Performs analytical tasks in support of HFPP program, including identifying fraud, waste, and abuse referrals and leads from HFPP Analytics
Conduct data mining across the partnership utilizing internal tools
Collaborate on the development of HFPP analytic reports
Develops fraud, waste, and abuse referrals and leads for Partners based on HFPP analytic reports
Drive 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 identifying opportunities for Partner collaboration meetings
Requirements
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, Amazon WorkSpaces, Jira, and Confluence.
Working knowledge of HIPAA privacy and security rules.
Benefits
Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match.
To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave.
GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year.
Paid leave and paid holidays are prorated based on the employee’s date of hire.
The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees.
To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data mininghealth care claims analysisfraud analysiswaste analysisabuse analysisreport developmentoutcome metrics analysisprovider background profiling
Soft skills
oral communicationwritten communicationpresentation skillscollaborationbusiness development