Chief Statistician

ICF; Minnesota City (MN); Remote; USD 89,000 - 223,000; Full time

Job summary

A global advisory and technology services provider is seeking a Chief Statistician to lead advanced statistical analysis for a federal health agency. The role focuses on detecting fraud in Medicare and Medicaid programs, requiring extensive experience with healthcare data, statistical methodologies, and a Master's degree in statistics. This primarily remote position involves occasional travel and offers a competitive salary range between $89,203 and $222,024.

Qualifications

• 10+ years of experience using statistics with knowledge of healthcare information.
• 2+ years of experience in estimating overpayments for healthcare fraud investigations.
• Eligible for HHS background verification at the Public Trust clearance level.

Responsibilities

• Lead development of statistical models to detect fraud and abuse.
• Analyze healthcare information including claims data and codes.
• Collaborate with stakeholders to support investigations.

Skills

Statistical analysis

Healthcare data analysis

Leadership

Data integrity

Problem-solving

Education

Master’s degree in statistics or related discipline

Tools

MS Office Applications

Data analysis tools

Job description

Overview

Please note: This role is contingent upon a contract award. While it is not an immediate opening, we are actively conducting interviews and extending offers in anticipation of the award.

Chief Statistician Position

ICF is currently seeking a Chief Statistician to lead advanced statistical analysis and modeling efforts within the Midwestern Region for a federal health agency. Under this program, ICF will investigate potential fraud, waste, and abuse in Medicare and Medicaid programs. The Chief Statistician will apply deep statistical expertise to detect and prevent fraud, waste, and abuse in Medicare and Medicaid programs. This role requires extensive experience with health care data, including claims data, coding systems, and provider identifiers. The Chief Statistician will be responsible for developing analytical methodologies to identify anomalies and supporting program integrity investigations through data analysis and statistical loss estimations.

Job Location -- Primarily remote within the U.S., with occasional travel (up to 25%) to Baltimore, MD and Midwest-based conferences.

Key Responsibilities

• Lead the development and application of statistical models and methodologies to detect potential fraud and abuse, including predictive models, neural networks, and data mining algorithms.
• Analyze health care information including claims data, ICD-9/10-CM codes, physician specialty codes, survey and certification data, and provider/supplier identifiers.
• Collaborate with data analysts, investigators, and other stakeholders to support investigations and program integrity initiatives.
• Provide statistical expertise in support of investigations and administrative actions, including statistical loss estimation (overpayments), and capable of defending those estimates in administrative and potentially legal proceedings.
• Provide expert statistical consultation and guidance to CMS leadership.

Basic Qualifications

• Master’s degree in statistics or a related discipline.
• Minimum of 10 years of experience using statistics with demonstrated knowledge of health care information, with an emphasis in Medicare Fee For Service and/or state Medicaid programs.
• At least 2+ years of experience in estimating overpayments for healthcare fraud investigations.
• Eligible to complete the HHS background verification process at the Public Trust clearance level.
• US Citizenship is required.

Preferred Skills/Experience

• Experience with health claims data, ICD-9/10-CM codes, and provider/supplier identifiers.
• Demonstrated experience in statistical detection of fraud and abuse.
• Experience with CMS Integrated Data Repository (IDR) Unified Case Management (UCM) and other government healthcare data systems such as T-MSIS.
• Experience with the CMS fraud workflow and processes for healthcare fraud investigations, such as contractors for the Center for Program Integrity (CPI).
• Proficiency in MS Office Applications and data analysis tools.

Professional Skills

• Strong analytical and problem-solving skills.
• Excellent communication and leadership abilities.
• Proven ability to manage complex data analysis projects.
• Strong organizational and time management skills.
• Ability to work collaboratively with internal teams and external partners.
• Commitment to data integrity and confidentiality.

Working at ICF

ICF is a global advisory and technology services provider. We’re not your typical consultants. We combine expertise with technology to help clients solve challenges, navigate change, and shape the future. We are an equal opportunity employer and are committed to a workplace where everyone can thrive. For more information, read our EEO policy.

We will consider qualified applicants with arrest and conviction records. Reasonable Accommodations are available, including for disabled veterans, individuals with disabilities, and individuals with sincerely held religious beliefs. To request an accommodation, please email [e-mail].

Read more about workplace rights or our benefit offerings included in the Transparency in (Benefits) Coverage Act.

Candidate AI Usage Policy

ICF does not permit the use of artificial intelligence tools to generate or assist with responses during interviews. If an accommodation involving AI is needed, please contact [e-mail].

Pay Range

The pay range for this position based on full-time employment is $89,203.00 - $222,024.00 MD Remote Office (MD99).