Functional Analyst – Medicaid Investigation

📋 Description

• Contributes to the successful completion of technical tasks both independently and collaboratively within a team.

• Analyzes claims data while reviewing Federal and State Medicaid laws, regulations, and policies.

• Develops data-driven solutions to complex business challenges.

• Employs predictive modeling to enhance customer experiences, streamline efficiencies, improve processes, and achieve other business outcomes.

• Aids in identifying opportunities to utilize Medicare and Medicaid data for impactful business solutions.

• Presents findings to diverse audiences, including both technical and non-technical stakeholders, as well as various levels of leadership.

• Undertakes additional responsibilities as assigned.

• Communicates effectively with team members while working remotely.

⛳️ Requirements

• Bachelor's Degree and a minimum of 8 years of experience in Medicaid, with a focus on Fraud Investigation.

• Over 8 years of relevant experience.

🏝️ Benefits

• Our benefits package for all US-based employees includes a variety of medical plan options, some featuring Health Savings Accounts.

• Dental plan options are available.

• A vision plan is included.

• A 401(k) plan allows contributions of both pre and post-tax dollars up to the IRS annual limits, along with a company match.

• Paid time off plans encompass vacation, sick and personal days, holidays, as well as paid parental, military, bereavement, and jury duty leave.

• GDIT typically offers new employees 15 days of paid leave annually for vacations, personal matters, and illness, plus an additional 10 paid holidays each year.

• The Paid Family Leave program provides up to 160 hours of paid leave within a rolling 12-month period for eligible employees.

• Additional offerings include short and long-term disability benefits, life insurance, accidental death and dismemberment coverage, personal accident insurance, critical illness coverage, and business travel and accident insurance.