Program Manager (Medicare/Medicaid)

Responsibilities

• Manages the cost, schedule and technical performance of programs or subsystems of major programs.
• Captures and analyzes data to identify trends and patterns.
• Coordinates the preparation of proposals, business plans, proposal work statements and specifications, operating budgets and financial terms/conditions of contract.
• Learns and applies advanced analytics and fraud detection techniques.
• Establishes concepts around operational activities including external engagement, develops criteria for engineering efforts for product research, and coordinates on studies and white papers surrounding healthcare management activities.
• Develops or expands service offerings in coordination with value-driven Government needs.
• Directs the work of employees assigned to the program from technical and administrative areas.
• Directs work and has responsibility for managing a function that includes multiple related departments or disciplines.
• Works on complex issues where analysis of situations or data requires an in-depth knowledge of healthcare and fraud.
• Maintains clear communication with CMS clients, project team and corporate leadership.
• Demonstrates a strong leadership skills and serves as a liaison between all the other key personnel serving this contract.
• Ensures that contract requirements are met, including quality assurance in products and services, cost control, timeliness and business relations.
• Participates in development of innovative methods, techniques and evaluation criteria that expands and strengthens the healthcare fraud prevention.
• Leads/Manages/Supports diverse teams in a high-impact and high-demand environment that is continually changing and evolving.
• Collaborates with all levels of staff, leadership, and our customer to achieve strong outcomes, communicate successes, opportunities, and challenges, and align on success measures.
• Utilizes your knowledge of analytic tools, CMS data, analytic methods, and the FWA landscape to lead teams to achieve strong ROI.

Requirements

• Bachelor of Arts/Bachelor of Science and at least 10+ years of Medicare/Medicaid experience.
• Extensive experience leading analytic teams to conduct FWA detection in Medicare or Medicaid.
• Experience conducting analytics to detect Medicare and/or Medicaid FWA to support law enforcement or administrative actions.
• Must have at least 5 years of experience leading healthcare analytics for FWA detection.

Qualifications

• Extensive experience in healthcare and fraud.
• Strong analytical thinking and cost management skills.
• Advanced data analytics skills.

Skills

• Analytical Thinking
• Data Analytics
• Cost Management

Benefits

• Healthcare benefits including health savings accounts, dental, vision, and 401(k) plan.
• Flexible work schedules and paid time off plans.
• Paid family leave and other benefits.

Pay

The likely salary range for this position is $148,750 - $201,250. 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.

Schedule

Scheduled Weekly Hours: 40

Telecommuting Options

Telecommuting Options: Remote Work Location

Total Rewards

• Medical plans.
• Dental plan options.
• Vision plan.
• 401(k) plan.
• Short and long-term disability benefits.
• Life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance.

About Our Work

We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-ready capabilities in AI, cloud, cyber and software development. Join our Talent Community to stay up to date on our career opportunities and events at gdit.com/tc.

Equal Opportunity Employer

GDIT is an equal opportunity 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.