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Healthcare Fraud SME

General Dynamics Information Technology
📍 USA Only 💰 🕑 Americas timezone
Full-time Mid-level Engineering Full-Stack Programming

Job Description

Headquarters: Maryland, United States

URL: https://www.gdit.com

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

NACI (T1)

Job Family:

Functional Experts

Job Qualifications:

Skills:

Fraud Analytics, Leadership, Medicaid, Medicare, Work Collaboratively Certifications:

None Experience:

15 + years of related experience US Citizenship Required:

No

Job 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).

* **Work visa sponsorship will not be provided for this role.

HOW A HEALTHCARE FRAUD SME WILL MAKE AN IMPACT:

- 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

WHAT YOU 'LL NEED TO SUCCEED:

- 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...