Healthcare Innovations Functional Consultant/SME

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

NACI (T1)

Job Family:

Functional Experts

Job Qualifications:

Skills:

Managed Care, Medicaid, Medicare

Certifications:

None

Experience:

10 + years of related experience

US Citizenship Required:

No

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

The likely salary range for this position is $176,659 - $239,009. 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:

Less than 10%

Telecommuting Options:

Hybrid

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