Job Description

Public Trust: NACI (T1)

Requisition Type: Regular

Your Impact

Own your opportunity to work alongside federal civilian agencies. Make an impact by providing services that help the government ensure the well being of U.S. citizens.

Job Description

GDIT is searching for a dynamic healthcare administration and policy Sr. Advisor to join our growing Federal Health team. You will support an exciting new program focused vulnerability risk assessments for the Centers for Medicare & Medicaid Services. The role will allow you to utilize in-depth knowledge of Medicare, Medicaid and Managed Care policies, systems, payment structures, risk adjustments processes, including claims and data analyses. You will conduct high-level research and analyses to identify opportunities for advancement and improvement in healthcare regulations and payment guidelines with a focus on developing recommendations for efficiencies, innovation, and strategies to reduce or prevent future risk. 

Responsibilities:

• Conduct advanced research, analysis, and investigative activities to assess program risk related to Medicare and/or Medicaid managed care policy, payments, and regulatory requirements. 
• Lead a team dedicated to the assessment of complex requirements, processes, systems, and guidelines to identify opportunities for innovation, efficiencies, and improvements.
• Lead a team of research analysts in completing a comprehensive assessment of risk, documenting and presenting findings to senior executives and our customers.
• Work collaboratively with a team of data, clinical, and research analysts to efficiently assess complex guidelines and accurately prioritize risk based upon quantitative and qualitative findings.
• Synthesize complex policy and regulatory guidance to develop recommendations, both written and verbal, to present to senior leadership. 

Required Skills:

• Bachelor’s degree or Master’s degree in Healthcare Policy, Healthcare Administration or related field, or equivalent experience.
• Minimum of 10 years conducting systems, regulatory or policy research related to Medicare and/or Medicaid.
• Significant in-depth experience with Centers for Medicare and Medicaid programs, coupled with a deep customer intimacy
• Experience documenting and presenting complex studies and analyses to a wide audience including senior Agency leadership

Desired Skills:

• Medicare Advantage or Medicaid Managed Care experience is preferred.
• Ability to conceptualize, solve problems and draw conclusions
• Highly organized, ability to multi-task and meet deadlines
• Strong inter-personal and communications skills, both written and oral
• Proficient in computer skills, e.g. Microsoft Office-Word, Excel

Work Requirements

Years of Experience

10 + years of related experience

* may vary based on technical training, certification(s), or degree

Certification

Travel Required

Less than 10%

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