Careers

About Pondera Solutions

Pondera Solutions was founded in 2011 with the singular focus of leveraging the power of cloud computing and advanced analytics to combat fraud, waste, and abuse in large government programs. Since that time, we have helped our clients prevent and collect hundreds of millions of dollars in improper payments.

Pondera offers a comprehensive cloud solution to detect, investigate, and enforce fraud, waste, and abuse. Our system combines program data with third party consumer and business data and then runs every business (Facilities or Retailers), rendering provider, and recipient through a series of procedural and prediction models.

The system flags transactions that violate predetermined thresholds and sends an Alert to an integrated dashboard "built by investigators, for investigators." Investigative and Audit staff can then analyze the lead, use our system to investigate the lead, and even create and manage a case for ongoing audit and enforcement activities.

Please click a job title below for detailed information about a specific post


Position Details & Requirements


Typical Duties include:

  • Review and analyze State program data (protected and sensitive) involving State Medicaid, SNAP, TANF, WIC programs
  • Research, review, and analyze current and emerging trends and techniques used in detection and investigation of fraud in government programs
  • Provide subject matter expertise in the realm of Medicaid, SNAP/TANF, WIC, etc to help Pondera to continue to develop the most modern and comprehensive fraud detection tool in the market
  • Work with Development and Analyst teams to design, review, and assess analytics leveraged in Pondera’s suite of tools supporting the detection, investigation and enforcement of fraud in government programs
  • Liaison with government teams of Investigators, Compliance Staff, Analysts, and Auditors
  • Attend client audit and investigative team meetings
  • Provide training and guidance on Pondera’s suite of discovery and enforcement tools to clients
  • Present findings in a clear and concise presentation format including word, excel, power point
  • Effectively communicate with appropriate outside authorities, client audit managers, audit staff, and compliance staff regarding investigation, compliance activities, and potential fraud case inquiries

Requirements

  • Must pass an extensive criminal background check (including but not limited to criminal history, motor vehicle report, credit check, and drug screening)
  • Complete HIPPA training and certification
  • Strong interpersonal, communication, and collaboration skills
  • Complete projects in an environment with diverse, competing, and sometimes conflicting priorities
  • Position may require work at times outside of normal business hours due to National clientele
  • Occasional travel required

Benefits

  • Flexible work schedule and may split time working from home and Pondera’s office
  • Health insurance and 401K benefits
  • Competitive salary offer based upon experience, education, and additional qualifications

Skills Inventory

  • Advanced skills in word, excel, and power point
  • Strong oral and written communication skills
  • Strong understanding of government benefit programs such as Medicaid, SNAP, TANF, WIC, etc.
  • Strong investigative or audit or analyst skills and background
  • Government Program Data review and analysis experience
  • Experience in the utilization of outside data sources such as pubic and business records for fraud detection

Experience, Education & Certifications

  • 5+ years of related experience is required; 10+ years preferred
  • Bachelor’s Degree - preferred
  • Certifications/Professional Organization Membership - preferred

Want to know more?

Contact Amanda Huston, Vice President for Service Delivery, at AHuston@ponderasolutions.com


Relevant Experience

Over 5 years of Enterprise web applications experience engaging in hands-on in-depth analysis, review, design, and development of software.


Skills Inventory

  • Experience building Enterprise web applications with extensive exposure to SDLC processes including architecture, design, coding, testing, deployment and support
  • Extensive exposure to SQL server 2012/ 2008, creating queries, stored procedures, Views, and database functions
  • Heavy development with C#.Net creating custom applications , products and web services
  • Develop and implement projects in with MS development stack using SOAP, C#.Net , ASP.Net, ADO.Net, MVC 4.0, Entity Framework
  • Experience with AJAX, HTML 5, XML and XSL & XSLT transformations, CSS
  • Deployed applications in using IIS 7.5/ 7.0/ 6.0
  • Hands on experience in Visual Studio 2012/ 2010 with frame work 4.0/3.5/2.0 and classic ASP
  • Used SVN, CVS, and VSS tools for version control management

Tools/Methods

MVC 4.0/ 2.0, EF4, .Net Framework 4.0/3.5/3.0/2.0/1.1, ASP.NET, C#, VB.NET, ADO.NET,  XML, XSLT, XPath, XQuery, XAML, Web services, Windows Services, Classic ASP 3.0, SQL Server 2012/ 2008 R2/ ORACLE 10g, JavaScript, JQuery, Microsoft Visual Studio 2012/ 2010/ 2008, Team Foundation Server (TFS), VSS (Visual Source Safe 6.0), SVN, CVS for versioning, AJAX, and Secure Sockets Layer (SSL), RDBMS, DBMS, SQL Profiler, SSIS, IIS 7.5/ 6.0, Windows server


