Program Analyst (Data Analytics)

This position is located in the Criminal Division, Fraud Section, Health Care Fraud Unit. The incumbent serves as a Program Analyst (Data Analytics) and is responsible for analyzing health care claims data, identifying anomalous billing patterns, supporting investigations, and providing subject matter expertise to prosecutors and investigative partners. Additional selections may be made from this vacancy announcement to fill vacancies that occur subsequent to this announcement.

Duties

• Conduct independent data analysis to identify potential new fraud investigations; complete and fulfill data analysis and information requests for law enforcement health care fraud investigations; and support and provide investigative leads.

• Apply knowledge of federal healthcare program rules, coding/claims processing systems (CPT, HCPCS, ICD), reimbursement structures, and provider and beneficiary enrollments to identify abnormalities and emerging fraud schemes.

• Design and employ appropriate algorithms to discover patterns in data sets.

• Identify patterns in claim volume, utilization, geographic distribution, or sudden changes in billing behavior that may indicate fraudulent conduct.

• Validate analytic findings using comparative analysis, sampling, and other rigorous methodologies.

• Provide expertise on program policies, claims systems, and health care benefit structures.

• Prepare written reports, presentations, and visualizations summarizing analytical results for prosecutors, management, and investigative partners.

• Provide training to DOJ staff, U.S. Attorney’s Offices, and partner agencies on health care claims data, fraud typologies, and analytic methods.

Salary

• $102,415 - $158,322/year

Qualifications To qualify at the GS-12 level, applicants must have one year of specialized experience at, or equivalent to, the GS-11 Federal grade level. Examples of specialized experience include: analyzing and interpreting data; identifying trends or patterns in data sets; validating data accuracy; and developing reports that support areas of study or investigations. To qualify at the GS-13 level, applicants must have one year of specialized experience at, or equivalent to, the GS-12 Federal grade level. Examples of specialized experience include: conducting complex data analysis by identifying and interpreting patterns, trends and outliers in large data sets; validating analytical findings by comparing appropriate samples; leveraging data to support areas of study or investigations; and summarizing large volumes of data into clear reports for decision makers. Education There is no education requirement for this position. Required Documents You are strongly encouraged to convert your resume to an Adobe PDF file prior to submitting your application, especially if you are submitting using a Mac system. Resumes not pre-converted to a PDF file will undergo conversion by the system. This conversion process may cause some formatting changes to your resume, including line and page break errors. To ensure your submitted resume does not display with formatting issues, please submit your resume as a PDF. This error does not affect USAjobs resumes. To apply for this position, you must provide a complete application package which includes: Resume (cover letter is optional) - Applicants will be evaluated based on a comparison of the position requirements against the quality and extent of experience or related education as reflected in their resume. Applicants are encouraged to ensure work experiences clearly show the possession of knowledge of the subject matter pertinent to the position and the technical skills to successfully perform the duties of the position. Your resume must be no more than 2 pages. If more than 2 pages are submitted, only the first 2 pages will be reviewed to determine your eligibility/qualifications. Please ensure all information you believe is qualifying for the position is contained in the first two pages, or you may be marked ineligible. Additionally, your resume must include the following information for each job listed: month and year, start/end dates (e.g. June 2007 to April 2008), and full-time or part-time status (include hours worked per week). USA Hire Reasonable Accommodations Requests - If you are requesting a reasonable accommodation to the USA Hire Competency Based Assessments, you may be asked to submit documentation to support your request (https://support-usahire.opm.gov/hc/en-us/articles/45424542500371-How-to-request-a-reasonable-accommodation). Documentation of Eligibility for Special Hiring Authorities (if applicable) to prove appointment eligibility. Examples include: Schedule A disability letter, Peace Corps volunteer letter, military spouse hiring authority documentation, etc. Current or Former Political Appointees (if applicable) - Please note on your resume and attach an SF-50. The Office of Personnel Management (OPM) must authorize employment offers made to current or former political appointees. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, or Non-Career SES employee in the Executive Branch, you must disclose this information to the HR Office. Schedule A Documentation (if applicable) - The Criminal Division welcomes and encourages applications from persons with disabilities and is firmly committed to satisfying its affirmative obligations under the Rehabilitation Act of 1973 to ensure that persons with disabilities have every opportunity to be hired and advanced on the basis of merit within the Department. The Criminal Division also encourages eligible Schedule A applicants to submit their resumes directly to the Criminal Division disability POC at crm.schedulea@usdoj.gov. CTAP or ICTAP Documentation (if applicable) - If you are a displaced Federal employee claiming eligibility under CTAP or ICTAP, you must submit: A copy of the agency notice (i.e., letter of intent, separation notice, or agency RIF letter); Your most recent performance appraisal; and Your most recent SF-50 showing your current/former position title and series, grade, promotion potential, and duty location. Veterans' Preference Documentation (if applicable): If you are a discharged, non-disabled veteran, you must submit a copy of your DD-214 showing character discharge (Member 4 Copy), or other documentation of service and separation under honorable conditions. If you do not have your DD-214, you may request it after discharge from the National Archives at http://www.archives.gov/veterans. If you are a veteran within 120 days of discharge, you must submit signed documentation from the Armed Forces certifying: 1) your expected release/retirement from active duty, 2) under honorable conditions, 3) your pay grade/rank/rate at time of discharge, 4) dates of active duty service, 5) any campaign or expeditionary medals received, and 6) dated within 120 days of your separation. If you are a disabled veteran, Purple Heart recipient, or parent or spouse of a disabled or deceased veteran, you must submit a completed SF-15 (https://www.opm.gov/forms/pdf_fill/SF15.pdf) and all additional proof required by the SF-15, as applicable, if you do not have your Department of Veterans Affairs letter establishing proof of disability, you may request it at https://www.va.gov/resources/getting-started-with-va/ or call 1-800-827-1000. How to Apply Please read the entire announcement and all the instructions before you begin an application. To apply and be considered for this position, you must complete all required questionnaires, assessments, and required documentation as specified in the How to Apply and Required Documents sections. The complete application package must be received by 11:59 PM, Eastern Time, on 02/24/2026. The application process is as follows: Click the Apply Online button. 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Reasonable Accommodation Statement: Applicants requiring reasonable accommodation for any part of the application and hiring process should contact the Human Resources team at CRM.RA@usdoj.gov. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.