Skip to content
CV Rocket
Get started
How it worksThe enginePricingBlogContactSign in

Open nowPosted 7 hours ago

(765) Data Analyst (Healthcare Fraud)

Arlo Solutions LLC48 open roles

Where
Remote
Work mode
Remote
Get the CV for this job

From $25 per CV, paid once. No subscription.

Your applicationOpen now(765) Data Analyst (Healthcare Fraud)Arlo Solutions LLC · Remote

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on Arlo Solutions LLC's own form.

The reply lands in your private mailbox

3×more interviews than doing it yourself with ChatGPT.

The clock on this job

Early applications get read.

7.9% of postings close within 7 days. Measured by our own scanner across the market. Arlo Solutions LLC postings stay open a median of 35 days.

Share of postings closed within
  1. 1.6%1 day
  2. 3.6%3 days
  3. 7.9%7 days
  4. 14.9%14 days
  5. 34.2%30 days
This job: posted 7 hours ago

Arlo Solutions LLC median: 35 days open

The posting

Company Summary

Arlo Solutions (Arlo) is an information technology consulting services company that specializes in delivering technology solutions. Our reputation reflects the high quality of the talented Arlo Solutions team and the consultants working in partnership with our customers. Our mission is to understand and meet the needs of both our customers and consultants by delivering quality, value-added solutions. Our solutions are designed and managed to not only reduce costs, but to improve business processes, accelerate response time, improve services to end-users, and give our customers a competitive edge, now and into the future.

Position Description:

Arlo Solutions is supporting the Department of Veterans Affairs (VA) Veterans Health Administration (VHA) Office of Integrity and Compliance (OIC) in standing up and running the VHA Fraud Rapid Response Center ("VA War Room"). The War Room protects Veterans and taxpayer dollars through data analytics, fraud risk assessment and fast administrative action, in line with Executive Orders 14395 and 14243. The Data Analyst (Healthcare Fraud) is Essential Personnel on the fraud, waste and abuse (FWA) analytics team. Working under the Analytics and Technology Program Director and the Senior Data Analyst, this person uses VA's Palantir analytics and workflow platform to analyze VHA claims, enrollment and exclusion data. The analyst builds and tests business rules that detect potential fraud and overpayments, and surfaces anomalies and prioritized leads for OIC review. This includes supporting the Provider 360 view of community care providers, anomaly detection and network analysis to find coordinated billing schemes. The role is advisory and analytical. All final decisions stay with Government personnel.

Location: Remote with On-Site Requirements

Clearance: Public Trust

Responsibilities and/or Success Factors:

  • FWA Rule & Algorithm Development: Write, test and document business rules and algorithm logic mapped to FWA schemes. Support provider risk-scoring and case-prioritization criteria.
  • Platform Development: Support configuration, code development and deployment on VA's Palantir platform, including data pipelines and system integration.
  • Provider 360 & Anomaly Detection: Help combine claims, enrollment and exclusion data into a single Provider 360 view. Support anomaly detection and network analysis.
  • Weekly Analytic Runs: Run the weekly analytics that feed War Room decision packages and the recurring prioritized lead lists.
  • Data Extraction & Analysis: Extract, clean and analyze federal healthcare data for FWA identification. Support claim review workpapers.
  • Quality Assurance & Back-Testing: Back-test rules, track rule precision and support QA and corrective action plans. The QASP targets at least 65% positive predictive value in month one and 70% by Day 60.
  • Benchmarking: Support federal benchmarking and alignment of VHA data analysis with CMS data and methods.
  • Dashboards & Reporting: Build dashboards, visualizations and data for quarterly fraud trend and improper payment reduction reports, risk governance reporting and leadership briefings.
  • Documentation & Knowledge Transfer: Document rule specifications, acceptance criteria and analytic methods. Train VA staff to run War Room analytics on their own.

