Federal Health Care Program Subject Matter Expert (SME)

Description

Position Details:

Job Title: Federal Health Care Program Subject Matter Expert (SME) 

Job Type: Full-time

Location: Remote 

Dynanet Corporation Overview:

Dynanet started with a focus on IT infrastructure and operations, helping organizations enhance their networks and overcome the limitations of 1990s technology. From strengthening communication channels to introducing innovative ways to collaborate and share information, Dynanet played a crucial role in shaping the early stages of digital transformation. The company’s efforts helped organizations build the very fabric of connectivity that now powers our modern world. Over the last three decades, Dynanet has grown into a trusted partner for organizations looking to innovate boldly and transform seamlessly. While technology continues to evolve and unlock new opportunities, for nearly 30 years, Dynanet remains committed to delivering cutting-edge solutions that drive lasting change for its customers. Through agility, foresight, and an unwavering dedication to excellence, Dynanet continues to empower organizations to thrive in a rapidly changing digital landscape. Our story is more than just a story of technology – it’s a story of vision, growth, and transformation that has shaped the past and continues to pave the way for the future.

About the Role: 

The Federal Health Care Program Subject Matter Expert will serve as a government healthcare business advisor and liaison to the Government and contracted staff in all phases of the project. This role requires analyzing processes, proposing functional business solutions, and defining application requirements for Medicare, Medicaid, and other Federal Healthcare Programs. The SME will focus on achieving efficiencies through automation, modeling, best practices, and procedures while applying relationships, tasks, and resources for each process into the development lifecycle.

Requirements

Roles & Responsibilities:

• Serve as government healthcare business advisor and liaison to Government and contracted staff
• Support all phases of project with healthcare domain expertise
• Analyze existing processes and identify opportunities for improvement
• Propose functional business solutions aligned with federal healthcare program requirements
• Define detailed application requirements for Medicare, Medicaid, and other Federal Healthcare Programs
• Focus on achieving efficiencies through automation, modeling, and best practices
• Identify and apply relationships, tasks, and resources for each process
• Integrate healthcare business solutions into the development lifecycle
• Provide authoritative guidance on Medicare and Medicaid business knowledge
• Interpret and apply knowledge of HHS Code of Federal Regulations
• Reference and apply the Medicare Program Integrity Manual (PIM)
• Apply knowledge base to entities affiliated with federal healthcare programs
• Collaborate with technical and business teams to ensure compliance
• Communicate complex healthcare regulations and requirements clearly

Required Professional Skills:

• Working knowledge of federal healthcare regulations and workflows
• Extensive experience in evaluation, assessment, and administration of Federal Healthcare Programs
• Specific expertise in Medicare and Medicaid programs
• Comprehensive knowledge of the HHS Code of Federal Regulations
• Thorough understanding of the Medicare Program Integrity Manual (PIM)
• Ability to serve as an authority in Medicare and Medicaid business knowledge
• Capability to apply knowledge to entities affiliated with federal healthcare programs
• Exceptional oral communication skills
• Exceptional written communication skills
• Strong analytical and problem-solving abilities
• Experience defining functional requirements for technical systems

Preferred Professional Skills:

• Experience with CMS systems and projects
• Knowledge of healthcare interoperability standards
• Familiarity with API gateway implementations in healthcare
• Experience with healthcare data standards and compliance
• Understanding of healthcare privacy and security requirements (HIPAA)
• Background in healthcare IT modernization initiatives

Dynanet Team Requirements and Expectations:

• Possess Strong written and verbal communication skills.
• Highly organized with an ability to prioritize, balance, and effectively advance multiple competing priorities in a high-volume, fast-paced environment.
• Ability to interact in a professional and collaborative manner with fellow Dynanet Teammates and the clients, and business partners