Investigative Analyst, CMS Healthcare Claims

General Dynamics Information Technology

Investigative Analyst analyzing healthcare claims for GDIT’s CMS fraud-prevention programs. Identifying fraud, waste, and abuse leads for HFPP partners and the Trusted Third Party.

Posted 8/24/2026full-timeRemote • 🇺🇸 United StatesSeniorLead💰 $83,927 - $113,549 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare claims analysis, with a strong ability to identify trends and generate actionable insights. Proficient in data mining and analytics, with a focus on collaboration and communication with partners to drive outcomes.

Highest-signal resume keywords

Healthcare Claims AnalysisData MiningMicrosoft Office SuiteTableauHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare Claims AnalysisData MiningTrend IdentificationAnalytical ReportingReferral Development

Soft Skills

Strong Communication SkillsDecision-MakingOrganizational SkillsInterpersonal SkillsTeam Collaboration

Tools & Technologies

TableauAmazon WorkSpacesJiraConfluence

Industry Keywords

Healthcare Fraud PreventionCMSHIPAA PrivacyFraud Prevention Partnership

Tech Stack

Tools & technologies

Tableau

About the role

Key responsibilities & impact

Support the Centers for Medicare and Medicaid (CMS)
Identify trends in healthcare claims data
Create fraud, waste, and abuse leads and referrals for Healthcare Fraud Prevention Partnership members and the Trusted Third Party
Perform analytical tasks supporting the HFPP program
Conduct data mining across the partnership using internal tools
Collaborate on HFPP analytic reports
Develop referrals and leads based on HFPP analytic reports
Drive outcome metrics related to referrals and leads shared with Partners
Interact regularly with Partners regarding identified referrals and leads
Perform potential business development activities, including analyzing health claims data, generating study referrals and leads, developing provider background profiles, and identifying collaboration opportunities

Requirements

What you’ll need

BA/BS or equivalent experience
8+ years of experience in health care claims analysis
Equivalent work experience may be considered in lieu of degree
Strong oral and written communication skills, with 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
Ability to identify trends in healthcare claims data
Strong decision-making, organizational, and prioritization skills
Ability to work independently and with minimal guidance on complex projects
Ability to build effective relationships and demonstrate interpersonal skills
Ability to work in team environments and independently
Work visa sponsorship will not be provided

Benefits

Comp & perks

Comprehensive medical plan options, some with Health Savings Accounts
Dental plan options
Vision plan
401(k) plan with company match
Full-flex work weeks
Paid time off, including vacation, sick, personal, holiday, parental, military, bereavement, and jury duty leave
Typically 15 days of paid leave per calendar year
10 paid holidays per year
Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees
Short- and long-term disability benefits
Life insurance
Accidental death and dismemberment insurance
Personal accident insurance
Critical illness insurance
Business travel and accident insurance
AI-powered career tool identifying career steps and learning opportunities
Internal mobility team
Award-winning culture of innovation
Military-friendly workplace