About Careertakes

👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, Technology, Information and Internet.

Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.

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Overview

Confidential client is seeking a Data Scientist to support Medicaid claims and encounter data analysis for fraud, waste, and abuse investigations. This role focuses on querying complex healthcare datasets, identifying anomalous patterns, and supporting investigative teams with data-driven findings. The position is based in Olympia, WA with flexible/hybrid telework options.

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What You’ll Do

• Perform research, querying, and analysis of complex Medicaid claim and encounter data to identify trends and anomalies.
• Review financial, billing, and healthcare records to surface patterns indicative of fraud, waste, or abuse.
• Design, write, and execute data queries using SQL and related tools.
• Implement statistical models and algorithms to detect potential fraud schemes and prioritize leads.
• Analyze utilization and service claim data to respond to data requests from investigators and legal teams.
• Research Medicaid billing rules, program guides, and medical coding systems (CPT, HCPCS, ICD-9/ICD-10) to interpret irregularities.
• Document analyses, maintain reproducible workflows, and present findings clearly to multidisciplinary teams.

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Qualifications

• Bachelor's degree in informatics, data science, mathematics, computer science, statistics, biostatistics, epidemiology, or a related technical field.
• Minimum of 1 year performing data science or informatics work (querying, analysis, or applied modeling).
• Proficiency with Microsoft Excel, including complex spreadsheets, formulas, and macros.
• Practical experience writing and optimizing SQL queries.
• Basic familiarity with medical coding and terminology (CPT, HCPCS, ICD-9, ICD-10) and medical billing concepts.
• Experience with Microsoft Word, Outlook, and Access.
• Strong analytical skills, attention to detail, and the ability to interpret healthcare billing and financial records.
• Clear written and verbal communication skills and the ability to work with investigative/legal stakeholders.
• Must be authorized to work in the United States. Candidates based in or willing to work in Olympia, WA are preferred given coordination with onsite teams and state-specific data access requirements.

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Compensation & Benefits

• Salary range: $86,688–$116,544 per year.
• Comprehensive benefits including medical, dental, vision, retirement plans, and generous leave.
• Structured training program to learn Medicaid data systems and querying techniques.
• Opportunities for professional development and career growth.
• Flexible schedules and potential hybrid telework arrangements to support work–life balance.

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Preferred Skills (keywords)

• SQL query development
• Medicaid claims & encounter analysis
• Healthcare fraud detection
• CPT / HCPCS / ICD-9 / ICD-10 coding
• Advanced Excel (macros, pivot tables)
• Statistical modeling and anomaly detection

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Equal Opportunity & Hiring Transparency

Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind. To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.

If you have questions about how your data is used, please contact us directly.