Director of Federal Healthcare Analytics

Job Summary

Leading the delivery of data-driven solutions, the full-time remote Director of Federal Healthcare Analytics will oversee advanced analytics and investigative support capabilities to help federal healthcare organizations prevent and mitigate fraud, waste, and abuse while serving as a trusted advisor to various federal stakeholders.

Key responsibilities

• Manage the development of AI-driven insights and advanced analytics for federal healthcare program integrity
• Collaborate with investigators, clinicians, and data scientists to identify risks and support investigations
• Translate analytical findings into actionable recommendations and contribute to business growth initiatives

Required qualifications

• Master's degree or doctorate in a relevant quantitative, healthcare, economics, public policy, informatics, or technology discipline
• Direct experience in federal healthcare program integrity, fraud prevention, or oversight, particularly with CMS or related agencies
• Deep knowledge of federal healthcare domains such as Medicaid, Medicare, or TRICARE
• Experience in developing fraud indicators and risk scores, as well as evaluating program-integrity interventions
• Familiarity with modern analytics technologies and methods, including Python, SQL, and AI techniques