Research Analyst

New York State Office of the Attorney General - New York, NY4.3

Full-timeEstimated: $67,000 - $95,000 a year
Division of Criminal Justice
Medicaid Fraud Control Unit
Research Analyst – New York City
Reference No. MFCU_RSA_NYC_6087

The Medicaid Fraud Control Unit (MFCU) of the New York State Office of the Attorney General (OAG) is seeking
a Research Analyst to join its Electronic Investigative Support Group (EISG) based in New York City. The EISG
manages a statewide network, consisting of 8 regional offices, and supports a 20+ terabyte data mart which
serves as the main data source in the investigation and prosecution of healthcare fraud and abuse.

Applicants must possess the following minimal requirements:
  • Bachelor’s degree in a healthcare or quantitative field of study
  • Experience or interest in statistical analysis and machine learning concepts
  • Detail-oriented and organized with the ability to creatively problem solve
  • Dynamic, self-starter with a proven ability to work in a collaborative environment
  • Excellent oral and written communication skills
  • Strong proficiency in MS Excel, Access
The ideal candidate will have the following additional knowledge and experience:

  • 1-3 years demonstrated experience in data analysis and data visualization
  • Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9 / 10, DRGs)
  • Experience in SQL and a firm understanding of relational databases
  • Experience in any of the following: R, Python, SPSS Modeler, data visualization tools (e.g. R ggplot,
Shiny, Tableau)

Duties include, but are not limited to:
  • Analyzing healthcare data, Medicaid claims and other data mining resources to identify instances of
fraud, waste and abuse

  • Collecting, cleansing, and formatting large quantities of data
  • Conducting exploratory data analysis and draft potential anomaly metrics
  • Translating historical patterns of fraud, waste, and abuse into features for modeling
  • Collaborating with MFCU’s audit and investigative staff to validate potential models and record
requirements for future development
  • Preparing reports and visualizations to document and present findings to Medicaid Fraud investigators
  • Documenting analytical process and model development