Remote opportunity at
General Dynamics Information TechnologyHealthcare Fraud SME
General Dynamics Information Technology is hiring a Healthcare Fraud, Waste and Abuse Subject Matter Expert to support the Centers for Medicare & Medicaid Services. In this…
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About This Role
General Dynamics Information Technology is hiring a Healthcare Fraud, Waste and Abuse Subject Matter Expert to support the Centers for Medicare & Medicaid Services. In this remote position, the specialist will independently and collaboratively guide technical operations, assess claims data, and review state and federal Medicaid and Medicare policies. The employer is a global technology and professional services contractor delivering mission support, artificial intelligence, cloud, cyber, and software development solutions…
Job Description
General Dynamics Information Technology is hiring a Healthcare Fraud, Waste and Abuse Subject Matter Expert to support the Centers for Medicare & Medicaid Services. In this remote position, the specialist will independently and collaboratively guide technical operations, assess claims data, and review state and federal Medicaid and Medicare policies. The employer is a global technology and professional services contractor delivering mission support, artificial intelligence, cloud, cyber, and software development solutions to defense, intelligence, and civilian government agencies globally.
The role centers on formulating data-driven answers to complex business challenges, partnering with predictive modeling units to optimize client experiences, and leveraging healthcare information to uncover valuable insights. Selected candidates will present findings to leadership and various audiences while communicating seamlessly with remote teammates. The position requires a 40-hour scheduled work week with travel expected to be under ten percent.
Responsibilities
- Manage technical tasks independently and in team environments
- Analyze claims data alongside Federal and State Medicaid regulations and policies
- Design data-driven solutions for complex business problems
- Partner with predictive modeling teams to enhance efficiencies and customer experiences
- Discover methods to utilize Medicare and Medicaid data for actionable business solutions
- Share discoveries with leadership and technical or non-technical audiences
- Communicate effectively while operating remotely
Requirements
- Minimum of fifteen years of relevant background in Medicaid investigative functions centered on fraud, waste, and abuse
- Familiarity with methodologies, data sources, and investigative tools used in FWA analysis
- Understanding of healthcare FWA schemes, trends, concepts, and investigative strategies
- Ability to articulate complex fraud insights clearly and concisely
- Willingness to travel less than 10 percent of the time
- Ability to complete an identity verification process utilizing biometrics and artificial intelligence
Qualifications
- Bachelor of Arts or Bachelor of Science degree in a related field
Core Skills
Benefits
- Medical plan options, including some with Health Savings Accounts
- Dental and vision plan options
- 401(k) plan with company match for pre and post-tax contributions
- Paid time off plans including vacation, sick, and personal time, plus holidays
- Paid parental, military, bereavement, and jury duty leave
- Paid Family Leave program providing up to 160 hours of paid leave in a rolling 12-month period
- Short and long-term disability benefits
- Life, accidental death and dismemberment, personal accident, critical illness, and business travel insurance
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
What is the salary range for the Healthcare Fraud SME position?
The likely salary range spans from $153,000 to $207,000 per year, though final compensation depends on experience, geographic location, and contractual needs.
Is this job remote?
Yes, this is a remote position that allows for telecommuting from any location, with scheduled weekly hours set at 40 and travel required at less than ten percent.
What level of experience is required?
Candidates must have a minimum of 15 years of relevant experience in Medicaid investigative roles focused on fraud, waste, and abuse, alongside a bachelor's degree in a related field.
Does General Dynamics Information Technology provide work visa sponsorship for this role?
No, work visa sponsorship is not provided for this position.
Sample Interview Questions
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