

• Bachelor's or Master's degree Statistics/Biostatistics, mathematics, computer science, or other job related field.
• Six (6) years statistical interpretation. Relational database experience. (May be concurrent).
• Ability to use complex mathematical calculations.
• Demonstrated knowledge of mathematical or statistical concepts.
• Excellent presentation skills.
• Strong oral and written communication skills.
• Strong organizational and analytical skills.
• Relevant computer programming skills.
• Advanced knowledge of Microsoft Office.
• Knowledge of a statistical software program such as SAS Enterprise Guide or SPSS.

• Membership in the American Statistical Society (ASA) or National Healthcare Anti-Fraud Association (NCAA).

• 401(k) retirement savings plan with company match
• Subsidized health plans and free vision coverage
• Life insurance
• Paid annual leave - the longer you work here, the more you earn
• Nine paid holidays
• On-site cafeterias and fitness centers in major locations
• Wellness programs and a healthy lifestyle premium discount
• Tuition assistance
• Service recognition