Description

Please note: This role is contingent upon a contract award. While it is not an immediate opening, we are actively conducting interviews and extending offers in anticipation of the award.  

 

Chief Statistician Position: 

ICF is currently seeking a Chief Statistician to lead advanced statistical analysis and modeling efforts within the Midwestern Region for a federal health agency. Under this program, ICF will investigate potential fraud, waste, and abuse in Medicare and Medicaid programs. The Chief Statistician will apply deep statistical expertise to detect and prevent fraud, waste, and abuse in Medicare and Medicaid programs. This role requires extensive experience with health care data, including claims data, coding systems, and provider identifiers. The Chief Statistician will be responsible for developing analytical methodologies to identify anomalies and supporting program integrity investigations through data analysis and statistical loss estimations. 

Job Location-- Primarily remote within the U.S., with occasional travel (up to 25%) to Baltimore, MD and Midwest-based conferences. 

Key Responsibilities: 

Lead the development and application of statistical models and methodologies to detect potential fraud and abuse, which may include predictive models, neural networks, and data mining algorithms. 

Analyze health care information including claims data, ICD-9/10-CM codes, physician specialty codes, survey and certification data, and provider/supplier identifiers. 

Collaborate with data analysts, investigators, and other stakeholders to support investigations and program integrity initiatives. 

Provide statistical expertise in support of investigations and administrative actions, including statistical loss estimation (overpayments), and capable of defending those estimates in administrative and potentially legal proceedings. 

Provide expert statistical consultation and guidance to CMS leadership. 

Basic Qualifications: 

Master’s degree in statistics or a related discipline. 

Minimum of 10 years of experience using statistics with demonstrated knowledge of health care information, with an emphasis in Medicare Fee For Service and/or state Medicaid programs. 

At least 2+ years of experience in estimating overpayments for healthcare fraud investigations. 

Eligible to complete the HHS background verification process at the Public Trust clearance level.  

US Citizenship is required 

Preferred Skills/Experience: 

Experience with health claims data, ICD-9/10-CM codes, and provider/supplier identifiers. 

Demonstrated experience in statistical detection of fraud and abuse. 

Experience with CMS Integrated Data Repository (IDR) Unified Case Management (UCM), and other government healthcare data systems such as T-MSIS. 

Experience with the CMS fraud workflow and processes for healthcare fraud investigations, such as contractors for the Center for Program Integrity (CPI) 

Proficiency in MS Office Applications and data analysis tools. 

Professional Skills: 

Strong analytical and problem-solving skills. 

Excellent communication and leadership abilities. 

Proven ability to manage complex data analysis projects. 

Strong organizational and time management skills. 

Ability to work collaboratively with internal teams and external partners. 

Commitment to data integrity and confidentiality. 

 

Working at ICF

ICF is a global advisory and technology services provider, but we’re not your typical consultants. We combine unmatched expertise with cutting-edge technology to help clients solve their most complex challenges, navigate change, and shape the future.

We can only solve the world's toughest challenges by building a workplace that allows everyone to thrive. We are an equal opportunity employer. Together, our employees are empowered to share their expertise and collaborate with others to achieve personal and professional goals. For more information, please read our EEO policy.

We will consider for employment qualified applicants with arrest and conviction records.

 

Reasonable Accommodations are available, including, but not limited to, for disabled veterans, individuals with disabilities, and individuals with sincerely held religious beliefs, in all phases of the application and employment process. To request an accommodation, please email Candidateaccommodation@icf.com and we will be happy to assist. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.  

Read more about workplace discrimination rights or our benefit offerings which are included in the Transparency in (Benefits) Coverage Act. 

 

Candidate AI Usage Policy

At ICF, we are committed to ensuring a fair interview process for all candidates based on their own skills and knowledge. As part of this commitment, the use of artificial intelligence (AI) tools to generate or assist with responses during interviews (whether in-person or virtual) is not permitted. This policy is in place to maintain the integrity and authenticity of the interview process.  

However, we understand that some candidates may require accommodation that involves the use of AI. If such an accommodation is needed, candidates are instructed to contact us in advance at candidateaccommodation@icf.com. We are dedicated to providing the necessary support to ensure that all candidates have an equal opportunity to succeed.  

 

Pay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position.

The pay range for this position based on full-time employment is:

$89,203.00 - $222,024.00

Maryland Remote Office (MD99)