Education & Certification

  • Master of Computer Science (preferred)
  • Bachelor of Science (B.S.) (minimum)
  • Microsoft Certified Applications Developer (MCAD) from Microsoft

Position Details & Requirements

Typical Duties include:

  • Review and analyze tax data (protected and sensitive) involving State and Federal Corporation returns, sales and use tax returns, other excise tax returns, and business registration data
  • Research, review, and analyze current and emerging trends and techniques used in tax noncompliance such as non-reporting, under reporting, and underpayment
  • Provide subject matter expertise in the realm of tax administration impacting State and Local tax programs to help Pondera to continue to develop the most modern and comprehensive tax compliance tool in the market
  • Work with Development and Analyst teams to design, review, and assess analytics leveraged in Pondera’s suite of tools supporting the detection, investigation and enforcement of fraud in government programs
  • Liaison with Government teams of Investigators, Compliance Staff, Analysts, and Tax Auditors
  • Attend client tax noncompliance or audit and investigative team meetings
  • Provide training and guidance on Pondera’s suite of tax discovery and tax enforcement tools to clients as requested
  • Present findings in a clear and concise presentation format including word, excel, power point
  • Effectively communicate with appropriate outside authorities, client audit managers, audit staff, and tax compliance staff regarding audit investigation and selection, tax compliance activities, and potential tax fraud case inquiries

Requirements

  • Must pass a criminal background check and drug screening
  • Complete HIPPA training and certification
  • Strong interpersonal, communication, and collaboration skills
  • Complete projects in an environment with diverse, competing, and sometimes conflicting priorities
  • Position may require work at times outside of normal business hours due to National clientele
  • Occasional travel required

Benefits

  • Flexible work schedule and may split time working from home and Pondera’s Tallahassee office
  • Health insurance and 401K benefits
  • Competitive salary offer based upon experience, education, and additional qualifications

Skills Inventory

  • Advanced skills in word, excel, and power point
  • Strong oral and written communication skills
  • Strong understanding of Statewide and/or Large City tax administration
  • Strong Tax Audit skills and background
  • Audit Program Development including computer based audit selection development
  • Tax Data review and analysis experience
  • Experience in State and Federal Tax Returns and Tax Return Processing
  • Experience in the utilization of outside data sources such as pubic and business records for advanced tax audit program development and audit selection through audit case management and final reconciliation
  • Understanding of business accounting and tax records
  • Experience in creating and applying data rules designed to identify tax liability
  • Experience in analyzing case selection results and recommending adjustments to existing selection criteria

Experience, Education & Certifications

  • 5+ years of related tax administration and tax audit experience is required; 10+ years preferred
  • Bachelor’s Degree - preferred
  • Audit Certifications/Professional Organization Membership - preferred

Want to know more?

Contact Amanda Huston, Vice President for Service Delivery, at AHuston@ponderasolutions.com


Summary

The Data Scientist - Predictive Modeler is responsible for the design and supervision of all historical and predictive Analytical Data Models, Analytics, and Data Science. This position is responsible for conducting and supervising modeling, data mining, and database analytics using advanced algorithms and tools.

This position will design and build models to work with large government data sets to identify potential fraud via the identification of known and previously unknown fraud methods. The position will be responsible for using cutting edge technologies and methods to deploy supervised and unsupervised prediction algorithms, statistical models, and applying statistical rigor to Pondera’s existing rules-based detection models.

The position will work with Pondera’s Research & Development department to build new and validate existing methods and models. It will also work with customers to validate the models, tune them on a regular basis, and monitor usage and effectiveness.


Supervises

Junior Data Scientists and/or Data Analysts


Essential Functions

  • Design and supervise historical and predictive Analytical Data Models, Analytics, and Data Science.
  • Provide statistical rigor to existing fraud detection models for issues such as spike indicators and peer comparisons.
  • Work with Research & Development (R&D) to create new models and validate concepts and models in the R&D pipeline.
  • Monitor transaction activity, utilization, and model efficacy.
  • Take the lead role in working with various project teams (including analysts and business designers) to discover and develop actionable, high-impact data analytics in a variety of customer business types including but not limited to Medicaid, Unemployment, Tax and SNAP/Food Stamps.
  • Maintain accurate and complete documentation on data models.
  • Formulate policies, procedures, and standards relating to model development and management.
  • Facilitate the design and implementation process for new products/projects, and evaluates impacts on the operation, informing senior executive of alternatives.
  • Assist in establishing standards and guidelines for the design & development, tuning, deployment and maintenance of information and advanced data models.

