Project - Healthcare Claims Data Analytics and Insights Engineer III
$91.1k - $151.8kDeloitte
Position Summary Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and an evolving regulatory environment into defensible actions that strengthen, protect, and transform their organization. Join our team and use advanced data, AI, and emerging technologies with industry insights to help clients bring clarity from complexity and accelerate their path to value creation. Work You’ll Do As a Project - Analytics and Insights Engineer IIIon the project, you will: Analyze large volumes of medical claims to uncover billing anomalies, outlier patterns, and potential improper payments — turning raw data into actionable insights that protect program integrity and taxpayer dollars. Develop and optimize complex SQL queries to analyze large-scale claims datasets. Work hands-on with medical claims data, including DRGs, UB-04 institutional claims, and CMS-1500 professional claims, applying knowledge of ICD, CPT, and HCPCS coding.Build dashboards and analytical visualizations (Tableau, Power BI, or Databricks) to surface risk indicators and support investigative teams.Partner with program integrity, healthcare operations, and analytics colleagues to identify emerging fraud, waste, and abuse patterns. The successful candidate would possess these skills:Ability to work independently and collaborate as part of a teamEffective written and verbal communication skillsMeticulous attention to detail and quality of work productAbility to build and sustain professional relationships Ability to lead projects or workstreamsAbility to manage and prioritize multiple tasks in a fast-paced and dynamic environmentStrong interpersonal skills and professional demeanor Ability to meet deadlinesAbility to provide clear guidance to others The Team Deloitte’s Government & Public Services (GPS) practice – our people, ideas, technology and outcomes – is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise. Our Enterprise Operations & Risk offering enables clients to achieve profitable growth and competitive advantage by optimizing “heart of the business” operations. Leverages deep domain expertise to extend enterprise resilience, agility and remediation. Addresses client needs which span the organization and impact strategy, operations, performance and reputation. The Project Talent Model is designed for professionals with specialized skills that align to a current client need. Team members focus on delivering services to clients, without additional expectations related to business development or promotion. Their employment is tied to their role on a project, and they are eligible for a benefits package that is competitive for project-focused professionals. Qualifications Required: Bachelor’s degree5+ years of experience in data analysis and visualization, utilizing tools such as SQL, R, Tableau or PowerBI3+ years of experience healthcare domain, or medical claims, data analysisAbility to perform job responsibilities within a work model that requires professionals to co-locate in person 5 days per week in Des Moines, IA.Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future Preferred: Experience with Data Visualization through Power BI in support of Fraud Detection and Prevention. Experience with Python for Data Manipulation & Analysis, Data Management and TransformationExperience with Healthcare policy For individuals assigned and/or hired to work in Des Moines, IA, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to Des Moines, IA and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $91,100 to $151,800. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. Deloitte is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to participate in the recruiting process, please direct your inquiries to the Global Call Center (GCC) at View email address on click.appcast.io. Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters. BenefitsAt Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you. Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ways of thinking, ideas, and perspectives, and bring more creativity and innovation to help solve our clients' most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte’s purpose is to make an impact that matters for our people, clients, and communities. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. Learn more. Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career. As used in this posting, "Deloitte" means Deloitte Transactions and Business Analytics LLP, a subsidiary of Deloitte LLP. Please see for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law. Requisition code: 373414 Job ID 373414 Data and Analytics | Analytics and Insights
- ...understanding of contracting, claims payment procedures... ...-oriented and analytical to your core. You... ...your advanced data analysis... ...and communicating insights from data to help... ...health insurance, healthcare or related financial... ...processing expertise in projects, if applicable....ProjectClaimsPermanent employmentWork experience placementH1bWork at officeRemote workMonday to Friday
$124k - $280k
