Data Analyst Advisor

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:

Data Analysis

Job Qualifications:

Skills:

Analytical Thinking, Data Analysis, Group Problem Solving

Certifications:

None

Experience:

8 + years of related experience

US Citizenship Required:

No

Job Description:

The Affordable Care Act (ACA) requires every state to establish a health insurance exchange (also called Health Insurance Marketplace) to facilitate the purchase of health insurance for individuals and small businesses. Through the Center of Program Integrity (CPI), Centers for Medicare & Medicaid Services (CMS) has strong oversight and internal controls to protect consumers enrolled in the Marketplaces and safeguard taxpayer dollars. CMS develops and enforces rules for insurance agents, and brokers, and others who assist with Federally Facilitated Marketplace (FFM) enrollments. The Marketplace Program Integrity Contractor (MPIC) is designed to support this oversight. Through research, investigation and data analysis, the desired outcomes of the MPIC efforts are to prevent, detect, and resolve noncompliance with Marketplace rules, requirements, and laws; recommend administrative actions to CMS; and recommend referrals to law enforcement if potential fraud and abuse is identified.

Summary

Oversees activities related to data analytics and data analytic staff. Oversees, develops, analyzes and models operational, economic, Marketplace, MPIC, and other organizational data to support customer needs. Oversees and is actively involved in efforts to quantify the performance of business segments, evaluate potential operational changes, and design new approaches and methodologies. Applies and integrates statistical, mathematical, predictive modeling and business analysis skills to manage and manipulate complex, high-volume data from a variety of sources. Reviews and conducts necessary data analysis to respond to requests from other business area, customer, and other agencies’ data requests.

HOW YOU WILL MAKE AN IMPACT:

• Oversight of activities related to data analytics and data analytic staff.
• Contributes to the completion of major projects, tasks, and/or programs.
• Applies and integrates statistical, mathematical, predictive modeling and business analysis skills to manage and manipulate complex, high-volume data from a variety of sources.
• Analyzes organizational data and conducts advanced statistical analysis.
• Develops rules and methodologies for data collection and analysis.
• Oversight or conducting of collaborative work within a team of data analysts and other MPIC staff to obtain data and analysis to support program work.

• Ensure approved Standard Operating Procedures (SOPs) for conducting work are strictly followed and provide input into recommendations for SOP updates as needed.
• Analyze and evaluate enrollment data related to consumer and Agent/Broker activity within the Marketplace.
• Oversee or assist in the process to prioritize, evaluate, and analyze information to identify abnormal behavior using data related to consumer enrollments into qualified health plans and/or data associated agents/brokers’ activities. 
• Within MPIC management and tracking systems, comprehensively document in detail work associated with data collection, analysis, interpretation and ensure staff also meet standard.
• As needed, lead or assist in ad-hoc educational and outreach sessions with partners, e.g., CMS, law enforcement, Agent/Brokers, Navigators, etc.
• Safeguard PII and PHI
• Infrequent travel may be required

WHAT YOU’LL NEED TO SUCCEED:

• Education: Bachelor’s degree or equivalency in healthcare field that includes 2-4 years’ ACA and/or Medicaid-Medicare experience.
• Required Experience: 8+ years’ experience in data analytics, modeling, and/or risk analysis.
• Required Technical Skills: Professional experience working with SAS, Python, or Structured Query Language (SQL) code is preferred. Professional experience working with Health Insurance Marketplace data is preferred.
• Proficient in computer skills, for example SAS, modeling, Microsoft Office-Word, Excel.
• Experience with and/or understanding of ACA policies and regulations related to consumer enrollments requirements and Agent/Broker and Navigator responsibilities.
• Frequent work with workgroups to successful completion of goals and milestones.
• Experience developing, reviewing, and quality assurance of complex data reports/sets.
• Highly organized, ability to multi-task, and meet deadlines.
• Requires only limited oversight to conduct work.
• Strong inter-personal and communications skills, both written and oral.
• Ability to conceptualize, solve problems, and draw conclusions.
• Preferred Skills: Experience with potentially non-compliant claims and related data collection, analysis, interpretation responsibilities.
• Experience with Marketplace data.
• Experience with case tracking system data entry, resolution of data issues, and other related troubleshooting.
• Location: Remote
• Residency requirements: Candidate must have been in the US for 3 of the past 5 years
• Security Clearance Level: Must be able to pass a CMS background check.

WHAT GDIT CAN OFFER YOU:

• 401K with company match

• Comprehensive health and wellness packages

• Internal mobility team dedicated to helping you own your career

• Professional growth opportunities including paid education and certifications

• Cutting-edge technology you can learn from

• Rest and recharge with paid vacation and holiday

#GDITHealth

#FedHealth

The likely salary range for this position is $119,000 - $161,000. 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:

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.

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 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 30 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.

We connect people with the most impactful client missions, creating an unparalleled work experience that allows them to see their impact every day. We create opportunities for our people to lead and learn simultaneously. From securing our nation’s most sensitive systems, to enabling digital transformation and cloud adoption, our people are the ones who make change real.

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans