Project Coordinator

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $66k - $106k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👷‍♀️ Project Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Peraton

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

Peraton is a mission-focused enterprise that supports national security initiatives through advanced IT and cyber services. They provide capabilities in areas such as cyber defense, cloud operations, engineering, and intelligence. With a commitment to solving complex challenges, Peraton integrates data-driven technologies to ensure mission success for their military and government clients.

📋 Description

• Lead projects arising from situations potentially involving fraud, waste, or abuse in Medicaid • Develop project methodologies and coordinate with internal teams • Use data analysis techniques to detect aberrancies in Medicaid claims data • Develop leads from CMS, OIG, State Program Integrity, MFCU, and fraud alerts • Review claims history and provider files to identify billing patterns, potential fraud, abusive practices, and policy vulnerabilities • Make potential fraud determinations using internal guidelines, Medicaid provider manuals, Medicaid regulations, and the Social Security Act • Identify fraud alerts and program vulnerabilities for submission to CMS • Share information on fraud investigations with Medicaid contractors, law enforcement, and other stakeholders • Track and report project progress internally and to CMS and the States • Coordinate workflow from project to lead stage • Communicate with other UPICs regarding potential project development • Review, support, and respond to Medicaid stakeholder information requests

🎯 Requirements

• 5 years with BS/BA; or 9 years with a HS Diploma/equivalent • Healthcare policy and regulation experience (Medicaid preferred) • Strong research skills • Strong communication and organization skills • Strong writing skills • Strong computer skills including Microsoft Access, relational database design, extraction and reporting, Excel, and the Internet • Strong proven analytical ability and basic knowledge of statistics and sampling techniques • Proven ability to work with a variety of systems, data sources, and analytic tools • Ability to perform research and draw conclusions • Ability to interpret data and policy relative to an allegation • Ability to manage several projects while meeting deadlines with quality work product • Ability to work as a liaison across teams, State Medicaid Agencies, and CMS • Ability to present findings and issues of concern, citing regulatory violations • Ability to compose correspondence and reports • Ability to interpret laws and regulations • Ability to handle confidential material • Ability to report work activity on a timely basis • Ability to work independently and as a member of a team • Ability to attend meetings, training, and conferences • US citizenship required

🏖️ Benefits

• Telework available from anywhere in the US • Employees may be eligible for overtime • Employees may be eligible for shift differential • Employees may be eligible for a discretionary bonus • Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law