# Healthcare Fraud, Waste and Abuse Subject Matter Expert

**Company**: GDIT
**Location**: Any Location / Remote
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: $153,000 - $207,000
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://gdit.wd5.myworkdayjobs.com/en-US/External_Career_Site/job/Any-Location--Remote/Healthcare-Fraud-SME_RQ230654?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_635ac2a2-33e

## Description

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).

**Responsibilities:**

- Leading efforts of technical tasks to completion independently and as part of a team.

- Leading efforts to analyze claims data and reviews Federal and State Medicaid law, regulation, and policy.

- Developing data-driven solutions to business challenges of advanced scope/complexity.

- Collaborating with predictive modeling teams to increase and optimize customer experiences, efficiencies, process improvements, and other business outcomes.

- Identifying opportunities for leveraging Medicare and Medicaid data to drive insightful business solutions.

- Presenting findings to a range of audiences (technical/non-technical) and to various levels of leadership.

- Effectively communicating with team members while working remotely.

**Requirements:**

- Bachelor’s degree (BA/BS) in a related field.

- Minimum of 15 years of relevant experience in Medicaid investigative roles focused on fraud, waste, and abuse.

- 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.

- Ability to communicate complex fraud-related findings in a clear, concise way that enables quick action.

- Team-oriented outlook to facilitate collaboration across a cross-functional team of data scientists, clinicians, and other FWA SMEs.

**Benefits:**

- Comprehensive benefits and wellness packages.

- 401K with company match.

- Competitive pay and paid time off.

- Full-flex work week to own your priorities at work and at home.

- Award-winning culture of innovation and a military-friendly workplace.

The likely salary range for this position is $153,000 - $207,000.

## Skills

### Required
- Fraud Analytics
- Leadership
- Medicaid
- Medicare
- Collaboration

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Source: [Apply at gdit.wd5.myworkdayjobs.com](https://gdit.wd5.myworkdayjobs.com/en-US/External_Career_Site/job/Any-Location--Remote/Healthcare-Fraud-SME_RQ230654?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)