Senior Research Analyst

Remote
Part Time to Full Time
Mid Level
Analytica is seeking a Senior Research Analyst to support an initiative aimed at detecting and combating fraud, waste, and abuse in all CMS programs. The research analyst provides subject matter expertise on Medicaid policy and how they apply to potential vulnerabilities. This role is critical to ensuring compliance with federal and state regulations, identifying vulnerabilities, and preventing fraud, waste, and abuse. This requires a high level of client engagement, including direct interaction with state Medicaid agencies, CMS representatives, and other stakeholders.

Analytica has been recognized by Inc. Magazine as a fastest-growing private US small business.  We work with U.S. government customers in health, civilian, and national security missions.  Analytica offers competitive compensation with opportunities for bonuses, employer paid health care, training and development funds, and 401k match.  
 
Responsibilities include (but not limited to): 
  • Analyze gathered information and documentation to evaluate compliance with state and federal regulations, summarizing findings in briefing documents for CMS in collaboration with policy analysts and subject matter experts (SMEs).
  • Identifying potential risks, fraud, and inefficiencies in Medicaid services.
  • Recommending corrective actions to improve program integrity.
  • Provide subject matter expertise on Medicaid and CHIP compliance, ensuring adherence to applicable policies, procedures, and state and federal regulations.
  • Collaborate with state agencies to collect necessary documentation and understand processes required to assess program compliance.
  • Prepare and deliver technical reports summarizing findings and recommendations following completion of audit reviews.
Minimum Qualifications:
  • Bachelor’s Degree in any subject; Master’s Degree in Public Policy or Public Health or related field is preferred.
  •  At least five years of experience required in Medicare, Medicaid, and CHIP programs with an expert level of understanding of the regulations in the programs along with direct supervision of staff;
  • Expertise in managing complex research and analysis
  • Sound analytical skills and ability to perform research activities
  • Knowledge of CMS program integrity processes
  • Strong Microsoft Office skills.

About Analytica: Analytica is a leading consulting and information technology solutions provider to public sector organizations supporting health, civilian, and national security missions. The company is an award-winning SBA certified 8(a) small business that has been recognized by Inc. Magazine each of the past three years as one of the 250 fastest-growing companies in the U.S. Analytica specializes in providing software and systems engineering, information management, analytics & visualization, agile project management, and management consulting services. The company is appraised by the Software Engineering Institute (SEI) at CMMI® Maturity Level 3 and is an ISO 9001:2008 certified provider. 
 

Analytica LLC. is an Equal Employment Opportunity and Affirmative Action employer. We value diversity at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, religion or religious creed, color, gender, gender identity, gender expression, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military or veteran status, protected veteran status, or any other basis protected by federal, state, local law, ordinance, or regulation and will not be discriminated against on these bases

When receiving email communication from Analytica, please ensure that the email domain is analytica.net to verify its authenticity.

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