Healthcare Fraud, Waste, and Abuse SME

General Dynamics
United States
Workplace: RemoteFull timeUSD 89,250 - 120,750 annuallyFunction: Healthcare (Clinical, Medical, Wellness)Experience: 5+ yearsEducation: bachelorsSkills: ["Collaboration","Planning","Presentations","Training and development","Communication","Storytelling"]

Serve as a Healthcare Fraud, Waste, and Abuse (FWA) subject matter expert for the Medicaid Integrity Institute (MII), supporting state Medicaid agencies’ program integrity efforts for CMS. Develop and contribute to high-quality FWA training curriculum and materials, collaborate with investigators to identify training needs, and translate emerging FWA trends into accurate, well-organized content and presentation slide decks. Facilitate investigator development through practical, timely training.

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General Dynamics
General Dynamics
34 minutes ago

Healthcare Fraud, Waste, and Abuse SME

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Last checked: 34 minutes agoStatus: Live

Job Summary

Serve as a Healthcare Fraud, Waste, and Abuse (FWA) subject matter expert for the Medicaid Integrity Institute (MII), supporting state Medicaid agencies’ program integrity efforts for CMS. Develop and contribute to high-quality FWA training curriculum and materials, collaborate with investigators to identify training needs, and translate emerging FWA trends into accurate, well-organized content and presentation slide decks. Facilitate investigator development through practical, timely training.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)
Seniority: Mid level

Key Responsibilities

  • •Support MII as an FWA content expert and curriculum contributor by developing training materials for Medicaid program integrity professionals.
  • •Collaborate with Medicaid investigators and state program integrity staff to assess training needs, skill gaps, and topic priorities.
  • •Ensure training materials are accurate, well-organized, and designed to support investigator development.
  • •Research emerging FWA trends, recommend high-value topics, and draft slide decks aligned with MII’s mission.
  • •Transform complex policy, regulatory, and investigative topics into clear, actionable training content.
Travel: Medium travel

Pay and Benefits

Salary: USD 89,250 - 120,750 annually
Perks:Health InsuranceDentalVision401kPaid Leave

Key Requirements

  • •Bachelor’s degree (BA/BS) in a related field.
  • •Minimum 5 years of relevant experience in healthcare program integrity, Medicaid operations, or investigative roles focused on fraud, waste, and abuse.
  • •Experience working with state Medicaid agencies or federal program integrity programs, including developing training materials or presenting in educational settings.
  • •Demonstrated ability to develop training content and facilitate instruction for professional audiences.
  • •Familiarity with investigative tools, data sources, and methodologies used in FWA detection and analysis.
Experience:5+ yearsHealthcareMedicaidProgram integrity
Education:Bachelor's
Skills:CollaborationPlanningPresentationsTraining and developmentCommunicationStorytelling

Company Brief

General Dynamics
Provides IT, systems engineering, cybersecurity, cloud, and mission support services to U.S. federal civilian and defense agencies, delivering large-scale technology solutions and managed services for national security and government operations.
Industry: Defense Technology
Company Size: Enterprise (1,001+ employees)
Growth: Established Company
Headquarters: Tysons / Fairfax, United States
WebsiteLinkedIn