Subject Matter Expert - Medicare/Medicaid FWA Training
About The Position
USmax Corporation is seeking a Subject Matter Expert (SME) in Medicare/Medicaid Fraud, Waste, and Abuse (FWA) to support a federal healthcare program for the U.S. Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI). The role supports education, outreach, and training initiatives that strengthen program integrity across Medicare, Medicaid, and Marketplace programs. The SME provides expertise on emerging fraud schemes, regulatory changes, and CMS program integrity policies, and helps ensure educational content is current, accurate, and aligned with federal requirements. The position is remote, requires a Public Trust clearance, and has no travel requirements.
Requirements
- Bachelor's degree from an accredited college or university.
- At least three years of experience supporting Medicare, Medicaid, healthcare program integrity, fraud, waste, and abuse (FWA), or related healthcare compliance initiatives.
- Experience developing or reviewing educational, outreach, training, or technical materials supporting healthcare program integrity initiatives.
- Experience collaborating with CMS programs and federal, state, or contractor partners supporting CMS initiatives.
- Knowledge of CMS Program Integrity regulations, Medicare and Medicaid policies, and applicable federal guidance.
- Proficiency with Microsoft Office applications and collaboration tools, including SharePoint.
- Public Trust security clearance.
Nice To Haves
- Prior experience supporting CMS, HHS, or other federal healthcare agencies, particularly in healthcare program integrity, fraud prevention, investigations, compliance, or oversight activities.
Responsibilities
- Provide subject matter expertise on Medicare, Medicaid, Marketplace, and CMS Program Integrity initiatives related to fraud, waste, and abuse (FWA).
- Analyze emerging fraud schemes, regulatory changes, and program integrity trends to identify vulnerabilities and recommend education and outreach strategies.
- Develop, review, and update educational, outreach, and training materials to ensure alignment with current CMS guidance, policies, and regulations.
- Collaborate with project leadership, program stakeholders, and cross-functional teams to provide technical guidance and support program objectives.
- Review deliverables for technical accuracy, quality, consistency, and compliance with applicable CMS requirements.
- Interpret CMS policies, guidance, and regulatory changes and translate complex information into clear, actionable educational content.
- Support program staff by providing subject matter expertise on CMS Program Integrity policies, initiatives, and best practices.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
