Functional Analyst (Medicaid Investigation)

Job description

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: Functional Experts Skills: Investigation, Medicaid, Medicaid Policy Certifications: None Experience: 15 + years of related experience US Citizenship Required: No Job Description: Our work is looking for a Functional Analyst - Principle to help us support the Centers for Medicare and Medicaid Services (CMS). At GDIT, our people are at the center of everything we do. As a Functional Analyst - Principle supporting CMS, you will be trusted to work on leading data science tools to detect and prevent fraud, waste, and abuse (FWA) in the Medicare and Medicaid programs. In this role, a typical day will include: - Will lead efforts of technical tasks to completion independently and as part of a team. - Will lead efforts to analyze claims data and reviews Federal and State Medicaid law, regulation, and policy. - Develops data-driven solutions to business challenges of advanced scope/complexity - Uses predictive modeling to increase and optimize customer experiences, efficiencies, process improvements, and other business outcomes....