Federal Healthcare Program SME

A company is looking for a Federal Healthcare Program Subject Matter Expert (SME).

Key Responsibilities

Acts as a government healthcare business advisor and liaison to the Government and contracted staff

Applies knowledge of Medicare and Medicaid to define user needs, business processes, and application workflows

Analyzes processes and proposes functional business solutions to enhance program integrity and efficiency

Required Qualifications

Ability to obtain a U.S. Federal Position of Trust clearance designation

Bachelor's Degree or higher

5+ years of experience in Medicare and Medicaid business knowledge

Comprehensive knowledge of the HHS Code of Federal Regulations and the Medicare Program Integrity Manual (PIM)

5+ years of experience in the evaluation and administration of Federal Healthcare Programs