Functional Analyst – Medicaid Investigation
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Job Description
Functional Analyst supporting CMS in detecting and preventing fraud, waste, and abuse in Medicare and Medicaid programs. Collaborating on data science tools and analysis to drive business solutions.
Responsibilities:
- 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.
Requirements:
- Bachelors Degree and at least 8 years of experience in Medicaid with specific experience in Fraud Investigation.
- US Citizenship Required: No
Benefits:
- 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
- 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.
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