Sr. Healthcare Data Scientist (Medicare/Medicaid) Responsibilities for this

PositionLocation:

Any Location /

RemoteFull Part/Time:

Full time

Job Req:

RQ227255

Type of Requisition:

RegularClearance Level Must Currently Possess:

NoneClearance Level Must Be Able to

Obtain:

NonePublic Trust/Other Required:

NACI (T1)

Job Family:

Data Science and Data Engineering

Job Qualifications:

Skills:

Agentic AI, Big Data, Generative AI, Machine Learning Methods, Python (Programming Language)

Certifications:

None Experience:

5 + years of related experience

US Citizenship Required:

No Job Description:

We are GDIT. We take pride in providing our clients with the data they need to make important decisions that impact the world around us. You make GDIT your place by delivering insights to help our clients make impactful changes real. By owning your opportunity at GDIT, you'll become a critical part in how we successfully solve our clients' biggest challenges. Our work is looking for a Sr. Data Scientist with deep experience in advanced analytics and modern AI technologies. In this role, you will help evolve the analytical capabilities used to detect and prevent fraud, waste, and abuse (FWA) in the Medicare and Medicaid programs. This includes working with cutting-edge generative AI models, AI agents, and scalable data science tools.

A typical day will include:

• Analyzing Medicare and Medicaid claims data using statistical and machine learning techniques.
• Developing generative AI-powered solutions and agent-based systems to enhance fraud detection, investigate complex patterns, and optimize business processes.
• Building predictive and anomaly detection models to improve insights, efficiencies, and program integrity outcomes.
• Identifying opportunities to leverage large-scale CMS data with modern AI/ML methods, including LLMs, embeddings, vector databases, and retrieval-augmented pipelines.
• Present findings to a range of audiences (technical/non-technical) and to various levels of leadership.
• Performs additional duties as assigned.

Required Skills:

• Bachelors degree with an analytical or technical focus (i.e., Statistics, Computer Engineering, Applied Mathematics) or related area
• Minimum 5 years of experience in Data Science
• Minimum of 2 years of experience conducting advanced analyses of Medicare and/or Medicaid data
• Familiarity with R or Python for data science (including machine learning)
• Familiarity and experience with one or more of the following data science packages: Pandas, NumPy, Tensorflow, Scikit learn, Seaborn, GGplot, Matplotlib
• Familiarity with SQL, Databricks, Snowflake and Spark languages/technologies
• Hands-on experience with generative AI technologies such as LangChain, LangGraph, Hugging Face Transformers, vector databases, agent frameworks, or LLM orchestration tools.
• Understanding of statistics and basic analytic model development principles such as feature engineering, attribute selection, threshold setting, train/test split, etc.
• Ability to create data visualizations to present complex analyses and to illustrate trends
• A self-starter mindset with strong curiosity, problem-solving abilities, and the ability to simplify and explain complex data and AI systems The likely salary range for this position is $97,968 - $132,250.

This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

Less than 10%

Telecommuting Options:

Remote Work Location:

Any Location /

Remote Additional Work Locations:

Total Rewards at

GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks w possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, perso...Visit the Employer site for more details