Healthcare Fraud, Waste, and Abuse SME
Listed on 2026-09-23
-
Pharmaceutical
Public Health, Regulatory Compliance Specialist, Healthcare Compliance
Type of Requisition: Regular
Clearance Level Must Currently Possess: None
Clearance Level Must Be Able to Obtain: None
Public Trust/Other
Required:
None
Job Family: Program Instruction Support
Job Qualifications:Skills: Collaboration, Investigations, Planning, Presentations, Training and Development
Certifications: None
Experience: 5 + years of related experience
US Citizenship
Required:
No
Make meaningful contributions that fuel critical outcomes for some of the most complex government, defense, and intelligence projects. Join GDIT as a Healthcare Fraud, Waste and Abuse (FWA) Subject Matter Expert (SME) for a career where your growth is just as important as the mission you support.
As a Healthcare FWA SME, the work you’ll do at GDIT will be impactful to the mission of the Centers for Medicare & Medicaid Services (CMS). You will play a crucial role in supporting state Medicaid agencies’ program integrity efforts as a member of the Medicaid Integrity Institute (MII) team.
*** Work visa sponsorship will not be provided for this role.
MEANINGFUL WORK AND PERSONAL IMPACT:- Support MII as a FWA content expert and curriculum contributor to develop relevant, high-quality training materials for Medicaid program integrity professionals, including investigators, analysts, and auditors.
- Collaborate with Medicaid investigators and state program integrity staff to understand training needs, skill gaps, and the types of topics they want to learn more about.
- Drive training engagement by ensuring all materials are well-organized, accurate, and designed to support investigator development.
- Utilize your investigative skillset to research emerging FWA trends, recommend high‑value topics, develop presentation concepts, and draft slide decks that support MII’s mission to deliver practical, timely, and impactful training.
- Bachelor’s degree (BA/BS) in a related field
- Minimum of 5 years of relevant experience within healthcare program integrity, Medicaid operations, or investigative roles focused on fraud, waste, and abuse.
- Prior work with state Medicaid agencies or federal program integrity programs and experience developing training materials or presenting in educational settings.
- Demonstrated experience working with state Medicaid agencies, CMS, or other federal program integrity initiatives.
- Proven ability to develop training content, deliver presentations, or facilitate instruction for professional audiences.
- Familiarity with investigative tools, data sources, and methodologies commonly used in FWA detection and analysis.
- Knowledge of healthcare FWA concepts, schemes, trends, and investigative approaches.
- Strong communication and storytelling skills, with the ability to transform complex policy, regulatory, and investigative topics into clear, actionable training materials.
- Ability to collaborate effectively with subject matter experts, investigators, and state program integrity staff to identify needs and shape curriculum.
- At GDIT, the mission is our purpose, and our people are at the center of everything we do.
- Growth: AI‑powered career tool that identifies career steps and learning opportunities.
- Support:
An internal mobility team focused on helping you achieve your career goals. - Rewards:
Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off. - Flexibility:
Full‑flex work week to own your priorities at work and at home. - Community:
Award‑winning culture of innovation and a military‑friendly workplace.
Explore a career at GDIT and you’ll find endless opportunities to grow alongside colleagues who share your ambition to deliver your best work.
The likely salary range for this position is $89,250 -…
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).