Healthcare Fraud, Waste, and Abuse SME [Remote]

Public Trust: None

Requisition Type: Regular

Your Impact

Own your opportunity to be on the frontlines of health innovation. Deliver for America’s health agency missions and enhance lives for hundreds of millions every day.

Job 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). 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.

GDIT IS YOUR PLACE:

• 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.

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.

Work Requirements

Years of Experience

5 + years of related experience

* may vary based on technical training, certification(s), or degree

Certification

Travel Required

10-25%