Non-Essential Functions

  • Other duties as required

Education & Experience

Required

  • Master’s degree in behavioral or natural sciences, business analytics, applied mathematics or comparable field.
  • Minimum 5+ years of experience in programming, data mining, statistical analysis and modeling to include experience with manipulating and analyzing clinical and financial data at an expert level.
  • Experience with Linear and Logistic Regression, Generalized Linear Models and Generalized Linear Mixed Models.
  • Experience with Neural networks, decision tree algorithms, Naïve Bayesian models, Association Rules, Sequence Analysis, and Support Vector Machine models
  • Experience designing and deploying models for clustering analysis, segmentation and anomaly detection.
  • Strong foundation in statistical theory and practice.
  • Model validation management experience.

Preferred

  • 5+ years of hands-on experience with R, Microsoft Machine Learning, IBM I2, STATA, SPSS, S+, SAS Enterprise Miner or similar tools.
  • 5+ years of hands-on experience with T-SQL.
  • 2+ years of hands-on experience with Microsoft SSIS and SSAS in 2012 and above.
  • Experience in successfully developing and implementing data models in a non-education setting.

Knowledge, Skills & Abilities

Required

  • Must have high energy level; be self-motivated, with a results oriented demeanor.
  • Experience with R, STATA, SPSS, S+, SAS Enterprise Miner or similar tools

Preferred

  • Mentoring

Physical Demands

  • Frequent sitting
  • Occasional standing and walking
  • Frequent bending and stooping
  • Occasional repetitive motion
  • Frequent talking and listening in person and over the phone
  • Frequent handling of materials up to 50 lbs.
  • Close up vision requirements

Emotional/Psychological Demands

  • Ability to cope with: Occasional public contact; working under pressure; long periods of concentration; changing priorities.

Work Environment

  • Open office environment; moderate temperatures; moderate noise levels.
  • Occasional travel to client sites around the United States

Summary

Pondera Solutions is a rapidly growing provider of Software as a Service (SaaS) fraud detection services for large government programs. Our flagship offering, Fraud Detection as a Service (FDaaS) is used by government analysts and investigators to detect, investigate, and enforce fraud findings in Medicaid, Unemployment Insurance, Welfare, and other systems.

The User Experience (UX)/User Interface(UI) Designer is responsible designing, maintaining, and enhancing our system using design thinking practices. The position will work with internal groups such as product development, delivery, and research & development, as well as external groups including partners, client staff, and industry to incorporate new techniques and methods for effective data visualization and user experience.


Supervises

Junior design engineers and interns


Essential Function

  • Design and manage the systems user experience and user interface
  • Produce and manage design artifacts such as storyboards, wireframes, journey maps, and empathy maps
  • Communicating design principles, processes, and desired outcomes to Pondera’s executive team, relevant staff, and clients
  • Observing current client interaction with our system and conducting interviews on usage
  • Using design thinking research and best practices to support design decisions
  • Using prototypes to validate hypotheses and work product
  • Working within project schedules and multi-tasking to meet deadlines

Non-Essential Functions

  • Other duties as required

Education & Experience

Required

  • 4 years of work experience as an interface designer
  • 2 years of experience with design thinking processes and design
  • Working knowledge of HTML, CSS and JavaScript for front end development
  • Excellent communications and organizational skills

Preferred

  • Formal education in design thinking or direct experience working with design thinking processes in a software environment
  • Experience with the design principles of Edward Tufte & Stephen Few
  • Experience working with government clients
  • Experience working with tech-enabled services or SaaS software

Knowledge, Skills & Abilities

Required

  • Must have high energy level; be self-motivated, with a results oriented demeanor.
  • Experience with HTML, CSS, and Java Script

Preferred

  • Mentoring

Physical Demands

  • Frequent sitting
  • Occasional standing and walking
  • Frequent bending and stooping
  • Occasional repetitive motion
  • Frequent talking and listening in person and over the phone
  • Frequent handling of materials up to 50 lbs
  • Close up vision requirements

Emotional/Psychological Demands

Ability to cope with: Occasional public contact; working under pressure; long periods of concentration; changing priorities.


