United States onlyType of Requisition:
RegularClearance Level Must Currently Possess:
NoneClearance Level Must Be Able to Obtain:
NonePublic Trust/Other Required:
NoneJob Family:
Functional ExpertsJob Qualifications:
Skills:
Analytical Thinking, Analytics, Healthcare Investigations, Medicaid, PresentationsCertifications:
NoneExperience:
8 + years of related experienceUS Citizenship Required:
NoJob Description:
Our work is looking for a Functional Analyst - Principle to help us support the Centers for Medicare and Medicaid Services (CMS). At GDIT, our people are at the center of everything we do. As a Functional Analyst - Principle supporting CMS, you will be trusted to work on leading data science tools to detect and prevent fraud, waste, and abuse (FWA) in the Medicare and Medicaid programs. In this role, a typical day will include:
- Contributes to completion of technical tasks independently and as part of a team.
- Analyzes claims data and reviews Federal and State Medicaid law, regulation, and policy.
- Develops data-driven solutions to business challenges of advanced scope/complexity
- Uses predictive modeling to increase and optimize customer experiences, efficiencies, process improvements, and other business outcomes.
- Assists with identifying opportunities for leveraging Medicare and Medicaid data to drive insightful business solutions.
- Present findings to a range of audiences (technical/non-technical) and to various levels of leadership.
- Performs additional duties as assigned.
- Effectively communicate with team members while working remotely
Required Skills:
- Bachelors Degree and at least 8 years of experience in Medicaid with specific experience in Fraud Investigation.
Scheduled Weekly Hours:
40Travel Required:
Less than 10%Telecommuting Options:
RemoteWork Location:
Any Location / RemoteAdditional Work Locations:
