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Senior Investigative Analyst

Company: General Dynamics Information Technology
Location: Fort Smith
Posted on: November 23, 2022

Job Description:

**Type of Requisition:** Regular

**Clearance Level Must Be Able to Obtain:** None

**Public Trust/Other Required:** Other

**Job Family:** Program Management

At GDIT, people are our differentiator. As an Investigative Analyst supporting the Centers for Medicare and Medicaid (CMS), you will be trusted to identify study leads and referral to a portfolio of Healthcare Fraud Prevention Partnership (HFPP) members (Partner) and the Trusted Third Party (TTP).

You will be part of an 80-person team supporting the TTP which was established in 2012 to reduce fraud, waste and abuse in healthcare data.

We are GDIT. The people supporting and securing some of the most complex government, defense, and intelligence projects across the country.

We ensure today is safe and tomorrow is smarter. Our work has meaning and impact on the world around us, but also on us, and that's important.

GDIT is your place. You make it your own by embracing autonomy, seizing opportunity, and being trusted to deliver your best every day.

We think. We act. We deliver. There is no challenge we can't turn into opportunity. Our work depends on a Partner Liaison joining our team to support CMS Trusted Third Party activities.

**Roles and Responsibilities**

+ Performs complex analytical tasks in support of HFPP program, including identifying fraud, waste, and abuse referrals and leads from HFPP Studies

+ Develops fraud, waste, and abuse referrals and leads for Partners based on HFPP study reports to support the program

+ Monitors and reports outcome metrics related to fraud, waste, and abuse referrals and leads shared with Partners

+ Interacts regularly with Partners regarding referrals and leads identified

+ May perform business development activities including analyzing health claims data, generating study referrals and leads, developing provider background profiles, and coordinating Partner collaboration meetings

+ May provide guidance and work leadership to less-experienced analysts

**Required Education and Experience**

+ BA/BS or equivalent experience

+ 5+ years' experience in health care claims analysis

+ Strong oral and written communication skills with the ability to present to management level staff.

+ Expert level knowledge of Microsoft Office suite.

+ Experience with Tableau, MicroStrategy, or other business visualization applications a plus.

+ Working knowledge of HIPAA privacy and security rules.

+ Must be able to obtain a public trust clearance

**Desired Qualifications**

+ Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI) designation strongly desired.

+ Certified clinical coding or Medical Review Nurse a plus.

+ Supervisory Experience beneficial

\#GDITHealthSystems

\#GDITFedHealthJobs

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.

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.

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.

Keywords: General Dynamics Information Technology, Fort Smith , Senior Investigative Analyst, Professions , Fort Smith, Arkansas

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