Functional Analyst – Medicaid Investigation

Job Description

Join our team as a Functional Analyst, supporting CMS in detecting and preventing fraud within Medicare and Medicaid programs. This role involves: * Contributing to technical tasks both independently and collaboratively. * Analyzing claims data and interpreting Federal and State Medicaid regulations and policies. * Developing innovative, data-driven solutions for complex business challenges. * Applying predictive modeling to enhance customer experiences, improve efficiencies, and optimize business outcomes. * Identifying opportunities to leverage Medicare and Medicaid data for insightful business solutions. * Presenting findings to diverse audiences, including technical and non-technical stakeholders, at various leadership levels. * Performing additional duties as required. * Communicating effectively with team members in a remote work environment.

Qualifications

To qualify for this position, you should have: 1. A Bachelor's Degree plus at least 8 years of relevant experience in Medicaid, with a focus on Fraud Investigation. 2. No US Citizenship Required.

Benefits

At GDIT, we care about our employees' well-being and offer a comprehensive benefits package, including: - Multiple medical plan options, some with Health Savings Accounts. - Various dental plan options. - A vision plan. - A 401(k) plan with pre- and post-tax contribution options and company matching. - Full flex work weeks (where possible) and generous paid time off, including vacation, sick, personal time, holidays, parental leave, military leave, bereavement leave, and jury duty leave. - New employees typically receive 15 days of paid leave per calendar year for vacations, personal matters, and illness, plus 10 paid holidays (prorated based on hire date). - The GDIT Paid Family Leave program provides up to 160 hours of paid 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, and business travel and accident insurance.