SIU Data Analyst | Must Have a Background in Dental or Healthcare Insurance

At Liberty Dental Plan, we believe that protecting the integrity of our benefit programs is essential to making quality dental care more accessible. We’re seeking a detail-oriented and data-savvy SIU Data Analyst with a background in dental or healthcare insurance to join our Fraud, Waste, and Abuse team, to help us detect, analyze, and prevent fraud, waste, and abuse (FWA) within dental claims data. This is an opportunity to apply your analytical skills in a mission-driven environment and make a real impact on the health of our members and the integrity of our operations.

Job Summary

As the SIU Data Analyst, you’ll play a key role in Liberty’s Special Investigations Unit by leveraging advanced data mining techniques and statistical analysis to uncover suspicious activity and generate actionable leads for fraud investigations. In this critical role, you will:

• Extract, clean, and transform large datasets from multiple claims systems for analysis, ensuring data integrity and usability.
• Design and implement algorithms and SQL queries to identify unusual billing patterns, outliers, and anomalies in provider and member behavior.
• Perform exploratory data analysis to detect fraud indicators involving billing frequency, geographic clustering, or atypical utilization trends.
• Collaborate with SIU investigators and FWA managers to translate data findings into leads, case development, or targeted audits.
• Validate claims data associated with suspected fraud, waste, or abuse and support the development of claim refund projects.
• Create and maintain dashboards, reports, and visualizations that clearly communicate trends and analytical findings to stakeholders.
• Develop and track recoupment efforts for all data-mining-related investigations.
• Continuously improve fraud detection methodologies and contribute ideas to refine existing analytics processes.
• Stay current with industry trends in dental fraud detection and incorporate emerging techniques and external datasets to enhance Liberty’s strategy.
• Ensure data handling complies with HIPAA, internal policies, and regulatory requirements.

What You’ll Bring

• 3+ years of experience in data analysis, fraud detection, or healthcare claims analytics, preferably in a managed care or dental environment.
• Bachelor’s degree in Data Analytics, Statistics, Computer Science, Public Health, or a related field.
• Proficiency in SQL, Excel, and data visualization tools (e.g., Power BI, Tableau).
• Strong understanding of claims data, coding practices, and provider/member behavior.
• Demonstrated ability to detect patterns, anomalies, and fraud indicators using data mining and statistical techniques.
• Experience collaborating with investigative or audit teams in a healthcare or insurance setting.
• Clear, concise communication skills, with the ability to convey complex data findings to non-technical stakeholders.
• Knowledge of HIPAA compliance and data governance best practices.
• Experience in dental strongly preferred.

Preferred Skills

• Proficiency in Python with experience using libraries such as Pandas, NumPy, scikit-learn, Matplotlib, and PyODBC.
• Skilled in T-SQL with experience writing complex queries and stored procedures.
• Hands-on experience with data visualization tools, especially Power BI.
• Microsoft Certified: Power BI Data Analyst Associate (or similar certification).

Location

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.

What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.

Our first-class benefits package supports employees and their dependents with:

• Competitive pay structure and savings options to help you reach your financial goals.

• Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.

• Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.

• 100% employer-paid dental coverage for employees and eligible dependents.

• Vision insurance with low-cost premiums for employee-only coverage and dependents.

• Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.

• Flexible Spending Accounts for healthcare and dependent care expenses.

• Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.

• Long-term disability coverage.

• Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.

• Employee Assistance Program (EAP) to support mental health and well-being.

• Generous vacation and sick leave policies, with the ability to roll over unused time.

• 10 paid company holidays.

• Tuition reimbursement for eligible educational expenses.

• Remote or hybrid work options available for various positions.
  
   

Compensation

In the spirit of pay transparency, the base salary range for this position is $73,000 - $88,000, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.

Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.
 

Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture. 

Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. 

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications

Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled

No relocation assistance or sponsorship available at this time.