Health Program Integrity and Fraud Analytics Leader in Rockville, MD at Booz Allen Hamilton Inc.

Date Posted: 4/15/2018

Job Snapshot

Job Description

Job Number: R0025271

Booz Allen Hamilton has been at the forefront of strategy and technology for more than 100 years. Today, the firm provides management and technology consulting and engineering services to leading Fortune 500 corporations, governments, and not-for-profits across the globe. Booz Allen partners with public and private sector clients to solve their most difficult challenges through a combination of consulting, analytics, mission operations, technology, systems delivery, cybersecurity, engineering and innovation expertise.


Health Program Integrity and Fraud Analytics Leader

Key Role:
Lead and drive a business for preventing, detecting, and analyzing patterns of fraudulent activities in federal health programs, including Centers for Medicare and Medicaid Services. Collaborate with business and technical leaders to develop advanced technical solutions and analytic models to combat fraud. Lead an interdisciplinary team of data scientists, systems developers, operational analysts, compliance and auditing specialists, and consultants in defining emerging client problems and in formulating solutions. Provide business development, strategy, and program management for project work across a broad portfolio of contracts. Build relationships with strategic industry partners where operational, analytical, and technical capabilities are complementary and create new business opportunities. Contribute to the health market’s 3-year plan by qualifying opportunities and leading market capture.


Basic Qualifications:

-10+ years of experience with program integrity, fraud analytics, or advanced analytics

-7+ years of experience with managing and developing staff in fraud waste and abuse engagements

-7+ years of experience with business development

-5+ years of experience in working with and possessing excellent existing relationships at CMS, State Medicaid agencies, private sector health payers, and other federal agencies

-Ability to travel 5% of the time required

-BA or BS degree


Additional Qualifications:

-Experience with developing predictive models or other analytic models

-Experience with designing and implementing machine learning, data mining, and statistics a plus

-Experience with the implementation or oversight of commercial fraud detection and prevention solutions

-Experience with or certifications in fraud or auditing a plus

-MA or MS degree a plus

Integrating a full range of consulting capabilities, Booz Allen is the one firm that helps clients solve their toughest problems by their side to help them achieve their missions.  Booz Allen is committed to delivering results that endure.

We are proud of our diverse environment, EOE, M/F/Disability/Vet.

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