About Anomaly

Anomaly is a funded healthcare technology company currently in stealth mode. We’re focused on reducing healthcare insurance fraud, waste, and abuse, a $200B+ problem. Anomaly brings together a world-class technical team with a differentiated go-to-market strategy and proprietary data to address this significant financial and patient safety issue. Anomaly’s team includes the former CEO of UnitedHealthcare's commercial business, head of engineering of Foursquare, and formers from Apple, Google, Optum, and other leading tech and healthcare companies. Anomaly is being incubated by Redesign Health.

About Redesign Health

Redesign Health is a healthcare innovation platform. We bring together entrepreneurs, industry experts, and investors to fund and launch companies that transform the healthcare system and empower people to live their healthiest lives. Our first companies include Lively, Ever/Body, Vault Health, Springtide, HealthQuarters and stealth ventures in metabolic health, payment integrity, sleep therapy, elder care, and complex care. We’re capitalized with permanent capital from world-class institutional investors and entrepreneurs.

About the Role

This position provides an organized approach to perform the analysis, assessment and reporting activities related to the detection of fraud, waste, and abuse in medical claims. 

Primary Responsibilities: 

• Conduct independent research through both internal & external sources and databases
• Conduct an assessment of incoming lead referrals, and complete related documentation
• Perform data analysis of claims history to substantiate fraud and abuse allegations
• Interact / coordinate activities with all levels of leadership and clients about course of investigation or analytical development
• Prepare accurate reports to detect and identify fraud trends, analysis of those trends and risk mitigation recommendations
• Present findings to clients
• Create and update automated processes within databases
• Use reporting tools to analyze large data sets  
• Assist leadership staff in developing and maintaining specific work procedures, policies and process improvement projects

Required Qualifications: 

• Undergraduate degree 
•  2+ years of combined experience in healthcare, health insurance industry, claims processing experience, Fraud detection in claims data, or claims adjudication systems
• 2+ years of experience performing data analytics
• Proficiency working with MS Excel including formulas, calculations, pivots
• Ability to work independently and in a team environment to deliver results
• Understanding of Project Management Methodology and best practices
• 2+ years of previous experience interacting with business leadership
• Ability to prioritize tasks, multi-task, and solve problems under tight deadlines

Preferred Qualifications:

• Math, Qualitative, or Computer Science degree 
• 2+ Years SAS or SQL
• Experience in handling and managing large volumes of data
• Knowledge of Managed care, Medicare, or Medicaid

Interested in applying for this role or learning more?

Apply here or send us an email at [email protected].

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Anomaly’s values

Anomaly’s mission is to unleash the potential hidden within vast amounts of healthcare data to improve quality and lower cost. To do so, we live by the following values: 

• Move with urgency: Our customers needed our product yesterday. We move fast—but not too fast—to bring our solution to market
• Be willing to sit on the floor: No one is too senior to jump in and get the job done
• Think 10x: We celebrate incremental improvements, but we always look for the step-function win
• Do the right thing, even when it's hard: We put privacy and security first, and treat all data with the care like it’s our own
• Seek feedback at 30%: We ask for feedback uncomfortably early, and offer it proactively (and respectfully) to others
• Default to open: We internally share everything we can, creating a culture of trust and empowerment
• Be kind: We take our work seriously, but we’re never too busy to be kind

We are a proud Equal Opportunity Employer – we recruit, train, compensate and promote our team members based on qualifications. We know how important it is not only to include, but to actively seek out a diversity of opinions and voices. We want to hear from you regardless of your race, religion, national origin, sex, gender identity, sexual orientation, disability, age, veteran status, or any other applicable legally protected characteristics.