Fraud Data Analyst

Job/Position DescriptionThe Fraud Analytics unit within the Fraud Analytics and Data Operations (FADO) Division of the Office of Inspector General (OIG) is seeking a Fraud Data Analyst (Data Analyst III). The Fraud Analytics unit is responsible for performing innovative and advanced data analytics that increase the identification of fraud, waste and abuse in state health and human services programs such as Medicaid (including Managed Care), CHIP, SNAP and TANF by supporting data-driven investigations, reviews, audits, and inspections. The Fraud Data Analyst will gain valuable experience with complex healthcare data, analytical and statistical methods, rules-based methods, and descriptive and predictive analytics.The Fraud Data Analyst performs moderately complex (journey-level) data analytics, data research, and data reporting. This position reports to the Director of Fraud Analytics and works under general supervision, with moderate latitude for the use of initiative and independent judgment. This position works closely with Fraud Analytics team members, internal OIG units, and external entities.The Fraud Data Analyst is responsible for performing novice/intermediate level programming to clean, prepare, and query large, complex health and human services related datasets and to develop and code algorithms and models that identify data trends, patterns, and anomalies. This position prepares written methodology documents; communicates data analytics findings through data visualizations and presentations; and tests and evaluates new tools, methods, and techniques. * This position can telework 100% from locations within Texas consistent with HHS telework policies. *Essential Job FunctionsAttends work on a regular and predictable schedule in accordance with agency leave policy and performs duties as assigned:1. Plans and conducts data analytics on large, complex datasets using SAS, SQL, and other programming languages, including Python and R. Interprets and explains identified data trends, patterns, and anomalies. Develops, implements, and assesses the validity of existing and emerging analytical and statistical tools, methods, and techniques. Applies advanced analytical and statistical methods and techniques to known and new data sources. (50%) 2. Effectively communicates data analytics findings and related recommendations to stakeholders both verbally and in writing, including written methodology documents and detailed reporting of findings through data packages, data visualizations, and presentations. (20%)3. Engages in collaboration and communication across internal OIG units and with external entities, including but not limited to: OIG program area customers, the OIG executive team, contractors/vendors, and team members. (15%)4. Peer reviews algorithms and programs/scripts for logic and syntax errors. Peer reviews analytical and statistical methods for accuracy and applicability. (10%)5. Performs other duties necessary to achieve the mission of the Office of Inspector General. Statewide travel of about 5% may be required. (5%)Registrations, Licensure Requirements or CertificationsNone.Knowledge Skills Abilities1. Knowledge of analytical and statistical tools, methods, and techniques; of data models and querying relational databases; of data wrangling, data mining and data visualization techniques; and of record keeping, including security procedures for handling, protecting, and distributing confidential data.2. Novice/intermediate programming skill i jobshrportal.hhsc.state.tx.us/ENG/CareerPortal/job_profile.cfm?szOrderID=530968 Copy the URL in the preceding sentence to an Internet Explorer browser to apply to the job directly through the Texas Health and Human Services Career Portal.

Created: 2026-05-02