Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Functional Analyst (Medicaid Investigation)

$97.97k - $124.2k

General Dynamics

Functional Analyst - Principle

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.

The likely salary range for this position is $97,968 - $124,200. This is not, however, a guarantee of compensation or salary. Scheduled Weekly Hours: 40 Travel Required: Less than 10% Telecommuting Options: Remote Work Location: Any Location / Remote

Total Rewards at GDIT: Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee's date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Functional Analyst (Medicaid Investigation) in United States vacancy
  • $112.84k - $124.2k

     ...Trust/Other Required: None Job Family: Functional Experts Skills: Analytical Thinking,Analytics,Healthcare Investigations,Medicaid,Presentations Experience: 10 + years...  ...Our work is looking for a Functional Analyst - Principle to help us support the Centers... 
    Suggested
    Temporary work
    Immediate start
    Remote work
    Worldwide
    Flexible hours

    General Dynamics Information Technology

    Fairfax, VA
    6 days ago
  • $97.97k - $124.2k

     ...Required: None Job Family: Functional Experts Job Qualifications: Skills...  ...Thinking, Analytics, Healthcare Investigations, Medicaid, Presentations Certifications:...  ...Our work is looking for a Functional Analyst - Principle to help us support the Centers... 
    Suggested
    Full time
    Temporary work
    Part time
    Immediate start
    Remote work
    Worldwide
    Flexible hours

    GDIT

    Silver Spring, MD
    18 days ago
  •  ...Business Analyst With Medicare And Medicaid Experience Location - 3 Penn Plaza- Newark- New Jersey 07105 – local is preferred 1 day office per...  ...Ability to create, write, Query SQL programs, generate and investigate data. ~ Hands on exposure in working with SaaS... 
    Suggested
    Work at office
    Local area
    1 day per week

    Georgia IT Inc

    Newark, NJ
    1 day ago
  •  ...Chitra is seeking a Functional Analyst IV to support a DoD contract position at Ft. Lee, VA. Position Requirements: Active Secret Security...  ...-Leavenworth. Studies and Analysis: Perform studies to investigate emerging issues pertaining to the current and future... 
    Suggested
    Contract work
    Temporary work
    For contractors
    Work at office

    Chitra

    Fort Lee, VA
    1 day ago
  •  ...Functional Analyst — Operations/EOD (Americas) About the Role Provide operational support for EOD/SOD processing, batch management,...  ...batch jobs via TPM, Services Manager / Workflow Manager Investigate and resolve EOD/SOD failures — identify root causes, implement... 
    Suggested
    Shift work
    Night shift
    Afternoon shift

    KWA Analytics

    Houston, TX
    1 day ago
  •  ...Functional Analyst — (Americas) About the Role Provide L2/L3 support within a large-scale Openlink Endur implementation. You will be...  ...office for the Americas trading desks. What You'll Do Investigate and resolve L2/L3 incidents related to deal capture, trade... 

    KWA Analytics

    Houston, TX
    1 day ago
  •  ...Responsible for acquiring and maintaining in-depth knowledge of functional workflows and the application's versatility to support them....  ...in order to design and implement effective solutions. Investigate issues using independent analysis and judgment to generate solution... 
    Weekend work

    Patterns Hiring, Inc.

    Tulsa, OK
    4 days ago
  • $5,137 - $6,906 per month

     ...Role: ~ FPA3: HCBM Contract Analyst (1) We are an employer of choice!...  ...Contract Unit or the HCBM Contract Unit. Functional Program Analyst 3: HCBM Analyst As...  ...undergo a criminal history background investigation? This would include a criminal records... 
    Permanent employment
    Full time
    Contract work
    Part time
    Work experience placement
    Work at office
    Immediate start
    Remote work
    Flexible hours
    Shift work

    State of Washington

    United States
    1 day ago
  •  ...To support federal programs, the full-time Salesforce Functional Analyst will analyze business and user needs, translate them into functional...  ...with the ability to complete a federal background investigation Bachelor's degree in Computer Science, Information Systems... 
    Full time
    Remote work

    Virtual Vocations Inc

    United States
    2 days ago
  •  ...solution! Job Description Essential Functions and Responsibilities include the...  ...initiatives is required, preferably with Medicaid programs (State FFS program, Medicare/...  ...player as well as independently Excellent investigative, problem resolution, judgment and... 
    Work experience placement
    Remote work
    Monday to Friday
    Night shift
    Weekend work

    MedImpact

    United States
    4 days ago
  •  ...Functional Analyst We are seeking a detail-oriented Functional Analyst to support site updates, testing, and issue resolution across...  ...bug fixes, enhancements and production issue resolution. Investigate and help resolve production issues, especially those related... 
    Remote work

    SMITH.

    Columbus, OH
    1 day ago
  •  ...wanted to let you know about the job opportunity for SAP Functional Analyst position if interested please share your updated resume along...  ...of functional expertise, working closely and coordinating investigation of problems with ABAP developers, Basis Administrators,... 
    Contract work
    Immediate start

    Saxon Global

    Austin, TX
    4 days ago
  • $61.9k - $141k

     ...Warfighting Functional Analyst The Opportunity: As a defense mission professional, you ask questions others don't. You understand...  ...Clearance: Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to... 
    Full time
    Contract work
    Part time
    Work at office
    Local area
    Remote work

    Booz Allen Hamilton

    Leavenworth, KS
    2 days ago
  •  ...Apply today! Niyam is seeking an experienced Salesforce Functional Analyst for one of our federal clients. The Salesforce Functional Analyst...  ...with ability to successfully complete a federal background investigation. Bachelor's degree in Computer Science, Information... 
    Contract work
    Local area
    Remote work
    Flexible hours

    NiyamIT Inc.

