Medicare/Medicaid Program Integrity Advisor

Remote•Remote

Full-timeRemoteUSD 110,000 - 140,000remotejobsorg

Legalremotejobs.org

About this role

USmax is seeking a Medicare/Medicaid Program Integrity Advisor for the U.S. Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS), and the Center for Program Integrity (CPI). This rolewill support events, e-learning curriculum, and course development. This includes developing and updating educational and outreach materials (courses, tools, fact sheets, etc.) for fraud, waste, and abuse (FWA), and analyzing and identifying education and outreach opportunities to address vulnerabilities and known fraud schemes within CMS programs. The Medicare/Medicaid Program Integrity (PI) Advisor will ensure quality and compliance with current CMS guidance and regulations. Duties and Responsibilities:

Perform a thorough review of peer submissions to ensure submission quality and compliance with current CMS guidance and regulations
Serve as the Program Integrity subject matter expert and provide guidance on CMS PI-related questions and initiatives
Stay current with emerging CMS PI guidance, industry expectations, and standards, and demonstrate the ability to translate these into educational materials for CPI stakeholders
Research and interpret CMS regulations, guidance, manuals, and policy updates
Provide expert consultation regarding Program Integrity initiatives
Review educational content for technical accuracy
Identify emerging fraud schemes and vulnerabilities
Recommend outreach and training strategies
Participate in stakeholder meetings and workgroups
Support development of fact sheets, toolkits, webinars, and training products
Other duties as assigned Required Qualifications:
Proficient in Microsoft Office Applications (Microsoft Outlook, Word, Excel, PowerPoint, and SharePoint); advanced knowledge of Excel formulas preferred
Excellent verbal and written communication and presentation skills
Ability to proactively anticipate project needs, support project strategy and implementation
Organized, detail-oriented, self-motivated, efficient, flexible, and able to meet deadlines
Experience executing in a high-paced, evolving environment with short deadlines

Posting details

Remote

Yes

Employment type

Full-time

Workplace type

Remote

Source

remotejobsorg

First seen

9/27/2026, 8:10:25 PM

Last seen

9/27/2026, 8:10:25 PM