Functional Analyst (Medicaid Investigation)

Responsibilities for this Position

Location: Any Location / Remote
Full Part/Time: Full time
Job Req: RQ219229

Type of Requisition:
Regular

Clearance Level Must Currently Possess:
None

Clearance Level Must Be Able to Obtain:
None

Public Trust/Other Required:
None

Job Family:
Functional Experts

Job Qualifications:

Skills:
Analytical Thinking, Analytics, Healthcare Investigations, Medicaid, Presentations
Certifications:
None
Experience:
8 + years of related experience
US Citizenship Required:
No

Job 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.

The likely salary range for this position is $97,968 - $124,200. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:
40

Travel Required:
Less than 10%

Telecommuting Options:
Remote

Work Location:
Any Location / Remote

Additional Work Locations:

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.

We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

Join our Talent Community to stay up to date on our career opportunities and events at
gdit.com/tc .

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

PI284569499

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. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.



Scheduled Weekly Hours:
40



Travel Required:
Less than 10%



Telecommuting Options:
Remote



Work Location:
Any Location / Remote



Additional Work Locations:



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.


We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.


Join our Talent Community to stay up to date on our career opportunities and events at

gdit.com/tc .


Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

PI284569499