Program Manager (Medicare/Medicaid)

Oversee complex programs that drive impactful mission outcomes for our customers as a Sr. Program Manager. Here, you’ll see the bigger picture on mission initiatives and where your program management career can go at GDIT.

As a Program Manager, the work you’ll do at GDIT will be impactful to the mission of detecting and preventing fraud, waste, and abuse for the Centers for Medicare & Medicaid Service. You will play a crucial role in leading diverse teams to deliver strong value and outcomes to our customer through advanced analytics and fraud detection techniques.

Responsibilities:

• Manages the cost, schedule and technical performance of programs or subsystems of major programs.
• Coordinates the preparation of proposals, business plans, proposal work statements and specifications, operating budgets and financial terms/conditions of contract.
• Acts as customer contact for program activities, leading program review sessions with customer to discuss cost, schedule, and technical performance.
• Establishes concepts around operational activities including external engagement, develops criteria for engineering efforts for product research, and coordinates on studies and white papers surrounding healthcare management activities.
• Develops or expands service offerings in coordination with value-driven Government needs.
• Directs the work of employees assigned to the program from technical and administrative areas.
• Directs work and has responsibility for managing a function that includes multiple related departments or disciplines. Works on complex issues where analysis of situations or data requires an in-depth knowledge of healthcare and fraud.
• Maintains clear communication with CMS clients, project team and corporate leadership.
• Demonstrates a strong leadership skills and serves as a liaison between all the other key personnel serving this contract.
• Ensuring that contract requirements are met, including quality assurance in products and services, cost control, timeliness and business relations.
• Participates in development of innovative methods, techniques and evaluation criteria that expands and strengthens the healthcare fraud prevention.
• Lead/Manage/Support diverse teams in a high-impact and high-demand environment that is continually changing and evolving
• Collaborate with all levels of staff, leadership, and our customer to achieve strong outcomes, communicate successes, opportunities, and challenges, and align on success measures
• Drive outcomes and results for our customer through team collaboration, focusing on innovation, and aligning teams to customer goals and objectives
• Utilize your knowledge of analytic tools, CMS data, analytic methods, and the FWA landscape to lead teams to achieve strong ROI

Required Skills:

• Bachelor of Arts/Bachelor of Science and at least 10+ years of Medicare/Medicaid experience
• Extensive experience leading analytic teams to conduct FWA detection in Medicare or Medicaid
• Experience conducting analytics to detect Medicare and/or Medicaid FWA to support law enforcement or administrative actions
• Must have at least 5 years of experience leading healthcare analytics for FWA detection