Functional Analyst (Medicaid Investigation)

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:

• Contributes to completion of technical tasks independently and as part of a team.
• Analyzes 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.
• Assists with identifying opportunities for leveraging Medicare and Medicaid data to drive insightful business solutions.
• Present findings to a range of audiences (technical/non-technical) and to various levels of leadership.
• Performs additional duties as assigned.
• Effectively communicate with team members while working remotely

Required Skills:

• Bachelors Degree and at least 10 years of experience in Medicaid with specific experience in Fraud Investigation.