Healthcare Fraud SME

Make meaningful contributions that fuel critical outcomes for some of the most complex government, defense, and intelligence projects. Join GDIT as a Healthcare Fraud, Waste and Abuse (FWA) Subject Matter Expert (SME) for a career where your growth is just as important as the mission you support.

As a Healthcare FWA SME, the work you’ll do at GDIT will be impactful to the mission of the Centers for Medicare & Medicaid Services (CMS).

***Work visa sponsorship will not be provided for this role.

HOW A HEALTHCARE FRAUD SME WILL MAKE AN IMPACT:

• Leading efforts of technical tasks to completion independently and as part of a team.
• Leading efforts to analyze claims data and reviews Federal and State Medicaid law, regulation, and policy.
• Developing data-driven solutions to business challenges of advanced scope/complexity.
• Collaborating with predictive modeling teams to increase and optimize customer experiences, efficiencies, process improvements, and other business outcomes.
• Identifying opportunities for leveraging Medicare and Medicaid data to drive insightful business solutions.
• Presenting findings to a range of audiences (technical/non-technical) and to various levels of leadership.
• Effectively communicating with team members while working remotely

WHAT YOU'LL NEED TO SUCCEED:

• Bachelor’s degree (BA/BS) in a related field.
• Minimum of 15 years of relevant experience in Medicaid investigative roles focused on fraud, waste, and abuse.
• Familiarity with investigative tools, data sources, and methodologies commonly used in FWA detection and analysis.
• Knowledge of healthcare FWA concepts, schemes, trends, and investigative approaches.
• Ability to communicate complex fraud-related findings in a clear, concise way that enables quick action.
• Team-oriented outlook to facilitate collaboration across a cross-functional team of data scientists, clinicians, and other FWA SMEs.

GDIT IS YOUR PLACE:

• At GDIT, the mission is our purpose, and our people are at the center of everything we do.
• Growth: AI-powered career tool that identifies career steps and learning opportunities.
• Support: An internal mobility team focused on helping you achieve your career goals.
• Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off.
• Flexibility: Full-flex work week to own your priorities at work and at home.
• Community: Award-winning culture of innovation and a military-friendly workplace.

OWN YOUR OPPORTUNITY:

Explore a career at GDIT and you’ll find endless opportunities to grow alongside colleagues who share your ambition to deliver your best work.