Work Environment

  • Open office environment; moderate temperatures; moderate noise levels.
  • Occasional travel to client sites around the United States

Position Details & Requirements

Typical duties include:

  • Review and analyze Medicaid program and claims data to support the detection of healthcare fraud
  • Leverage data analytics tools, such a prediction models and link analysis, to identify potential healthcare fraud
  • Research, review, and analyze current and emerging trends and techniques used in detection and investigation of fraud in government programs
  • Provide subject matter expertise in the realm of Medicaid / Medicare to help Pondera to continue to develop the most modern and comprehensive fraud detection tool in the market
  • Work with Pondera’s Special Investigations Unit and Development teams to design, review, and assess analytics leveraged in Pondera’s suite of tools supporting the detection, investigation and enforcement of fraud in government programs
  • Liaison with government teams of Investigators, Compliance Staff, Analysts, and Auditors
  • Attend client audit and investigative team meetings
  • Provide training and guidance on Pondera’s suite of discovery and enforcement tools to clients
  • Present findings in a clear and concise presentation format including word, excel, power point
  • Effectively communicate with appropriate outside authorities, client audit managers, audit staff, and compliance staff regarding investigation, compliance activities, and potential fraud case inquiries

Requirements

  • Must pass an extensive criminal background check (including but not limited to criminal history, motor vehicle report, credit check, and drug screening)
  • Complete HIPPA training and certification
  • Strong interpersonal, communication, and collaboration skills
  • Complete projects in an environment with diverse, competing, and sometimes conflicting priorities
  • Position may require work at times outside of normal business hours due to National clientele
  • Occasional travel required

Benefits

  • Flexible work schedule and location
  • Health insurance
  • 401K
  • Competitive salary offer based upon experience, education, and additional qualifications

Skills Inventory

  • Advanced skills in word, excel, and power point
  • Strong oral and written communication skills
  • Strong understanding of government benefit programs such as Medicaid and Medicare
  • Strong investigative or audit or analyst skills and background
  • Government Program Data review and analysis experience
  • Experience in the utilization of outside data sources such as pubic and business records for fraud detection

Experience, Education & Certifications

  • 5+ years of investigative experience is required; 3+ years of Medicaid/Medicare related work history required; 10+ years in both areas is preferred
  • Experience with MediCal data preferred
  • Bachelor’s Degree - preferred
  • Certifications/Professional Organization Membership - preferred

Position Details & Requirements

Typical duties include:

  • Will be responsible for multiple functions, including performing all quality assurance and data validation testing for flag alerts or dashboard implementations, suite of tools, maintenance, and enhancement operations
  • Work directly with Sales, Customer Advocates, Development, and Analytics teams to support customer engagements
  • Work with Development and Analyst teams to design, review, and assess analytics leveraged in Pondera’s suite of tools supporting the detection, investigation and enforcement of fraud in government programs
  • Work directly and onsite with clients in conjunction with User Acceptance Testing
  • Oversee special projects that require in-depth analysis of data and/or investigations
  • May oversee development and maintenance of Pondera individual product(s) as assigned by the Director of Product Management or Quality Assurance Specialist
  • Review and analyze data (protected and sensitive) involving Government Programs such as Medicaid, Unemployment, SNAP, TANF, WIC, Tax and Revenue
  • Mine and aggregate data to identify trends/opportunities for enhancements or additions to the Pondera suite of tools
  • Perform quality validation analysis and functions on multiple data sets and conduct quality assurance and validation testing of all flags, tools, and dashboards as well as maintenance and enhancement reviews
  • Utilize various analyst tools to gather, analyze and interpret data from various sources
  • Demonstrate ability to complete projects in an environment with diverse, competing and sometimes conflicting priorities
  • Manage customer escalations as needed
  • Effectively communicate with development staff regarding quality assurance and software development timelines
  • Understand and perform duties necessary to support and implement Pondera’s agile software development and SDLC
  • Perform quality assurance testing of software products and manage tickets accordingly with development staff. Applicant must have familiarity with quality assurance testing and knowledge of test plans.