...ServicesSpecialismData, Analytics & AIManagement... ...PwC, our people in data and analytics engineering focus on leveraging... ...data into actionable insights, enabling informed decision... ...ambiguous healthcare challenges into production... ...processing clinical notes, claims data, ADT feeds, and...ClaimsFull timeH1b$127k - $191k
What You'll DoAs a Sr Engineer II (Team Leader, Model Operations... ...will work closely with data science, engineering,... ...likelihood models, claims monitoring, customer... ...between MOE and data science/analytics engineering partners,... ...lead or co-lead an ML project over the year, and...ProjectClaimsHourly payPermanent employmentTemporary workWork experience placementH1bWork at office$99k - $232k
...policy administration, claims, and servicing... ...models, workflows, and data requirements with insurance... ...resolution across project timelines and workplans... ...business data analytics, customer insight, and process modeling... ...Systems, Economics, Engineering, Finance, Financial Mathematics...ProjectClaimsFull timeH1b- ...trusted leader in healthcare decision intelligence... ..., auditable insights in milliseconds across real-time claims workflows. Lyric augments... ...content and data assets within the... ...OUTCOMES Apply claims analytics to identify... ...Monday.com or other project management software...ProjectClaimsFull timeRemote workVisa sponsorship
$76k - $109k
...Reconciliation for $76,000 - $109,000, plus a healthcare team that hands over the reins. Key... ...the unglamorous middle of a freelance project A communicator who writes the meeting... ...A steady hand when three priorities all claim to be number one An eye for the...ProjectClaimsFreelanceShift work$103.71k - $138.28k
...powered world, connecting people, data, and applications through our... .... The Role The Field Engineering Quality Control Engineer is... ...ensuring all infrastructure projects meet established engineering... ...material discrepancies, damage claims, provider performance issues,...ProjectClaimsFull timeTemporary workFor contractors- Electrical Construction Senior Project ManagerPosition OverviewWe are seeking an experienced... ...while coordinating with owners, engineers, contractors, and vendors.Key ResponsibilitiesLead... ...contracts, subcontracts, change orders, claims, and payment applications.Oversee...ProjectClaimsContract workFor contractorsFor subcontractor
- ...trusted leader in healthcare decision intelligence... ..., auditable insights in milliseconds across real-time claims workflows. Lyric augments... .... The Software Engineer Intern will join... ...APIs, improve data performance, and prepare... ...engineering projects across full-stack...ProjectClaimsFull timeInternshipRemote workVisa sponsorship
- ...skills to managing complex projects and executing business solutions... ...cash) Project Execution (claims management, change order... ...manufacturing, logistics, and engineering) Requirements: Bachelor... ...infrastructure, transportation, and healthcare. From more resource-...ProjectClaimsRotational programPermanent employmentFull timeContract workInternshipLocal areaRelocationRelocation package
- ...a worldwide leader in engineering and technical consulting... .... Manages multiple projects. Essential Job Functions... ...properties to resolve claims and legal matters.... ...skills. High level of analytical skills with continual... ...problems, collect data, establish facts, and...ProjectClaimsContract workTemporary workWork at officeLocal areaWork from homeWorldwideMonday to FridayNight shift
$95k - $112k
...environment? As an experienced Data Engineer-Consultant you will have the... ...ideas and collaborate on projects as a consultant without the... ...and AI platforms, products, insights, and services. We help clients... ...manage their data, AI, and analytics capabilities, ensuring they...ProjectLocal area$77k - $202k
...OpportunityAs a Managed Services - Data Engineer - Senior Associate you will... ...turn raw data into usable insights for clients. As a Senior... ...skills within our Data and Analytics Engineering practice. In this... ...way that aligns with broader project goals.Responsibilities-...ProjectFull timeH1b$71.2k - $166.1k
...mission? To create a human-centric healthcare experience powered by unified global data. It’s a big challenge, but big... ...seeking a skilled Federal Senior Engineer/Architect (Principal Consultant)... ...leading engineering activities, projects and ensuring successful deployment...ProjectTemporary workFlexible hours$100k - $120k
...technologies company engineered for sustainability. We... ...Field Service Specialist III is a senior technical... ...remodel commissioning projects. + Identifyand... ...andprovidestrategic field insights. + Ability to travel... ..., transportation, and healthcare/life sciences. This new...ProjectFull timeTemporary workFor contractorsStart working todayLocal areaRemote workFlexible hoursNight shift$118.69k - $189.91k
