Data Analyst

Position: Data Analyst 3 - 89018
Position Information NY HELPS:
No55-b/c Eligible:
No

Agency:
Health, Department of

Title:

Data Analyst 3 - 89018

Occupational Category: I.T. Engineering, Sciences Salary Grade: 27

Bargaining Unit: PS&T - Professional, Scientific, and Technical (PEF)
Salary Range:
From $111708 to $137590 Annually

Employment Type

:
Full-Time Appointment Type :

Permanent

Internship:
No Jurisdictional Class :

Non-competitive Class

Travel Percentage : 0%
Schedule Workweek :
Mon-Fri Hours Per Week : 37.5

Workday From : 9 AM To : 5 PM Flextime allowed? :
No Mandatory overtime? :
No Compressed workweek allowed? :
No Telecommuting allowed? :
Yes Location County :
Albany Street Address :
Office of Health Insurance Programs/Chief Technology Office/Enterprise Architecture and Shared Services : 11 Corporate Woods City :
Albany State: NY Zip Code: 12211

Job Specifics Duties Description :
Lead and direct unit activities, including establishing goals, priorities, and operational procedures; provide technical guidance and mentorship to staff on graph databases, Python, AI/ML, and cloud analytics

Design and maintain cloud-based graph database architectures to integrate provider, claims, and encounter data; define data models and schemas to reveal provider networks, referral patterns, and billing relationships indicative of FWADevelop and implement AI/ML models for FWA detection, including anomaly detection, predictive risk scoring, natural language processing, and network analysis to uncover collusive fraud schemes

Build and maintain Python-based ETL pipelines and analytical tools for loading data into graph databases and Snowflake; develop scripts for pattern detection, risk scoring, data quality analysis, and automated alerting

Architect scalable, secure cloud infrastructure using Snowflake and graph database platforms for real-time and batch fraud detection processing

Research and evaluate emerging AI technologies for Medicaid FWA applicability; develop proof-of-concept solutions and present findings and recommendations to management

Collaborate with program integrity units, program areas, and technical teams to translate investigative and program integrity needs into technical specifications

Develop and maintain FWA dashboards, reporting tools, and alert systems; provide management with analytics, risk assessments, visualizations, and actionable intelligence to support program integrity decisions

Maintain documentation for database schemas, AI/ML models, algorithms, data pipelines, and cloud architecture; establish coding standards and best practices for the unit Review and resolve data quality issues, system deficiencies, and integration challenges impacting FWA detection capabilities

Perform the full range of supervisory responsibilities over Data Analysts and technical staff within the unit.

Minimum Qualifications :
Nine years of experience
* in data visualization, and statistical models and data mining tools
* Substitution:
An associate’s degree may substitute for two years of general experience; or a bachelor’s degree may substitute for four years of general experience. A master’s degree in data or computer science, informatics, economics, statistics, mathematics, or a related field, may substitute for one year of general experience; or a Ph.D. in these fields may substitute for two years of general experience.

Preferred Qualifications:

Proficiency in Python programming for data analysis, automation, ETL development, and machine learning applications.

Experience with Medicaid or Medicare claims, encounter, and provider data systems, including knowledge of FWA detection methodologies and healthcare coding systems. Supervisory experience leading technical or data analytics teams, with a track record of standing up new programs or…