Is the Subject Matter Expert - Medicare/Medicaid FWA Training position at USmax Corporation fully remote?

Yes, this Subject Matter Expert - Medicare/Medicaid FWA Training position at USmax Corporation is a remote position. The role is available for candidates in United States.

Is this a full-time or part-time Subject Matter Expert - Medicare/Medicaid FWA Training role?

This is a full-time Subject Matter Expert - Medicare/Medicaid FWA Training position at USmax Corporation.

How do I apply for the Subject Matter Expert - Medicare/Medicaid FWA Training position at USmax Corporation?

You can apply for this Subject Matter Expert - Medicare/Medicaid FWA Training position by clicking the "Apply Now" button on this page, which will take you to USmax Corporation's application portal.

Remote Opportunity

Subject Matter Expert - Medicare/Medicaid FWA Training

Join USmax Corporation as a mid professional working remotely from United States. Explore the role, benefits, and apply in one place.

Subject Matter Expert - Medicare/Medicaid FWA Training

USmax Corporation

Full Time

$113k - $128.5k

2 months ago

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.

United States

Engineering

Mid

Medicare Knowledge

Program integrity

Educational content development

+5 more

Job Description

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. 

Skills

Medicare Knowledge

Program integrity

Educational content development

Regulatory analysis

Technical Writing

Medicaid Knowledge

Fraud Waste and Abuse (FWA)

CMS Policy Interpretation

Ready to Apply?

Join USmax Corporation today

Salary Range

$113k - $128.5k

Posted 2 months ago

More Engineering roles you might like

Discover similar opportunities from companies that are also hiring remotely.

Consultor Oracle Fusion SCM / PLM - Bilingüe Remoto

Towa

Full Time

17 hours ago

📍 Modalidad: Remoto | 🇲🇽 Vacante exclusiva para residentes mexicanos 🗣️ Inglés: Conversacional avanzado indispensable 🕐 Horario: 1:00 PM a 8:00 PM PST (horario de California) 💰 Esquema de contratación: Honorarios 🚀 Sobre la posición Buscamos una persona para la posición de Consultor(a)…

Mexico

Engineering

Backend Engineering

Senior

Oracle Fusion Cloud SCM

Supply Chain Management

Product Lifecycle Management

+5 more

Senior Webflow Developer

Brightscout

Full Time

17 hours ago

The Role As a Senior Webflow Developer at BRIGHTSCOUT , you will own the architecture and implementation of complex Webflow websites for B2B tech companies.

Argentina

Engineering

Backend Engineering

Senior

Webflow

HTML

CSS

+5 more

Assistant Team Leader - FCM After Hours

Flight Centre

Full Time

17 hours ago

  About the Opportunity Join Corporate After Hours and play a key leadership role supporting operational excellence across a 24/7 environment.   As an Assistant Team Leader, you'll work closely with Team Leaders to deliver exceptional service outcomes, support team performance, and foster…

Worldwide

Engineering

Backend Engineering

Mid

Leadership

Operational Excellence

Customer Service

+5 more

Explore more remote openings

Browse fresh listings from our global community of remote-friendly teams.

Appointment Setter (Telesales, Freelance, Remote)

In Marketing We Trust

Contract

16 hours ago

What In Marketing We Trust is all about We're a technical performance marketing agency, and we exist to solve tough problems in marketing. We bring an engineering mindset to complex marketing situations to deliver scalable performance that generates an exponential return on investment.

Australia

Sales

Account Executive

Mid

Telesales

Lead Qualification

Appointment-setting

+5 more

Appointment Setter (Telesales, Freelance, Remote)

In Marketing We Trust

Contract

16 hours ago

Australia

Sales

Account Executive

Mid

Telesales

Lead Qualification

Appointment-setting

+5 more

QA Analyst

Brightscout

Full Time

17 hours ago

The Role As a Quality Assurance Analyst at BRIGHTSCOUT, you will play a crucial role in ensuring the quality and flawless execution of our digital experiences—across both websites and applications.

Argentina

Data

Data Science

Mid

Quality Assurance

Functional Testing

Visual Testing

+5 more

Revenue Operations Specialist (Toronto, Canada)

Fortive

Full Time

17 hours ago

Revenue Operations Specialist Position Overview The Revenue Operations Specialist plays a key role in supporting Intelex's Quote-to-Cash (QTC) process by partnering with Sales, Renewals, Finance, Billing, Legal, and other cross-functional teams.

Canada

Operations

Mid

Revenue Operations

Sales Operations

Salesforce

+5 more

Sales Manager Filtration Africa & Nordics

Imerys

Full Time

17 hours ago

The Company Imerys is the world’s leading supplier of mineral-based specialty solutions for the industry with €3.4 billion in revenue and 12,300 employees in 40 countries in 2025.

France

Sales

Account Executive

Senior

Sales Management

Strategic Account Planning

Commercial negotiation

+5 more

Program Manager

Shuru Technologies Private Limited

Full Time

17 hours ago

This is a remote position. Shuru is a self-managed technology team specializing in accelerating visions through product, technology, and AI leadership. With a focus on bespoke execution, we deliver impactful solutions that are scalable and designed for success.

Worldwide

Operations

Mid

Scrum

Agile

Jira

+5 more

Candidate Manager, Fixed Term (6 months)

InstantScripts

Contract

AUD 70k - AUD 80k

17 hours ago

Company Description At InstantScripts, we believe healthcare should be accessible, flexible, and driven by excellence. As Australia's leading online medical services provider, we are reshaping how patients access care, and that starts with building an exceptional clinical workforce.

Australia

Engineering

Backend Engineering

Mid

Recruitment

Candidate Management

Credentialing

+5 more

DevOps Support Engineer

Buildkite

Full Time

17 hours ago

About Buildkite Buildkite's CI platform is trusted by the world's leading engineering teams, helping ship software used by more than 1 billion people every day.

United Kingdom

Ireland

Poland

Engineering

DevOps / SRE

Senior

Bash

Ruby on Rails

Golang

+5 more

Senior Customer Advocate (English & German)

Boldr

Full Time

17 hours ago

A LITTLE BIT ABOUT Boldr • Boldr is the first global B-Corp dedicated to delivering world-class Client experiences while creating access to dignified, meaningful work in communities worldwide. • We are a global team, united by our desire to connect diverse people with common values for boldr impact.

Mexico

Engineering

Backend Engineering

Mid

Customer Service

Email Support

Chat support

+5 more

Customer Support Specialist

Pearl Certification

Full Time

$55k - $65k

18 hours ago

About the role The Customer Support Specialist handles front line customer requests and the operational data work that keeps Pearl’s certification and reporting pipeline running.

United States

Customer Success

Customer Success Management

Entry

Customer Support

Data Processing

Ticket Management

+5 more

Sr. Technical Program Manager I (Remote Eligible in Bulgaria)

Smartsheet

Full Time

€38.5k - €47.25k

18 hours ago

For over 20 years, Smartsheet has empowered teams to manage work seamlessly and scale solutions smarter. Now, in our most ambitious chapter yet, we are uniting human teams with AI agents.

Worldwide

Operations

Senior

Program Management

Project Management

Change Management

+5 more

Ad Monetization Manager (Remote)

Mode Mobile

Full Time

18 hours ago

Who We Are ( Mode.Inc ) Mode.Inc is the parent company of a portfolio of technology businesses, including Mode Mobile, the creator of EarnOS, a transformational software platform that turns ordinary smartphones into "EarnPhones".

Worldwide

Engineering

Backend Engineering

Mid

Ad operations

Revenue Optimization

Data Analysis

+5 more