...strategy. As a Principal Actuarial Data Systems Analyst, you will play... ...year end audits. Provide analytical support for departmental, divisional, and corporate projects as needed to accomplish their business... ...years' experience with medical claims, Pharmacy/medical rebate data....ProjectClaimsWork at officeLocal areaRemote workFlexible hours2 days per week- ...DescriptionWe are Olsson. We engineer and design solutions that improve... ...commercial developments, healthcare facilities, laboratories, educational institutions, data centers, and military installations... ...to diverse, high-impact projects, delivering engineering solutions...ProjectFull timeFlexible hours
- Description Come Smile with Us! Turn data into insights that make a difference! As a... ...profiles; evaluate targeted claims for utilization review,... ...to mine database(s) for analytic data. Advise on data policies... ...and external audit and project teams to provide complete and...ProjectClaimsWork experience placementWork at office
$138.9k - $191k
...analysis of situations or data requires an in-depth... ...approach for project components, and work is... ...legal expertise to drive healthcare strategy. Humana is seeking... ...statute and False Claims Act; Drafting contract... ...legal research, analytical, and writing/oral communication...ProjectClaimsFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...Supply Chain and Engineering, and Talent, with... ...capabilities in AI and Data, Industry and... ...programs for our healthcare clients. You are a... ...who combines strong analytical, communication, and... ...processes such as claims, enrollment and eligibility... ...such as Microsoft Project, Azure DevOps,...ProjectClaimsWork experience placementLive inWork at officeLocal area
- ...someone who translates clinical insights and data-driven analyses into clear,... ...your clinical knowledge and analytical skills to work evaluating... ...Ability to manage multiple projects simultaneously and consistently... ...through comprehensive claim and financial analysis. Translate...ProjectClaimsPermanent employmentInternshipH1bWork at officeRemote workMonday to Friday
$61.05k - $98.33k
...injury(ies), reviews medical data in CareMC, validates and secures... ..., supporting the goals of the Claims Management department and of... ...skillfully manage multiple, complex projects and competing priorities... ...For leveled roles (I, II, III, Senior, Lead, etc.) new hires...ProjectClaimsMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ...We are Olsson. We engineer and design solutions that... ...commercial developments, healthcare facilities,... ...educational institutions, data centers, and military... ...diverse, high-impact projects, delivering engineering... ...needs, provide strategic insights, and support business...ProjectFull timeFlexible hours
- ...helping ensure provider claims are paid... ...clear, actionable insights. You’ll collaborate... ...naturally curious, analytical, and detail-oriented... ...relates and compares data from different... ...prioritize competing projects or tasks. Flexible... .... b. Monitor healthcare trends, industry publications...ProjectClaimsPermanent employmentWork experience placementH1bWork at officeRemote workMonday to FridayFlexible hours
$77k - $202k
...you will support healthcare payer clients as they... ...models across claims, reimbursement, government... ...that aligns with project goals. In this... ...business data, operational metrics... ...Actuarial Science, Analytics/Data Science, Business... ...Systems, Economics, Engineering, Finance,...ProjectClaimsFull timeH1b- ...opportunities for learning and growth. You'll work on actual client projects, where your contributions will directly impact both Shive-... ...work on a variety of project types.These experiences will provide insights into the profession, collaborative teamwork, and serving the...ProjectFull timeInternshipFlexible hours
$112.1k - $225.5k
...for an experienced Hands-On Data and Analytics Technical Manager with expertise... ...as leading technical and project teams.As a Data and... ...timelines with data scientists, engineers, business analysts, and stakeholders... ...for accuracy, unsupported claims, and bias; protect...ProjectClaimsFull timeWork experience placementInternshipWork at officeLocal area$109.62k - $126.79k
...Cloud Computing Engineer Principal (MCCF-Healthcare Systems) Location... ...Responsibilities Create data flow diagrams... ...Azure Monitor Log Analytics Application Insights Azure Activity Log... ...and meeting project deadlines Strong... ...~ X.12 medical claims (etc) ~270/271 and...ProjectClaimsFull timeRemote work$85.39k - $116.98k
...talented Senior Systems Engineer (Production Support)... ...situations or data from which answers can... ...CodeDeploy Strong analytical and problem-solving skills... ...contribute to multiple projects ensuring timely completion... ...X.12 (EDI) Medical Claims ~ X.12 medical claims...ProjectClaimsFull timeRemote work- ...At ITA Group, our Insights Analysts don’t... ...“why” behind the data to drive smarter... ...s degree in Data Analytics, Data Science, Computer... ...with data engineering teams, data pipelines... ...Familiarity with project management tools... ...Financial Services, Healthcare, Manufacturing,...ProjectFlexible hours
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