Healthcare Fraud, Waste, and Abuse SME

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

Job Description:

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.

WHAT YOU’LL NEED TO SUCCEED:

• 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.

OWN YOUR OPPORTUNITY:

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 - $120,750. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

10-25%

Telecommuting Options:

Remote

Work Location:

Any Location / Remote

Additional Work Locations:

Total Rewards at GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

 

Our Identity Verification Process:

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.