主题专家 - 医保/医疗补助FWA培训
Subject Matter Expert - Medicare/Medicaid FWA Training
USmax Corporation 正在寻找一位医疗补助/医疗保障欺诈、浪费和滥用（FWA）主题专家加入我们不断壮大的团队。在此职位中，您将提供专业领域知识，支持美国卫生与公众服务部（HHS）、医疗保障和医疗补助服务中心（CMS）、项目完整性中心（CPI）的联邦医疗保健计划。
作为 USmax 团队的一员，您将与项目领导、项目相关方和主题专家合作，支持开发教育、宣传和培训计划，以加强医疗保障、医疗补助和市场计划中的项目完整性。您将提供对新兴欺诈手段、法规变化和 CMS 项目完整性政策的专业见解，同时帮助确保教育内容保持最新、准确，并符合联邦要求。
具有支持 CMS、HHS 或其他联邦医疗保健机构的经验，特别是医疗保健项目完整性、欺诈预防、调查、合规或监督活动的经验，是非常理想的。
职责和工作内容：
- 提供与医疗保障、医疗补助、市场计划及 CMS 项目完整性相关的欺诈、浪费和滥用（FWA）倡议的专业知识。
- 分析新兴欺诈手段、法规变化和项目完整性趋势，识别潜在漏洞并推荐教育和宣传活动策略。
- 开发、审查和更新教育、宣传和培训材料，确保与当前 CMS 指导方针、政策和法规一致。
- 与项目领导、项目相关方和跨职能团队合作，提供技术指导并支持项目目标。
- 审查交付成果的技术准确性、质量、一致性以及符合适用的 CMS 要求。
- 解释 CMS 政策、指导方针和法规变化，并将复杂信息转化为清晰、可操作的教育内容。
- 通过提供 CMS 项目完整性政策、倡议和最佳实践的专业知识，支持项目人员。
- 完成其他指派的工作。
所需资格：
- 从认可的大学或学院获得学士学位。
- 至少三年支持医疗保障、医疗补助、医疗保健项目完整性、欺诈、浪费和滥用（FWA）或相关医疗保健合规项目的经验。
- 具有开发或审查教育、宣传材料的经验。
查看英文原文
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 .
Originally posted on Himalayas