Requirements

  • Must pass an extensive criminal background check (including but not limited to criminal history, motor vehicle report, credit check, and drug screening)
  • Complete HIPPA training and certification
  • Position may require work at times outside of normal business hours due to National clientele
  • Up to 20% percent travel required to facilitate requirement sessions and User Acceptance Testing with Pondera’s National Clientele

Benefits

  • Flexible work schedule and may split time working from home and Pondera’s offices
  • Health insurance and 401K
  • Competitive salary offer based upon experience, education, and additional qualifications

Skills Inventory

  • Advanced knowledge and skills utilizing Microsoft Word, Excel, and PowerPoint and ability to present findings in a clear and concise presentation format
  • Strong interpersonal, communication, and collaboration skills
  • Excellent critical thinking and problem-solving capabilities
  • Strong understanding of software Quality Assurance procedures
  • Strong understanding of User Acceptance Testing
  • Basic knowledge of SQL and SSRS is desired
  • Knowledge of SDLC and agile development
  • Knowledge of bug/enhancement ticket tracking software
  • Confidence in presentation skills due to client facing requirements

Experience, Education & Certifications

  • 5+ years of quality assurance experience is preferred
  • Bachelor’s Degree - preferred
  • Professional Organization Membership - preferred

Want to know more?

Contact Kris Creel, Quality Assurance Specialist, at KCreel@ponderasolutions.com


Position Details & Requirements

Location: Tallahassee, FL or Sacramento, CA areas

Typical duties include:

  • Review and analyze data (protected and sensitive) involving Government Programs such as Medicaid, Unemployment, SNAP, TANF, WIC, and Tax and Revenue
  • Utilize comprehensive data tools to identify, analyze, and interpret trends or patterns in complex data sets
  • Assist in the development and enhancement of Pondera’s analytics and suite of products
  • Liaison with Government teams of Investigators, Analysts, Auditors
  • Present findings in a clear and concise presentation format including Word, Excel and Powerpoint
  • Effectively communicate with appropriate outside authorities, client fraud staff, and law enforcement on fraud case inquiries via phone, email, and video conferencing while maintaining a strong focus on customer service
  • Complete projects in an environment with diverse, competing and sometimes conflicting priorities
  • Safeguard organizational Human Resources and financial sensitive information from unauthorized usage and individuals

Requirements

  • A Bachelor’s Degree in information technology, criminal justice, healthcare, business, government administration, mathematics, statistics, management information services, or closely related field;
  • At least three years of experience in data analysis or applied research; OR
  • Equivalent combination of education and experience
  • Must pass an extensive criminal background check (including but not limited to criminal history, motor vehicle report, credit check, and drug screening)
  • Complete HIPPA training
  • Complete projects in an environment with diverse, competing, and sometimes conflicting priorities
  • Position may require work at times outside of normal business hours due to National clientele
  • Occasional travel required

Benefits

  • Flexible work schedule and location
  • Health insurance
  • 401K
  • Competitive salary offer based upon experience, education, and additional qualifications

Skills Inventory

  • Excellent knowledge of data collection, analysis, statistics and data presentation with experience in data mining techniques and procedures
  • Experience using statistical packages for analyzing large data sets, advanced MS Excel and Access skills and experience
  • Experience in SQL Server Reporting Services (SSRS) and/or Tableau, Power BI, Power Excel, R, SAS
  • Preferred understanding of public benefit program data formats including: Medicaid and/or Medicare, Welfare and Eligibility populations, Revenue and Taxation
  • Knowledge of and strong aptitude for analytical thinking and demonstrated data skills
  • Experience working with large transactional databases and data warehouses
  • Strong skills in data visualization
  • Strong oral and written communication skills, including the ability to effectively communicate with both business and technical users, and make presentations
  • Strong interpersonal skills, including the ability to maintain effective working relationships with individuals at all levels both inside and outside of the organization
  • Strong organization skills with the ability to effectively prioritize multiple tasks and meet agreed upon deadlines
  • Ability to work independently and as part of a team

Experience, Education & Certifications

  • 3+ years of analytical experience is required
  • Preferred Skills
    • Experience in Government social service programs such as Medicaid, SNAP, Unemployment Insurance, etc.
    • Experience with fraud detection systems and data warehousing
    • Analyst Certifications/Professional Organization Membership

Want to know more?

Contact William Avery, Fraud and Risk Manager, at WAvery@ponderasolutions.com

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About Our Company

Pondera leverages advanced prediction algorithms and the power of cloud computing to combat fraud, waste, and abuse in government programs.



Get in touch

  • Sacramento Address: 11290 Pyrites Way, Suite 100, Gold River, CA 95670

  • Phone: (916) 389-7800

  • Email: info@ponderasolutions.com

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