US E-GPS Consulting Services-Medical Claims Data Analyst-RR&F/EO&R-Project-754847 (JM)

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 III on 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.

• Ability to work independently and collaborate as part of a team
• Effective written and verbal communication skills
• Meticulous attention to detail and quality of work product
• Ability to build and sustain professional relationships 
• Ability to lead projects or workstreams
• Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
• Strong interpersonal skills and professional demeanor 
• Ability to meet deadlines
• Ability 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 degree
• 5 years of experience in data analysis and visualization, utilizing tools such as SQL, R, Tableau or PowerBI
• 3 years of  experience healthcare domain, or medical claims, data analysis
• Ability 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 Transformation
• Experience 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.

Salary : $91,100 - $151,800