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Medical Fraud Research Analyst

Team8·Tel Aviv, ישראל·en
לא צויןמשרה מלאהBusiness IntelligenceHealthcare Technology

Investigate healthcare claims and billing patterns using a proprietary insights platform. Identify and validate potential fraud, anomalies, and payment inconsistencies, and present evidence-based findings to customers.

תחומי אחריות

  • Investigate medical claims and billing patterns to identify potential fraud, anomalies, and payment inconsistencies
  • Validate findings and distinguish meaningful anomalies from statistical noise, normal variation, and legitimate exceptions
  • Expand individual findings into broader investigations, recurring patterns, and scalable detection concepts
  • Research medical literature, public information, and other data sources
  • Present evidence-based findings, supporting analysis, potential implications, and recommended next steps
  • Share investigative insights and identify ways to improve platform detection capabilities
  • Collaborate with analysts and medical experts on complex cases

דרישות

  • Bachelor’s degree in medical sciences, life sciences, biology, neuroscience, bioinformatics, data science, or another analytical or research-oriented field
  • At least 2 years of experience in intelligence research, analytical military service, fraud investigation, or similar investigative work
  • Experience investigating anomalies, fraud, or unusual behavioral patterns in a data-driven sector
  • Strong analytical thinking and problem-solving skills
  • Curiosity and interest in research, investigation, and pattern discovery
  • Ability to connect information, identify inconsistencies, and investigate beyond the obvious
  • Ability to learn independently and work proactively
  • Comfort with data, technology, and AI-powered tools
  • Strong English reading and writing skills

יתרון

  • Academic or practical experience in medical or scientific research
  • Familiarity with SQL, Python, Excel, or data analysis tools
  • Interest in medicine, healthcare systems, or medical technologies
  • Experience with US healthcare, medical billing, or insurance claims

רלוונטיות

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