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:

Data Science and Data Engineering:

Job Qualifications:Skills:

Fraud, Healthcare Abuse Laws, Medicaid, Medicare
Certifications:

None
Experience:

5 + years of related experience
US Citizenship Required:

No

Job Description:

The work you’ll do at GDIT will be impactful to the mission of the Centers for Medicare and Medicaid Services (CMS). You will be trusted to lead project teams through analyses and tool development to detect and prevent fraud, waste, and abuse (FWA) in the Medicare programs. In this role you will:

• Manage analytics and machine learning projects from kick-off to completion, ensuring their analytic rigor and include actionable results to detect and deter FWA
• Guide junior team members in the completion of technical tasks while remaining hands on to analyze claims data and conduct advanced statistical analyses when needed
• Use predictive modeling to increase and optimize efficiencies, process improvements, and other business outcomes
• Partner with subject matter experts to deliver quality, actionable findings
• Present complex analytics and insights in a comprehensible manner to a range of audiences (technical/non-technical) and to various levels of leadership
• Identify opportunities for leveraging Medicare and Medicaid data to drive insightful FWA solutions
• Advocate for and help implement best practices in data management and analytics to drive continuous improvement
• Effectively communicate with team members while working remotely
• Perform additional duties as assigned

Required Skills:

• Bachelor of Arts/Bachelor of Science degree with an analytical or technical focus (i.e., Statistics, Computer Engineering, Applied Mathematics) or related area
• Minimum of 5+ years of experience conducting advanced analyses utilizing healthcare claims data for the use of fraud detection, including at least 2 years managing team-based analytics projects
• Ability to understand, simplify and explain data in business terms to technical and non-technical audiences
• Proficiency in SQL and Python, with familiarity with R or Python for data science (including machine learning)
• Familiarity with Databricks and/or Snowflake

Desired Skills:

• Strong relationship building skills with both internal and external stakeholders
• Customer service oriented and solutions focused attitude
• Sound analytical, problem solving, and qualitative skills

The likely salary range for this position is $106,250 - $143,750. 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 30,000 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.

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Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans