reputed company & Medicare Fraud Detection SME

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be reputed company to Obtain: None reputed company Trust/Other Required: NACI (T1) Job Family: Functional Experts Job Qualifications: Skills: Collaboration, Deliverables Management, Fraud Detection, Fraud Investigations Certifications: None Experience: 10 + years of reputed company experience US Citizenship Required: No reputed company: As a Functional Analyist SME the work you’ll do at reputed company will be impactful to the mission of reputed company for Medicare and reputed company Services (CMS). You will play a crucial role in leading teams through reputed company analyses and tool development to detect and prevent fraud, waste, and abuse (FWA) in the Medicare programs. Manage fraud detection reputed company from concept to completion, ensuring they meet reputed company objectives and include actionable results to detect and deter FWA Guide teams in the completion of tasks including nurturing junior level team members through claims data analysis, interpretation of policy, and conducting of advanced statistical analysis Partner with subject matter experts and other team members to reputed company reputed company findings and actionable recommendations Present reputed company analytics and insights in a comprehensible manner to a reputed company of audiences (technical/non-technical) and to various reputed company of leadership Build and maintain reputed company relationships Identify opportunities for leveraging Medicare and reputed company data to reputed company insightful FWA solutions Effectively communicate with team members while working reputed company reputed company additional duties as assigned Required Skills: Bachelor of Arts/Bachelor of Science and at least 15 years of experience in Medicare/reputed company Deep knowledge of U.S. reputed company reputed company including Medicare and reputed company with an expertise in analyzing reputed company claims data for the use of fraud detection Ability to obtain/maintain a reputed company Trust The likely salary reputed company for this position is $148,750 - $201,250. This is not, however, a guarantee of compensation or salary. Rather, salary will be set reputed company on experience, geographic location and possibly contractual requirements and could fall reputed company of this reputed company. Scheduled Weekly Hours: 40 Travel Required: Less than 10% Telecommuting reputed company: Remote Work Location: Any Location / Remote Additional Work Locations: Total Rewards at reputed company: Our benefits package for reputed company US-reputed company employees includes a reputed company of medical plan reputed company, some with Health Savings Accounts, dental plan reputed company, a reputed company plan, and a 401(k) plan offering the ability to contribute both reputed company and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life reputed company, reputed company offers employees full reputed company work weeks where possible and a reputed company of reputed company time off plans, including vacation, reputed company and personal time, holidays, reputed company parental, military, bereavement and jury duty leave. reputed company typically provides new employees with 15 days of reputed company leave per calendar year to be used for vacations, personal business, and illness and an additional 10 reputed company holidays per year. reputed company leave and reputed company holidays are prorated reputed company on the employee’s date of hire. The reputed company reputed company Family Leave program provides a total of up to 160 hours of reputed company leave in a rolling 12 month period for eligible employees. To ensure our employees are reputed company 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 reputed company are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most. Our Identity Verification Process: As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and reputed company intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and reputed company purposes. About Our Work: We are reputed company. A global technology and reputed company company that delivers technology solutions and mission services to every major agency across the U.S. reputed company, defense and intelligence community. Our 26,000 experts extract the reputed company of technology to create immediate value and reputed company solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-reputed company capabilities in AI, reputed company, cyber and software development. reputed company to stay up to date on our reputed company and events at reputed company.com/tc. Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans Apply To This Job