Senior Healthcare FWA & Data Analytics Lead (Remote)

General Dynamics Information Technology, Inc.; Annapolis (MD); Remote; USD 153,000 - 207,000; Full time

Benefits offered by this job

401K with company match

flexible work weeks

medical plan options

paid time off

Job summary

General Dynamics Information Technology, Inc. is seeking a Healthcare Fraud SME to lead investigations and analyze Medicaid data to detect fraud, waste, and abuse. You will work with data scientists, clinicians, and investigators to develop data-driven solutions and present findings to leadership.

The role requires a BA/BS in a related field and 15+ years of experience with healthcare FWA, with strong communication skills and the ability to work with remote and cross-functional teams.

Qualifications

• Bachelor's degree required in a related field.
• Minimum of 15 years of relevant Medicaid fraud, waste and abuse investigation experience.
• Familiarity with investigative tools and data sources used for FWA detection.
• Ability to convey complex fraud findings clearly to varied audiences.

Responsibilities

• Lead technical tasks to completion independently and with the team.
• Analyze claims data and review Medicaid rules and policies.
• Develop data-driven solutions for complex business challenges.
• Collaborate with data science teams to improve customer experiences and processes.
• Identify opportunities to leverage Medicare/Medicaid data for business insights.
• Present findings to technical and leadership audiences.
• Communicate effectively with remote teams.

Skills

Analytical thinking

Communication

Team collaboration

Remote work adaptability

Education

Bachelor's degree (BA/BS) in related field

Tools

FWA investigative tools

Job description

General Dynamics Information Technology, Inc. is seeking a Healthcare Fraud SME to lead investigations and analyze Medicaid data to detect fraud, waste, and abuse. You will work with data scientists, clinicians, and investigators to develop data-driven solutions and present findings to leadership.

The role requires a BA/BS in a related field and 15+ years of experience with healthcare FWA, with strong communication skills and the ability to work with remote and cross-functional teams.