Program Integrity Lead

Program Integrity Lead

Make meaningful contributions that fuel critical outcomes for some of the most complex government, health, and program integrity projects. Join GDIT as a Program Integrity Lead for a career where your growth is just as important as the mission you support.

As a Program Integrity Lead, the work you’ll do at GDIT will be impactful to the mission of Medicare and Medicaid Program Integrity Programs. You will play a crucial role in overseeing program integrity tasks, researching Medicare and Medicaid policy, conducting data linkage and program integrity analyses, analyzing trends in Medicare payment systems, and documenting research findings. You will assist with utilizing new Medicare and Medicaid data for program integrity evaluation and exploring data for research and evaluation.

• Lead all program integrity tasks and manage a team of research managers and data scientists to analyze, summarize, validate, and report findings.
• Collaborate with multidisciplinary teams supporting CMS’s evaluation of program integrity activities and targeted analyses.
• Develop written materials and reports regarding program integrity findings, cost savings, and methodologies used with research and analysis.
• Document and report on monitoring methods, policy impacts, pricing replication algorithms, and advanced claims analyses.
• Document and report on data integrity and/or reliability issues for utilization of multiple CMS data sources.
• Drive program integrity analysis and evaluation projects to identify new savings methodologies, research Medicare and Medicaid policy impacts, and provide detailed reports and visualizations of research findings, data decisions, and methodologies.

Bring your Medicare/Medicaid Program Integrity expertise along with a drive for innovation to GDIT.

Education
:
Master of Arts/Science;
PhD preferred

Required Experience
:

• 15+ years of related experience (Medicare/Medicaid program integrity, research and statistical analysis); understanding of Medicare payment policy, Medicare provider enrollment policy, and CMS’s program integrity initiatives; experience with CMS Medicare data (e.g., Medicare fee‑for‑service claims data, Part D data, provider enrollment data, case management data) and Medicaid data (e.g., T‑MSIS)
• Technical skills:
  Research and analytics using R or Python, understanding of machine learning and artificial intelligence, Tableau or related data visualization tools.
• Security clearance level:
  Public trust

Location
:
Remote

• At GDIT, the mission is our purpose, and our people are at the center of everything we do
• Growth: AI‑powered career tool that identifies career steps and learning opportunities
• Support:
  An internal mobility team focused on helping you achieve your career goals
• Rewards:
  Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off
• Flexibility:
  Full‑flex work week
• Community:
  Award‑winning culture of innovation and a military‑friendly workplace

Explore a career at GDIT and you’ll find endless opportunities to grow alongside colleagues who share your ambition to deliver your best work.

The likely salary range for this position is $147,292 - $199,277. 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.

Our benefits package for all U.S.‑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…