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Intelligence Analyst - Healthcare

Company: Noblis
Location: Baltimore
Posted on: November 11, 2019

Job Description:



Noblis supports the Centers for Medicare and Medicaid Services (CMS) to apply leading edge tools and analysis to critical issues to improve program integrity efforts.

CMS' Program integrity must focus on paying the right amount, to legitimate providers, for covered, reasonable and necessary services provided to eligible beneficiaries while taking aggressive actions to eliminate fraud, waste and abuse.

CMS' health care programs are quickly evolving; therefore their program integrity strategy must keep pace to address emerging challenges. Noblis is supporting CMS as it integrates various processes to identify and mitigate vulnerabilities before exposure to protect pro-actively people with Medicare.

As an Intelligence Analyst with our CMS program you would be curate new sources of information, leverage new technology and conduct analysis to assist with narrowing down on potential areas of concern.


* 2+ years of relevant Healthcare Fraud analysis or Law Enforcement experience

* Experience leading a task and/or team

* Experience with basic data analysis

* BS degree in related field

* Experience contributing to cutting-edge new interests like cyber interdependencies; dark web; open source and social media exploitation to support fraud scheme detection

* Strong critical thinking, analytical, problem-solving and decision making capabilities

* Excellent verbal, interpersonal, and written communication skills

* Team player with the ability to work in a sometimes unstructured and fast-paced environment

Desired Qualifications:

* Experience applying new and advanced tools and techniques to any element of the intelligence cycle to address complex challenges, with an emphasis on dark, deep and open web analytics as well as big data analytics and data visualization.

* Knowledge of heath care coding conventions, reimbursement policies, state and federal regulations, fraud schemes, general areas of vulnerability, reimbursement methodologies and relevant laws to find suspicious patterns in healthcare claims data and other sources

* Foreign Language fluency

* Professional Certification as a Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or similar


Noblis and our wholly owned subsidiary, Noblis ESI, are solving difficult problems that help our government and our country. We bring the best of scientific thought, management, and engineering expertise with a reputation for independence and objectivity. We support a wide range of government and industry clients in the areas of national security, intelligence, transportation, healthcare, environmental sustainability, and enterprise engineering. Learn more at Noblis -About Us

Why work at a Noblis company*

Our employees find greater meaning in their work and balance the other things in life that matter to them. Our people are our greatest asset. They are exceptionally skilled, knowledgeable, team-oriented, and mission-driven individuals who want to do work that matters and benefits the public.

Noblis has won numerous workplace awards. We've been listed as a Washington Post "Top Employer" for 2019, 2018, 2017, 2016, 2015, and 2014. Noblis maintains a drug-free workplace and is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristics protected by law.


Learn about the Noblis business development lifecycle, processes, tools, and account structure Contribute specialized domain or technical content to proposal sections or client white papers Build a productive relationship with your client and understand their structure and goals

Keywords: Noblis, Baltimore , Intelligence Analyst - Healthcare, Healthcare , Baltimore, Maryland

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