
Sr. Healthcare Data Analyst
Role summary
GDIT is seeking a Sr. Healthcare Data Analyst to support the Centers for Medicare and Medicaid Services (CMS). This role involves managing analytics and machine learning projects focused on detecting and preventing fraud, waste, and abuse (FWA) in Medicare programs. The analyst will guide junior team members, perform advanced statistical analyses, and utilize predictive modeling. Key responsibilities include analyzing healthcare claims data, presenting findings to diverse audiences, and advocating for data best practices. The position requires a Bachelor's degree in an analytical or technical field, 5+ years of experience with healthcare claims data analysis for fraud detection, and 2+ years managing analytics projects. Proficiency in SQL and Python is essential.
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 and support of U.S. citizens.
Job Description
The work you’ll do at GDIT will be impactful to the mission of the Centers for Medicare and Medicaid Services (CMS). You will be trusted to lead project teams through analyses and tool development to detect and prevent fraud, waste, and abuse (FWA) in the Medicare programs. In this role you will:
- Manage analytics and machine learning projects from kick-off to completion, ensuring their analytic rigor and include actionable results to detect and deter FWA
- Guide junior team members in the completion of technical tasks while remaining hands on to analyze claims data and conduct advanced statistical analyses when needed
- Use predictive modeling to increase and optimize efficiencies, process improvements, and other business outcomes
- Partner with subject matter experts to deliver quality, actionable findings
- Present complex analytics and insights in a comprehensible manner to a range of audiences (technical/non-technical) and to various levels of leadership
- Identify opportunities for leveraging Medicare and Medicaid data to drive insightful FWA solutions
- Advocate for and help implement best practices in data management and analytics to drive continuous improvement
- Effectively communicate with team members while working remotely
- Perform additional duties as assigned
Required Skills:
- Bachelor of Arts/Bachelor of Science degree with an analytical or technical focus (i.e., Statistics, Computer Engineering, Applied Mathematics) or related area
- Minimum of 5+ years of experience conducting advanced analyses utilizing healthcare claims data for the use of fraud detection, including at least 2 years managing team-based analytics projects
- Ability to understand, simplify and explain data in business terms to technical and non-technical audiences
- Proficiency in SQL and Python, with familiarity with R or Python for data science (including machine learning)
- Familiarity with Databricks and/or Snowflake
Desired Skills:
- Strong relationship building skills with both internal and external stakeholders
- Customer service oriented and solutions focused attitude
- Sound analytical, problem solving, and qualitative skills
Work Requirements
Years of Experience
5 + 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 salary range for this position is $106,250 - $143,750. 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 customers, 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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