Healthcare Claims Data Analytics and Insights Engineer III

About the role

Deloitte's Regulatory, Risk & Forensic team is hiring a Project Analytics and Insights Engineer III in Des Moines, Iowa, to join a project focused on healthcare claims data analytics. The team helps clients turn complex risk and regulatory environments into defensible actions using data, AI and emerging technologies.

Key responsibilities

• Analyze large volumes of medical claims to find billing anomalies, outlier patterns and potential improper payments, protecting program integrity and taxpayer dollars.
• Develop and optimize complex SQL queries to analyze large-scale claims datasets.
• Work 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.

Required profile

• Bachelor's degree.
• 5+ years of experience in data analysis and visualization with tools such as SQL, R, Tableau or Power BI.
• 3+ years of experience in the healthcare domain or in medical claims data analysis.
• Must be able to work onsite in Des Moines, IA five days a week and must be legally authorized to work in the United States without employer sponsorship.
• Preferred: experience with Power BI for fraud detection and prevention, Python for data manipulation and transformation, and healthcare policy experience.

Required skills

• SQL, R, Tableau or Power BI
• ICD, CPT and HCPCS coding knowledge
• Ability to work independently, communicate clearly, manage multiple priorities and meet deadlines

What we offer

• Compensation range of $91,100 to $151,800 for Des Moines, IA, with possible eligibility for a discretionary annual incentive program.
• A benefits package tailored to project-focused professionals.
• Professional development, mentorship and leadership opportunities.