Subject Matter Expert - Medicare/Medicaid FWA Training

USmax Corporation is seeking a Subject Matter Expert (SME) – Medicare/Medicaid Fraud, Waste, and Abuse (FWA) to join our growing team. In this role, you will provide subject matter expertise supporting 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).

As a member of the USmax team, you will collaborate with project leadership, program stakeholders, and subject matter experts to support the development of education, outreach, and training initiatives that strengthen healthcare program integrity across Medicare, Medicaid, and Marketplace programs. You will provide expertise on emerging fraud schemes, regulatory changes, and CMS program integrity policies while helping ensure educational content remains current, accurate, and aligned with federal requirements.

Prior Experience supporting CMS, HHS, or other federal healthcare agencies, particularly healthcare program integrity, fraud prevention, investigations, compliance, or oversight activities, is highly desirable.

Duties and 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.

Required Qualifications: 

• Bachelor's degree from an accredited college or university.
• Minimum of three (3) 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.

Security Clearance Requirements:

• Public Trust

Travel Requirements:

• None

Work Location / Schedule:

• Remote position

About USmax: 

USmax Corporation is an award-winning SBA Certified Woman-Owned Small Business and leading provider of innovative professional, technical and enterprise IT services. Our client areas span, national security, public safety and healthcare markets.  

Our Commitment to quality and continuous process improvement is demonstrated by our ISO 9001:2015, ISO 20000-1:2018, and ISO 27001:2013 registrations. We offer complete program life cycle support through a full range of planning, design, implementation, management, and support services. Our services based on trust, quality, efficiency, and innovation drive the mission of our various federal and commercial customers. 

USmax is certified by the Commonwealth of Virginia Department of Veterans Services as a Virginia Values Veterans (V3) Facility and certified as a V3 Certified Employer. USmax is an avid supporter of the men and women who have served our country. This certification recognizes this achievement and furthers our commitment to veterans and their families.  

USmax is an Equal Opportunity Employer.  Please see our website to learn more about our employment policies or to request accommodation to enable you to apply for employment.

For more information about USmax or to apply for a position, visit www.usmax.com.