Disputes/Legal Analyst- Hybrid Remote

Clearance Level
None
Category
Functional Experts
Location
Rockville, Maryland

REQ#: RQ117960

Travel Required: Less than 10%
Public Trust: Other
Requisition Type: Regular

We are GDIT. We stay at the forefront of innovation to solve complex technical challenges.

GDIT is your place. Make it your own by discovering new ways to securely and expertly apply the latest technology. Own your opportunity at GDIT and you’ll be a meaningful part of improving how agencies operate. Our work depends on an Disputes/Legal Analyst joining our team to support National Practitioner Data Bank (NPDB) activities in Rockville, Maryland.

GDIT is under contract to the Department of Health and Human Services (HHS) to design, develop, engineer, implement, enhance, maintain, and operate the National Practitioner Data Bank (NPDB). The NPDB improves the quality of health care by encouraging state licensing boards, hospitals and other health care entities, and professional societies to identify and discipline those who engage in unprofessional behavior; and to restrict the ability of incompetent physicians, dentists, and other health care practitioners to move from state to state without disclosure or discovery of previous medical malpractice payment and adverse action history. Adverse actions can involve licensure, clinical privileges, professional society membership, and exclusions from Medicare and Medicaid. The NPDB is primarily a flagging system that may serve to alert users that a comprehensive review of a practitioner's, provider's, or supplier's past actions may be prudent.

At GDIT, we foster a people-centric environment. The Disputes/Legal Analyst will provide health care policy support to the federal government’s National Practitioner Data Bank (NPDB). This involves complex, time-sensitive, and quasi-legal support to evaluate disputes involving accuracy and reportability in accordance with applicable NPDB laws and regulations. More specifically, the analyst will:

1) Analyze complicated healthcare-related scenarios and elicit relevant facts to develop a dispute resolution analysis.

2) Obtain additional information, as necessary, from appropriate healthcare organizations and practitioners to assist in resolving disputes.

3) Compose written deliverables for the federal government to include, but not limited to, dispute resolution analysis and requests for additional information. Due to the detailed and time-consuming nature of some disputed cases, the analyst will be assigned a portfolio of cases, each requiring weeks and sometimes months to complete.

 

The Disputes/Legal Analyst will work closely in support of federal staff on the government site in Rockville, MD.

Daily Responsibilities

  • Review disputed reports and accompanying documentation to determine whether sufficient information exists to determine reportability and accuracy.
  • Write a myriad of correspondence letters to include dispute resolution analysis, requests for additional information, and responses to high-level inquiries from Congress, HHS, or other federal and state government agencies.
  • Consult with dispute resolution managers for advice on all matters pertaining to the resolution of disputed reports and seek legal opinions from the HHS Office of General Counsel.
  • Work closely and cooperatively with federal staff through several iterations of decision letter revisions.
  • Proactively monitor the progress and milestones of your dispute case portfolio and report status to dispute resolution managers.
  • Assist in NPDB Compliance efforts by auditing adverse actions and reports submitted by state licensing boards.

 

Years Of Experience: 3 -6 years; Required Education: Masters 

  • Extensive experience in written communication, legal writing experience preferred. Must write succinctly and clearly and explain complex situations in plain English. 
  • Experience in legal analysis. Must evaluate complex issues to determine whether the disputed report is reportable and accurately submitted in accordance with applicable laws and regulations. 
  • Experience in customer service and customer satisfaction. Must respond appropriately to telephone calls and written inquiries from a multitude of stakeholders to include health care practitioners and organizations, legal counsel for all parties, HHS Departmental level officials, and Congressional staff. 
  • Experience prioritizing and completing multiple, concurrent, time-sensitive tasks. Must review multiple dispute cases simultaneously and prioritize assignments and tasks accordingly, remaining flexible to changing priorities and new initiatives. 
  • Proficiency with Microsoft Office

Skills, Key Attributes: 

  • Strong critical thinking, an analytical mindset, and research ability 
  • Excellent verbal and written communication skills 
  • Self-driven, motivated, organized 
  • Excellent attention to detail 
  • Excellent customer service skills 
  • Adaptable 

About Our Work

We are GDIT. The people supporting some of the most complex government, defense, and intelligence projects across the country. We deliver. Bringing the expertise needed to understand and advance critical missions. We transform. Shifting the ways clients invest in, integrate, and innovate technology solutions. We ensure today is safe and tomorrow is smarter. We are there. On the ground, beside our clients, in the lab, and everywhere in between. Offering the technology transformations, strategy, and mission services needed to get the job done.

COVID-19 Vaccination

GDIT does not have a vaccination mandate applicable to all employees. To protect the health and safety of its employees and to comply with customer requirements, however, GDIT may require employees in certain positions to be fully vaccinated against COVID-19. Vaccination requirements will depend on the status of the federal contractor mandate and customer site requirements.

GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.