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General Dynamics Information Technology: Healthcare Fraud SME
Headquarters: Maryland, United States
URL: https://www.gdit.com
Job Overview
- 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: Functional Experts
- Scheduled Weekly Hours: 40
- Travel Required: Less than 10%
- Telecommuting Options: Remote
- Work Location: Any Location / Remote
Job Description
Make meaningful contributions that fuel critical outcomes for some of the most complex government, defense, and intelligence projects. Join GDIT as a Healthcare Fraud, Waste and Abuse (FWA) Subject Matter Expert (SME) for a career where your growth is just as important as the mission you support.
As a Healthcare FWA SME, the work you’ll do at GDIT will be impactful to the mission of the Centers for Medicare & Medicaid Services (CMS).
*Work visa sponsorship will not be provided for this role.
How a Healthcare Fraud SME Will Make an Impact
- Leading efforts of technical tasks to completion independently and as part of a team.
- Leading efforts to analyze claims data and reviews Federal and State Medicaid law, regulation, and policy.
- Developing data-driven solutions to business challenges of advanced scope/complexity.
- Collaborating with predictive modeling teams to increase and optimize customer experiences, efficiencies, process improvements, and other business outcomes.
- Identifying opportunities for leveraging Medicare and Medicaid data to drive insightful business solutions.
- Presenting findings to a range of audiences (technical/non-technical) and to various levels of leadership.
- Effectively communicating with team members while working remotely.
What You’ll Need to Succeed
- Bachelor’s degree (BA/BS) in a related field.
- Minimum of 15+ years of relevant experience in Medicaid investigative roles focused on fraud, waste, and abuse.
- Familiarity with investigative tools, data sources, and methodologies commonly used in FWA detection and analysis.
- Knowledge of healthcare FWA concepts, schemes, trends, and investigative approaches.
- Ability to communicate complex fraud-related findings in a clear, concise way that enables quick action.
- Team-oriented outlook to facilitate collaboration across a cross-functional team of data scientists, clinicians, and other FWA SMEs.
- Skills: Fraud Analytics, Leadership, Medicaid, Medicare, Work Collaboratively.
Compensation
- Salary Range: $153,000 - $207,000
- Note: This is not a guarantee of compensation. Salary will be set based on experience, geographic location, and contractual requirements.
GDIT Benefits & Culture
- Growth: AI-powered career tool that identifies career steps and learning opportunities.
- Support: An internal mobility team focused on helping you achieve your career goals.
- Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay.
- Flexibility: Full-flex work week to own your priorities at work and at home.
- Community: Award-winning culture of innovation and a military-friendly workplace.
- Total Rewards: Includes medical, dental, vision, 401(k), paid time off (15 days vacation/personal/illness + 10 holidays), paid parental/military/bereavement/jury duty leave, and short/long-term disability.
Additional Information
- Identity Verification: As part of the hiring process, you will complete an identity verification process using biometrics and AI. You are expected to be on camera during virtual interviews.
- About Our Work: GDIT is a global technology and professional services company delivering solutions to every major agency across the U.S. government, defense, and intelligence community.
Join our Talent Community: gdit.com/tc
Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans
To apply: Click here to apply via We Work Remotely