Nurse Analyst, Investigator

Job not on LinkedIn

🕒 July 15

🦀 Maryland – Remote

🦀 Maryland – Remote

💵 $93.5k - $126.5k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Interacting with staff and leaders in the FPS program • Writing and reviewing edit proposals • Consulting on policy, medical coding, and clinical questions • Responding to CMS urgent requests for information • Reviewing CMS policy and regulations for new FPS edits • Identifying new candidate topics for possible FPS edits • Evaluating them by using data to identify risk and document CMS policy

🎯 Requirements

• 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 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 and consulting with others in a team environment • BA/BS/BSN preferred • Experience with Medicare Fee-for-Service pre-payment edits in FPS, FISS, MCS, and/or VMS

🏖️ Benefits

• Variety of medical plan options with Health Savings Accounts • Dental plan options • Vision plan • 401(k) plan with company match • Flexible work weeks • Paid time off including vacation, sick and personal time • 10 paid holidays per year • 15 days of paid leave per calendar year • Paid Family Leave program • Short and long-term disability benefits • Life insurance • Accidental death and dismemberment insurance • Personal accident, critical illness insurance • Business travel and accident insurance