SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.
We are seeking a Statistician to be part of our team of professionals. You will be part of the Southeastern Unified Program Integrity Contract (SE UPIC) audit team. The SE UPIC is responsible for audits/investigations in eight States and two Territories. The Statistician under our Medicaid Team will be responsible for conducting statistical sampling, determine overpayments, and data analysis on Medicaid Managed Care Plan’s (MCP) and evaluate whether their activities are safeguarding the Medicaid program and providing appropriate services to beneficiaries. This includes comprehensive Managed Care Organizations (MCOs), as well as Pre-Paid Inpatient Health Plans (PIHPs) and Pre-Paid Ambulatory Health Plans (PAHPs).
What you'll do:
The Statistician requires the individual to apply statistical methodologies on Medicaid Managed Care Plan claims data and other sources of information to identify Medicaid program integrity issues.
Basic Qualifications:
Desirable Qualifications:
Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world’s leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees do the can’t be done by solving the most daunting challenges facing our customers. Visit peraton.com to learn how we’re keeping people around the world safe and secure.
$80,000 - $128,000. This represents the typical salary range for this position based on experience and other factors.
...Walker HealthForce is seeking a local contract nurse RN Clinic for a local contract nursing job in Newark, New Jersey. Job Description... ...Contract Registered Nurse | Medical Policy | Contract Remote Opportunity! JOB REQUIREMENTS 3+ years clinical nursing...
...Job Description Job Description The Digital Marketing Manager is responsible for the creation, implementation, execution, and management of all digital marketing campaigns, lead acquisition, and digital projects within the 4AIR brand. Including, but not limited to...
...About the Company Prominent organization advocating for clean energy policies at a national level Industry Non-Profit... ...Energy Sustainability Climate Change Energy Analysis Solar Energy Electric Power Power Generation Utilities About...
Job Posting TitleManager, Government RelationsEmployee TypeRegularRecruiting Start Date10-15-2024Job Exempt?YesRecruiting End DateOpen Until FilledAloha mai! Mahalo for your interest in Kamehameha Schools. If you are looking for an opportunity to utilize...
...Full Time General Radiology Position in Southern Georgia- We are currently seeking a full-time, on-site diagnostic radiologist to join our team! Salary: Guaranteed salary is competitive and commensurate with experience Bonus of 100% of practice profits Schedule...