Program Manager (Medicare/Medicaid)

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

None

Job Family:

Program Delivery and Execution

Job Qualifications:

Skills:

Analytical Thinking, Cost Management, Data Analytics

Certifications:

None

Experience:

8 + years of related experience

US Citizenship Required:

No

Job Description:

Oversee complex programs that drive impactful mission outcomes for our customers as a Sr. Program Manager. Here, you’ll see the bigger picture on mission initiatives and where your program management career can go at GDIT.

As a Program Manager, the work you’ll do at GDIT will be impactful to the mission of detecting and preventing fraud, waste, and abuse for the Centers for Medicare & Medicaid Service. You will play a crucial role in leading diverse teams to deliver strong value and outcomes to our customer through advanced analytics and fraud detection techniques.

Responsibilities:

• Manages the cost, schedule and technical performance of programs or subsystems of major programs.
• Coordinates the preparation of proposals, business plans, proposal work statements and specifications, operating budgets and financial terms/conditions of contract.
• Acts as customer contact for program activities, leading program review sessions with customer to discuss cost, schedule, and technical performance.
• 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.
• Ensuring 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.
• Lead/Manage/Support diverse teams in a high-impact and high-demand environment that is continually changing and evolving
• Collaborate with all levels of staff, leadership, and our customer to achieve strong outcomes, communicate successes, opportunities, and challenges, and align on success measures
• Drive outcomes and results for our customer through team collaboration, focusing on innovation, and aligning teams to customer goals and objectives
• Utilize your knowledge of analytic tools, CMS data, analytic methods, and the FWA landscape to lead teams to achieve strong ROI

Required Skills:

• 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

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.

Scheduled Weekly Hours:

40

Travel Required:

None

Telecommuting Options:

Remote

Work Location:

Any Location / Remote

Additional Work Locations:

Total Rewards at GDIT:

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. 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 artificial 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 security purposes.

About Our Work:

We are GDIT. A global technology and professional services company that delivers consulting, technology 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 capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.Join our Talent Community to stay up to date on our career opportunities and events at

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Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans