Python CPT Agile Testing Background Consultant (Jobs in Windsor Mill, MD)   Requirement id 114351 Job title Consultant Job location in WINDSOR MILL, MD Skills required Python, CPT, Agile, Testing Background Open Date 23-Feb-2021 Close Date Job type Contract Duration 6 Months Compensation DOE Status requirement not found Job interview type ---    Email Recruiter: coolsoft Job Description Consultant: Python, CPT, Agile, Testing Background We should submit only GC,GC - EAD, L2-EAD,H4-EAD and Citizens. Job Description Client has an immediate need for a Predictive Modeling Lead supporting a Leading Government Integrator in Woodlawn, MD. The qualified applicant will become part of a major healthcare fraud prevention project, supporting a leading Government Healthcare organization. The qualified applicant will drive development of predictive models to prioritize evaluation of possible fraudulent providers and claims. The lead will interact with the Gov Agency and other stakeholders to develop a project development plan, build / manage predictive analytics team, and develop an innovative, efficient and effective technique to detect claims fraud. Location: Woodlawn, MD (Remote during COVID) Duration: Temp to Perm Compensation: Competitive based on education & years of relevant experience Clearance: Able to obtain & maintain a positions of Public Trust Responsibilities: Analyze claims data and develop requirements for sustainable predictive analytic models and edits Working with the team and client to understand data and client needs Detect potential weakness and vulnerabilities susceptible to fraud Lead working groups with customers, investigators, and other contractors to elicit and evaluate vulnerabilities Prevent FWA using system edits, policy recommendations, and customer/user education Train Gov Agency staff and partner contractors on proactive data analysis, investigations, internet research, etc. Assist with the analysis of vulnerabilities and data anomalies Monitor claims and suspicious activities utilizing proven investigating techniques Reporting and communicating regarding the effectiveness of fraud prevention activities Build and provide oversight to predictive analytics team. Communicates with internal and external sources related to potentially fraudulent activity Provides input on new ways of identifying fraud as well as improving existing fraud models Works with technical staff to test fraud models Participates in meetings and events representing the customer and employer Requirements: Bachelor Degree or Higher in related field of study, and 8+ years of Data Analytics / Predictive Modeling experience for enterprise-level systems. 5+ years of experience in fraud prevention related field(s), including fraud detection, investigation, forensic accounting, judiciary, and law enforcement Must have direct experience with Medicare & Medicaid claims coding, processing systems, healthcare enrollment/eligibility data, as well as healthcare claims data including CPT, ICD 9 and ICD 10 codes Expertise in one or more of the following areas: Predictive analytics/modeling Data mining Machine Learning SPSS, R, Python Practical knowledge of insurance laws and industry regulations, Medicare program rules and regulations, as well as federal, state & local laws and ordinances pertaining to medical services and professions. Knowledge of anti-fraud principles, Healthcare policy, & Legislation Knowledge of the Medicare FFS programs (coverage, payment rules and regulation and claims process). Experience with Agile project methodologies (preferably SAFe) Exceptional communication skills both verbal & written, with end clients & key stakeholders Preferred: Doctor of Philosophy (PhD) and 7 years of related experience. Experience with SPSS to R transformation efforts Experience with Cloud environments such as AWS or Azure Experience with Databricks Experience working with customers to understand data and decision needs.   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 114351 while calling.   Other jobs in MD: Annapolis (1), Baltimore (34), Baltimore Maryland (1), Beltsville (3), Downtown Baltimore (1), Elkridge (1), Frederick (2), Hanover (1), North Baltimore (2), Owings Mills (1), Rockville (1), Sparks (2), Timonium (4), Woodlawn (7), Python job openings in WINDSOR MILL, MD Jobs List Data Scientist - 53693 Create date: 07-Oct-2019 We should submit only GC, GC EAD, L2 EAD, H4 EAD and Citizens. Notes : Must be able to come for a F2F in Maryland Description of Work: Identifying data needs and proper methods for data gathering, integration, preparation, data quality and data governance Performing exploratory an.... (This job is for - Python Jobs in MD WindsorMill Consultant - (in WINDSOR MILL, MD)) PostgreSQL Database Administrator - 41351 Create date: 13-Dec-2018 Candidate must be our own W2 Employee We should submit only GC,GC - EAD, L2-EAD,H4-EAD and Citizens Job Description : PostgreSQL Database Administrator Key Required Skills PostgreSQL Expert in Architecture and Automation This position will be responsible for: .... (This job is for - PostgreSQL Python Architecture