Description
Make meaningful contributions that fuel critical outcomes for some of the most complex government, defense, and intelligence projects. Join GDIT as a Healthcare Fraud, Waste and Abuse (FWA) Subject Matter Expert (SME) for a career where your growth is just as important as the mission you support.
As a Healthcare FWA SME, the work you’ll do at GDIT will be impactful to the mission of the Centers for Medicare & Medicaid Services (CMS).
Responsibilities:
- Leading efforts of technical tasks to completion independently and as part of a team.
- Leading efforts to analyze claims data and reviews Federal and State Medicaid law, regulation, and policy.
- Developing data-driven solutions to business challenges of advanced scope/complexity.
- Collaborating with predictive modeling teams to increase and optimize customer experiences, efficiencies, process improvements, and other business outcomes.
- Identifying opportunities for leveraging Medicare and Medicaid data to drive insightful business solutions.
- Presenting findings to a range of audiences (technical/non-technical) and to various levels of leadership.
- Effectively communicating with team members while working remotely.
Requirements:
- Bachelor’s degree (BA/BS) in a related field.
- Minimum of 15 years of relevant experience in Medicaid investigative roles focused on fraud, waste, and abuse.
- Familiarity with investigative tools, data sources, and methodologies commonly used in FWA detection and analysis.
- Knowledge of healthcare FWA concepts, schemes, trends, and investigative approaches.
- Ability to communicate complex fraud-related findings in a clear, concise way that enables quick action.
- Team-oriented outlook to facilitate collaboration across a cross-functional team of data scientists, clinicians, and other FWA SMEs.
Benefits:
- Comprehensive benefits and wellness packages.
- 401K with company match.
- Competitive pay and paid time off.
- Full-flex work week to own your priorities at work and at home.
- Award-winning culture of innovation and a military-friendly workplace.
The likely salary range for this position is $153,000 - $207,000.