    Ashburn, VA
    2 days ago
  • $64k - $65k

     ...Position Title: Senior Functional Analyst Department: IT Classification: Staff, Full-Time, Exempt Reports to: Director of Administrative...  ..., integration of multiple areas of technical expertise, or investigation and application of new technologies. Work across a variety... 
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Flexible hours

    Antioch University

    Antioch, CA
    5 days ago
  •  ...Planned Systems International, LLC (PSI) is seeking a skilled Functional Analyst to support our Department of Veterans Affairs (VA) Office...  ...to obtain and maintain a Tier II Moderate Risk Background Investigation. ~ Legal authorization to work in the U.S. Desired Qualifications... 
    Full time
    Temporary work
    Work at office
    Local area
    Immediate start
    Flexible hours

    ProSphere Tek

    Washington DC
    5 days ago
  •  ...and frameworks to enable intelligence analysts to better sift through the plethora of...  ...of experience performing business and functional analysis on customer requirements ~3+...  ...selected will be subject to a security investigation and may need to meet eligibility requirements... 

    Beyond SOF

    Reston, VA
    1 day ago
  • $93.4k - $176.2k

     ...and customizing technical architecture components. Develop functional specifications and support customizations to make sure that...  ...response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation... 
    Live in
    Work at office
    Local area

    Accenture

    Washington DC
    4 days ago
  •  ...Title: Sr. HRIS Functional Analyst Employee Classification: Sr. HRIS Functional Analyst Campus: University of North Texas - System...  ...software gaps. Provide firstline of defense and support investigating and troubleshooting ERP HCM errors and issues reported by... 
    Monday to Friday

    University of North Texas System Administration

    Denton, TX
    3 days ago
  •  ...Description Jr. Functional Analyst About CICONIX: CICONIX LLC is a Veteran Owned Small Business specializing in business advisory...  ...Check: U.S. Citizenship and a successful background investigation are required. Ability to obtain and maintain a government... 
    Full time
    Night shift
    Weekend work

    CICONIX

    Bethesda, MD
    7 hours ago
  •  ...Functional Analyst – Level II Analyzes user needs to determine functional and cross-functional requirements. Performs functional allocation...  ...and border management, intelligence, background investigations, and associated testing, training, management reporting, planning... 
    Temporary work
    Work at office
    Shift work

    ClifyX

    Washington DC
    1 day ago
  •  ...Lead Salesforce Functional Analyst Our medical device manufacturing client is expanding their Salesforce Solution Design team. The...  ...Expert. This individual will drive business requirements, investigate solution design, document complex user flows and ultimately... 

    My3Tech Inc

    United States
    13 hours ago
  • $86k - $136k

     ...Overview: We are seeking a talented IT SAP ERP Plan to Make Functional Analyst specializing in Manufacturing to join our company-wide IT...  ...involves an extensive criminal and financial background investigation, drug test, previous employment, and reference verifications... 
    For contractors
    Local area
    Remote work
    Flexible hours

    BWX Technologies

    United States
    5 days ago
  •  ...maintenance of daily, weekly, monthly, and quarterly business reporting functions. - Gather Retail Operations data from multiple databases,...  ...and automation processes • Problem solve and investigate issues • Participate in all phases of system testing Work successfully... 
    Local area

    My3Tech Inc

    Cincinnati, OH
    4 days ago
  •  ...Houston (TX), Tulsa (OK) or Oklahoma City (OK). The Maximo Functional Support Analyst role is for supporting, implementing improvements, and...  ...of Change (MoC) processes. • Track incidents, investigations, audits, and their associated action items in Maximo.... 
    Remote work
    Night shift

    Targa

    Houston, TX
    3 days ago
  •  ...Senior GFEBS Functional Analyst / Trainer We are seeking an experienced Senior GFEBS Functional Analyst / Trainer to support Army financial...  ...under this contract must complete a favorable background investigation and be eligible to obtain a Department of Defense (DoD)... 
    Contract work
    For contractors

    ValCorp

    Aberdeen Proving Ground, MD
    3 days ago
  •  ...Job Title: Consultant | Analytics - Functional | Business Analyst Location: Johnston, RI 02919 (Hybrid) Pay Range : 40-45/hr on w2 Applicants...  ...-on expertise in claims operations, spanning intake, investigation, and resolution, with strong awareness of industry best... 
    Work experience placement
    Immediate start

    Artech

    Johnston, RI
    2 days ago
  •  ...global impact. About The Role: The Sr. Oracle Application Functional/Technical Specialist, under limited supervision, provides...  ...speaking skills * Must be a self-starter and able to manage the investigations function with minimal supervision * Accounting Knowledge,... 
    Work at office
    Flexible hours
    2 days per week

    GM Financial

    Arlington, TX
    1 day ago
  •  ...Functional Analyst Opportunity Functional Analyst opportunity with SOC's client to work onsite at Scott Air Force Base. Candidates must...  ...for this position: successful completion of a background investigation and drug urinalysis. SOC, a Day & Zimmermann company, is an... 

    Navstar

    Belleville, IL
    1 day ago
  • $91.7k - $163.7k

     ...us to start Caring. Connecting. Growing together. The Medicaid SME Business Analyst plays a pivotal role in the successful implementation of...  ...Enterprise Data Services (EDS) project by serving as the functional authority on Medicaid program operations and data. This role... 
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Remote work

    UnitedHealth Group

    United States
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Functional Analyst (Medicaid Investigation). Be the first to apply!