Nurse Analyst/Investigator

Emploi pas sur LinkedIn

🕒 il y a 1 jour

🦀 Maryland – Distant

🦀 Maryland – Remote

💵 $93 500 - $126 500 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

🧐 Analyste

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General Dynamics Information Technology

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1954

🔒 Cybersecurity

🤖 Intelligence artificielle

Defense • Cybersecurity • Artificial Intelligence

General Dynamics Information Technology (GDIT) est un acteur de premier plan de l’innovation technologique, offrant un large éventail de services, notamment le conseil, la modernisation numérique et les services applicatifs. L’entreprise déploie des solutions en intelligence artificielle (AI), cloud computing (Cloud), cybersécurité, calcul haute performance (HPC) et technologies quantiques. GDIT s’engage à soutenir les secteurs public et de la défense, en fournissant des services essentiels à la mission tels que la logistique et la gestion de la chaîne d’approvisionnement, le renseignement et la sécurité intérieure. L’entreprise met également l’accent sur des pratiques de recrutement diversifiées et inclusives et promeut activement le bien-être des collaborateurs. Grâce à ses accélérateurs numériques et à l’adoption pionnière de technologies émergentes, GDIT vise à faire progresser les missions des agences et à relever des défis technologiques complexes.

Description

• Support Centers for Medicare & Medicaid Services (CMS) activities at Baltimore, Maryland • Interact with staff and leaders in the FPS program, both within GDIT and with other entities working on FPS • Write and review edit proposals and consult with others regarding policy, medical coding, and clinical questions • Receive and reply to CMS urgent requests for information related to edits and other ad hoc program integrity requests • Review CMS policy and regulations to anchor support for new FPS edits and models • Identify new candidate topics for possible FPS edits and evaluate them by using data to identify risk and document CMS policy (e.g., LCD, NCD) that supports the edit

🎯 Exigences

• RN or LPN with 5+ years clinical experience • 2+ years of experience in Medicare Program Integrity work at a MAC, UPIC or other program integrity contractor • 2+ years of experience in medical coding with the corresponding appropriate professional certification(s) (e.g., CPC) or ability to attain certification within 12 months • Working knowledge of Medicare policy, processes and claims payment systems • Ability to pass CMS security clearance & background check • 3 years of experience interacting with and consulting with others with a different background/expertise in a team environment • BA/BS/BSN • CPC certification • 2+ years of experience working with Medicare Fee-for-Service pre-payment edits either in FPS, FISS, MCS, and/or VMS • Experience with Medicaid, Medicare Part C/D

🏖️ Avantages

• Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts • Dental plan options • Vision plan • 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 • Full flex work weeks where possible • A variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave • 15 days of paid leave per calendar year • 10 paid holidays per year • Eligible employees can receive up to 160 hours of paid leave in a rolling 12 month period for family leave • Short and long-term disability benefits • Life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance