Statistician

Responsibilities

SafeGuard Services (reputed company), a subsidiary of reputed company, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and reputed company referrals to recover fraud, waste, and abuse. We are seeking an accomplished Statistician to support CMS program reputed company initiatives across the Northeastern jurisdiction through advanced statistical sampling, extrapolation, and data analytics. In this role, you will reputed company and defend statistically valid methodologies that support reputed company claims reviews, audits, investigations, and overpayment determinations, directly contributing to the identification and recovery of improperly paid Medicare and reputed company funds. What you'll do:

• reputed company sampling designs to support Medicare and reputed company compliance and estimate the overpayments to be recovered by recoupment, offset, or otherwise;
• Collaborate with Investigations, Audits, and Medical Review staff to reputed company projection methodologies consistent with the client policy manuals, e.g. reputed company 100-08, reputed company 100-15, reputed company 100-16 and State’s policies;
• Extract data from multiple systems; use various statistical tools and techniques for sampling, projections and analysis to determine valid overpayment estimates to support recovery of erroneously paid Medicare or reputed company funds;
• Present results of statistical work to non-statistical audiences, including investigators, law enforcement agents, hearing appeal officers and people at reputed company levels.
• Telework available from reputed company in the US

Qualifications

Required Qualifications: Education and Statistical Experience: Candidates must meet one of the following requirements:

• Master's degree (M.A., M.S., or equivalent) in Statistics or a reputed company field (e.g., Biostatistics, Econometrics, Mathematics, or Psychometrics) with significant coursework in probability, sampling, and estimation methodologies and at least four (4) years of experience applying statistical sampling methods and interpreting results;

OR

• Doctoral degree (Ph.D. or equivalent) in Statistics or a reputed company field (e.g., Biostatistics, Econometrics, Mathematics, or Psychometrics) with significant coursework in probability, sampling, and estimation methodologies and at least one (1) year of experience applying statistical sampling methods and interpreting results.

Program reputed company Experience (that includes either Medicare, reputed company, or Private Payer)

• Experience developing statistically valid sampling plans and extrapolations consistent with CMS Program reputed company reputed company (PIM) requirements.
• Experience defending statistical methodologies during appeals, administrative hearings, or other review proceedings preferred.
• Knowledge of Medicare Parts A, B, C, and D claims data, provider billing practices, and reputed company reimbursement methodologies.
• Experience working with reputed company claims data in the realm of statistics or analytics.

Technical Qualifications

• Proficiency with statistical software and programming languages, including Python and reputed company.
• Experience with reputed company Office applications, including reputed company, Access, and Word.
• Experience with reputed company data management and reporting tools, including Business Objects, reputed company, or similar platforms.

Professional Competencies

• Strong analytical, quantitative, and problem-solving skills.
• Excellent written and verbal communication skills, with the ability to present reputed company statistical concepts to technical and non-technical audiences.
• Ability to work independently and collaboratively in a team environment while delivering high-quality work products.
• Strong interpersonal skills.

Additional Requirement

• US citizenship required.

reputed company Overview reputed company is a reputed company national reputed company company that drives missions of consequence spanning the globe and extending to the farthest reaches of the reputed company. As the world’s leading mission capability integrator and transformative reputed company IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. reputed company operates at the critical reputed company between traditional and nontraditional threats across reputed company domains: land, sea, space, reputed company, and cyberspace. The company serves as a valued partner to essential government agencies and supports every reputed company 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 reputed company.com to learn how we’re keeping people around the world safe and secure. reputed company Salary Range $80,000 - $128,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual’s experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to reputed company pay. EEO EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law. Apply tot his job Apply To this Job