Req ID: RQ188629Type of Requisition: RegularClearance Level Must Be Able to Obtain: NonePublic Trust/Other Required: SSBI (T5)Job Family: IntelligenceSkills:Communication,Microsoft Office,Office AdministrationExperience:1 + years of related experienceJob Description:The Affordable Care Act (ACA) requires every state to establish a health insurance exchange (also called Health Insurance Marketplace) to facilitate the purchase of health insurance for individuals and small businesses. Through the Center of Program Integrity (CPI), Centers for Medicare & Medicaid Services (CMS) has strong oversight and internal controls to protect consumers enrolled in the Marketplaces and safeguard taxpayer dollars. CMS develops and enforces rules for insurance agents, and brokers, and others who assist with Federally Facilitated Marketplace (FFM) enrollments. The Marketplace Program Integrity Contractor (MPIC) is designed to support this oversight. Through research, investigation and data analysis, the desired outcomes of the MPIC efforts are to prevent, detect, and resolve noncompliance with Marketplace rules, requirements, and laws; recommend administrative actions to CMS; and recommend referrals to law enforcement if potential fraud and abuse is identified.SummaryThe Interpreter/Intelligence Analyst Associate conducts analysis, research, and outreach in support of an MPIC Team. Research includes review of documents and data, to include the translation of verbal or written communications/documents. Outreach includes potential interaction with consumers, insurance agents/brokers, and other agencies. Analysis includes applying regulations to findings and analysis of communication and/or data, including enrollment data related to consumer and Agent/Broker activity within the health insurance exchange. Completes and/or supports the preparation of comprehensive reports on the results of work and other work completed by team members. Conducts other documentation support and analysis as needed.Responsibilitie s:Work collaboratively within a team of ACA policy subject matter experts (SMEs) and data analysts.Complete accurate translation of verbal or written communications/documents.Actively participate in the completion or development of lead and investigation workflows and required information capture within a case management system.Strictly follow approved Standard Operating Procedures (SOPs) for conducting investigations or related activities. Provide input into recommendations for SOP updates as needed.Within a case management and tracking system, comprehensively document in detail all investigative support activity.As needed, provide other support to ensure completeness and accuracy of case tracking systems, including naming of files and the transferring of files.As needed, may participate in interviews with complainants and/or consumers and with CMS approval correspond with agents/brokers or other government agencies using CMS-approved template.Actively support preparation of comprehensive reports as required by CMS.Safeguard PII and PHIInfrequent travel may be requiredQualifications:Bachelor’s degree or equivalency in healthcare field that includes 2-4 years’ translation experienceExperience with and/or understanding of ACA policies and regulations related to consumer enrollments requirements and Agent/Broker and Navigator responsibilitiesMust be fluent in Spanish and accurately translate communications, both verbal and writtenFrequent work with workgroups to successful completion of goals and milestonesHighly organized, ability to multi-task, and meet deadlinesProficient in computer skills, for example Microsoft Office-Word, ExcelRequires only limited oversight to conduct workStrong inter-personal and communications skills, both written and oralExperience in conducting telephonic and in-person interviewsAbility to conceptualize, solve problems, and draw conclusionsValue-Add ExperienceExperience with translating communications/documents associated with health care or health insurance.Location: Remote (US only)Must be able to pass a CMS background check and residency requirement (must have lived in the US for 3 out of the last 5 years).GDIT IS YOUR PLACE:401K with company matchComprehensive health and wellness packagesInternal mobility team dedicated to helping you own your careerProfessional growth opportunities including paid education and certificationsCutting-edge technology you can learn fromRest and recharge with paid vacation and holiday#GDITHealth#GDITJobs#CMSThe likely salary range for this position is $45,698 - $57,500. 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.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 where 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, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 30 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.We connect people with the most impactful client missions, creating an unparalleled work experience that allows them to see their impact every day. We create opportunities for our people to lead and learn simultaneously. From securing our nation’s most sensitive systems, to enabling digital transformation and cloud adoption, our people are the ones who make change real.GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.
