Medicaid & Medicare Fraud Detection SME

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $148.8k - $201.3k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🚨 AML and Financial Crime

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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General Dynamics Information Technology

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1954

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

General Dynamics Information Technology is a company at the forefront of technological innovation, offering a wide range of services including consulting, digital modernization, and application services. The company is heavily involved in implementing solutions related to artificial intelligence, cloud computing, cybersecurity, high-performance computing, and quantum technologies. GDIT is committed to supporting government and defense sectors, providing mission-critical services such as logistics and supply chain management, intelligence, and homeland security. The company also focuses on diverse and inclusive hiring practices and actively promotes employee well-being. Through its digital accelerator solutions and pioneering use of emerging technologies, GDIT aims to propel agencies' missions forward and address complex technological challenges.

📋 Description

• Manage fraud detection projects from concept to completion • Ensure projects meet strategic objectives and produce actionable results to detect and deter fraud, waste, and abuse • Guide teams through claims data analysis, policy interpretation, and advanced statistical analysis • Nurture junior-level team members • Partner with subject matter experts and team members to deliver findings and recommendations • Present complex analytics and insights to technical and non-technical audiences and leadership • Build and maintain client relationships • Identify opportunities to leverage Medicare and Medicaid data for fraud, waste, and abuse solutions • Communicate effectively with remote team members • Perform additional duties as assigned

🎯 Requirements

• Bachelor of Arts/Bachelor of Science • At least 15 years of experience in Medicare/Medicaid • Deep knowledge of the U.S. healthcare system, including Medicare and Medicaid • Expertise in analyzing healthcare claims data for fraud detection • Ability to obtain/maintain a Public Trust • NACI (T1) required • Less than 10% travel • US citizenship is not required

🏖️ Benefits

• Medical plan options, including options with Health Savings Accounts • Dental plan options • Vision plan • 401(k) plan with pre-tax and post-tax contributions up to IRS annual limits and company match • Full flex work weeks where possible • Paid vacation, sick, personal time, holidays, parental, military, bereavement, and jury duty leave • Typically 15 days of paid leave per calendar year • 10 paid holidays per year • Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees • Short- and long-term disability benefits • Life insurance • Accidental death and dismemberment insurance • Personal accident insurance • Critical illness insurance • Business travel and accident insurance