Jobs in MD WindsorMill Administrator - (in WINDSOR MILL, MD))    Python job openings in other states Jobs List Technical Architect III -134779 Create date: 05-Sep-2024 Bid Limit Per Vendor : 2 Start date : 10/07/2024 End Date : 06/30/2025 Submission deadline : 9/12/2024 @ 4:00PM CST. Client Info : Note : * Interview Process: Microsoft Teams * Duration: 6/30/2025 with extensions possible. * Onsite or Remote? Candidate MUST be a WI re.... (This job is for - Python API AWS Jobs in WI Madison Architect - (in Madison, WI)) NCDIT - Specialist- Senior (741638) Create date: 26-Aug-2024 No of Submissions : 2 Start date : 07/15/2024 End Date : 07/15/2025 Submission deadline : 08/30/2024 Client Info : NCDIT Note: * Agency Interview Type : Webcam Interview Only * Hybrid Description : **This is a hybrid position - The candidate wi.... (This job is for - Python Jobs in TN Raleigh Specialist - (in Raleigh, TN)) NCAOC - Power BI Developer/Programmer (731551) Create date: 20-Mar-2024 Remote start date :04/01/2024 End date :06/30/2024 submission deadline :03/26/2024 client info :NCAOC Description : The North Carolina Administrative Office of the Courts (NCAOC) Fiscal Services Division is seeking a candidate to devel.... (This job is for - Python Jobs in NC Raleigh Developer - (in Raleigh, NC)) Software Engineer-121639 Create date: 01-Dec-2023 Start date :01-02-2024 End date :01-03-2025 Submission deadline : 12/6/2023 Client info : Starbucks Corporation - Seattle Description : Independently design and develop programs and tools to support data pipelines including ingestion, curation,.... (This job is for - Python Hadoop Jobs in WA Seattle Engineer - (in Seattle, WA)) System Analyst 6 - 116944 -SP Create date: 11-May-2023 Start date : 05/29/2023 End Date : 1 Years from projected start date Submission deadline :5/15 at 10am EST. Client Info :DHHS Note: * Interview Process: Virtual Interview via MS Teams video. Please use laptop and be prepared so share screen if asked. Use of headphones is strongly discouraged. A screensho.... (This job is for - Python JavaScript Java Jobs in MI Lansing Analyst - (in Lansing, MI))    Python job openings in MD Jobs List Software Engineer - 69897 Create date: 04-Dec-2020 Note :Prefer candidates to be Maryland locals or living in the East Coast. Candidate must be local : Yes Job Description : It has an opportunity for a Software Engineer to join one of our larger Financial Clients in the region. This person will be responsible for moving data from one source to another and writing th.... (This job is for - Java Python Spring Jobs in MD OwingsMills Engineer - (in Owings Mills, MD)) Senior .NET Full-Stack Developer - 69819 Create date: 03-Dec-2020 Note :Finance or Investment banking experience is preferred. Candidate must be local : Yes Job Description : Seeking an experienced Full-Stack .NET Engineer, who will be responsible for maintaining, and supporting a variety of software applications ranging from APIs to front-end ASP.NET web applications. This positi.... (This job is for - AWS Python API Jobs in MD Baltimore Developer - (in Baltimore, MD)) DevOps Engineer - 67899 Create date: 22-Sep-2020 Note :Candidates dont have to be local but must be open to relocating after COVID. Candidate must be local : Yes Job Description : It has an opportunity for a DevOps Engineer role supporting one of our largest Financial clients in the region. This is a contract position joining a team thats based out of Baltimore, M.... (This job is for - DevOps Python BASH Jobs in MD OwingsMills Engineer - (in Owings Mills, MD)) Full Stack Developer - 65939 Create date: 17-Aug-2020 Note :The focus for this position is on back end and middleware development. Job Description : It has an immediate opening for a Full Stack Developer supporting one of our largest Financial clients in the region. This is a contract position based out of Owings Mills, MD. This person will mostly focus on building backend and mi.... (This job is for - Typescript Python CI CD Jobs in MD OwingsMills Developer - (in Owings Mills, MD)) Database Developer Analyst - 64944 Create date: 13-Jul-2020 Job Description : It has an immediate need for a Database Developer/Analyst. The position is on a contract basis with compensation ranging depending experience - $45.00 to $60.00 per hour. The successful candidate will work closely with key stakeholders to understand marketing data, reporting needs, business objectives and cha.... (This job is for - Python Tableau Oracle Jobs in MD Germantown Analyst - (in Germantown, MD)) (Consultant: Python, CPT, Agile, Testing Background in WINDSOR MILL, MD)

Featured Jobs Troubleshooting Engineer (Jobs in Des Moines, Iowa) Application Developer (Jobs in Richmond, Virginia) Business Analyst Business Analyst (Jobs in Richmond, Virginia) Consultant (Jobs in Murfreesboro, Tennessee) TFS Automation Analyst (Jobs in Dimondale, Michigan) Cloud Architect (Jobs in Lansing, Michigan) GitHub Consultant (Jobs in Lansing, Michigan) IT Developer (Jobs in Atlanta, Georgia) Microsoft Consultant (Jobs in ANDERSON, South Carolina) Business Analyst JAD SQL Analyst (Jobs in Lansing, Michigan)