REQ#: RQ198200

Public Trust: None

Requisition Type: Regular

Your Impact

Own your opportunity to work alongside federal civilian agencies. Make an impact by providing services that help the government ensure the well being of U.S. citizens.

Job Description

GDIT is searching for an individual to support the Center for Medicare & Medicaid Services’ (CMS) mission to detect and combat fraud, waste, and abuse of the Medicare and Medicaid programs. GDIT works with CPI to ensure CMS is paying the right provider the right amount for services covered. Our work focuses on protecting patients while also minimizing unnecessary burden on providers. Through research, investigation and data analysis, the desired outcomes of our efforts are to prevent, detect, and resolve noncompliance with Medicare rules, requirements, and law and recommend administrative action to CMS.

Responsibilities:

Conduct research, data analysis, and investigative activities to assess compliance with Medicare and Medicaid regulatory requirements.
Work collaboratively within a team of Medicare and Medicaid policy expert SMEs and data analysts.
Strictly follow CMS-approved SOPs as to how to conduct non-compliance lead reviews.
Within a case management system, document in detail all lead and investigation activity and recommendations to CMS.
Actively support preparation of comprehensive reports on the status of leads and investigations required by CMS.
Safeguard PII and PHI
Must be able to function in a remote work environment, with secure and reliable internet access
Ability to work both independently as well as in a team environment

Qualifications:

High school and 1+ years of experience in healthcare, insurance, or government environment
Highly organized, ability to multi-task and meet deadlines
Experience using computers including Microsoft Office-Word & Excel
Strong inter-personal and communications skills, both written and oral

Value-Add Experience:

Knowledge of Medicare/Medicaid provider enrollment
Knowledge of Provider Enrollment, Chain, and Ownership System (PECOS)

Location:

Remote

Security:

Must be able to pass a CMS background check.

What GDIT Can Offer You:

401K with company match
Comprehensive health and wellness packages
Internal mobility team dedicated to helping you own your career
Professional growth opportunities including paid education and certifications
Cutting-edge technology you can learn from
Rest and recharge with paid vacation and holiday

#GDITHealth#FedHealth

Work Requirements

Years of Experience

1 + years of related experience

* may vary based on technical training, certification(s), or degree

Certification

Travel Required

Less than 10%

Salary and Benefit Information

The likely hourly rate for this position is between $17.22 - $17.25. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

View information about benefits and our total rewards program.

About Our Work

We are GDIT. A global technology and professional services company that delivers technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across over 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

Join our Talent Community to stay up to date on our career opportunities and events at gdit.com/tc.

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

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