Minimum Qualifications Including Certificates:

  • Must be legally eligible to work in the United States
  • Able to pass a Tier 2 / Moderate Background Investigation (MBI) and get a VA PIV card
  • Bachelor's degree in information technology, Computer Science or a related field (such as data science, statistics or health informatics)
  • 2-5 years of federal healthcare data analytics experience, such as with Medicare, Medicaid or VHA data Experience writing healthcare data analytics business rules
  • Strong coding skills in SQL and Python (or PySpark/R)
  • Proficiency with analytics platforms, including data pipelines, transformations and dashboards
  • Working knowledge of healthcare claims data, such as claim types, CPT/HCPCS and ICD-10 codes, NPIs and provider and beneficiary data
  • Able to handle PHI and sensitive information under HIPAA and VA privacy requirements, and to complete the required VA TMS trainings

Desired Qualifications:

  • Hands-on experience with Palantir Foundry or Gotham Healthcare FWA or payment integrity analytics experience, such as detecting upcoding, unbundling, duplicate billing, impossible days or excluded providers
  • Experience with VA Community Care data, the CMS Integrated Data Repository (IDR), or the OIG LEIE and SAM exclusion lists Anomaly detection, machine learning or network/link analysis experience
  • Rule back-testing and precision measurement experience (PPV, false-positive analysis)
  • Experience with Power BI, Tableau or similar visualization tools
  • Certified Fraud Examiner (CFE) or a data or analytics certification

AAP Statement

We are proud to be an Affirmative Action and Equal Opportunity Employer and as such, we evaluate qualified candidates in full consideration without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, age, disability status, protected veteran status, and any other protected status.

From $25, paid onceGet the CV for this job

What happens when you press

One press. We do the rest.

  1. A CV for this posting

    Written against Arlo Solutions LLC's own wording, from every piece of relevant proof in your profile.

  2. 25 readers review it

    Recruiter, hiring manager, skeptic and more read every draft, round after round. You get the best round.

    The review screen in CV Rocket: how each CV was read, round by round.

  3. We apply on Arlo Solutions LLC's form

    Our application engine gets through the hardest forms there are. Where a question needs you, AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

    An application in CV Rocket: every answer filled in on the employer's form.

  4. Every reply, sorted

    Arlo Solutions LLC's answer lands in your private mailbox, and we classify it on arrival: interview, question, rejection.

    The CV Rocket inbox: each employer reply classified as an interview, an action or a rejection.

  5. Reply with AI

    AI helps you write the email, checks it and sends it. We show you whether the recruiter read it.

  6. The interview in your calendar

    Full integration with your calendar. The invitation goes straight in.

    An interview invitation in the CV Rocket inbox, added to the candidate's calendar.
Get the CV for this job

From $25 per CV, paid once. No subscription.

Why it works

3×

more interviews than doing it yourself with ChatGPT.

ChatGPT writes a CV and never learns what happened to it. We see every reply. For each CV we know:

  • How it was written, and how the review scored it
  • When we applied, and how long after the posting went up
  • Which posting, which company, which city
  • Who got the interview, and who heard nothing

That is how we know which CVs get called.

Get the CV for this job

From $25 per CV, paid once. No subscription.

The numbers game

More applications. More interviews.

Every application goes out with its own CV, written for that posting and paid once. Send enough of them and the law of large numbers finds you the job.

Get the CV for this job
By hand5–10
With CV Rocket100
applications a day

Nearby

Live postings like this one

Same employer first, then the same role elsewhere.

Before you press

Straight answers

Get the CV for this job

From $25 per CV, paid once. No subscription.

What if my background isn't good enough?

We make the most of the background you have. The CV uses every piece of relevant proof your profile holds, and one of the 25 readers reads your whole profile and flags what the CV left out.

Do you really apply for me?

Yes, on the employer's own form, the hardest ones included. Where a question needs you, you answer it right there and AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

Is it a subscription?

No. You pay once per CV, from $25. Every application goes out with its own CV, written for that posting.

One job. One CV.
Paid once.

Pick the posting you want. We write for it, apply for you and catch the reply.

Get the CV for this job

From $25 per CV, paid once. No subscription.