Job Opportunities API

Join us at Sparksoft, where we're not just another tech company—we're a catalyst for change. Our mission isn't just to offer IT solutions; it's to revolutionize the way you work. Here, passion isn't just a buzzword; it's the fuel behind groundbreaking ideas and transformative technologies. We serve a wide range of government clients, delivering impact that's felt across the nation. Our true strength lies in our people. They're the problem-solvers and innovators consistently delivering extraordinary outcomes. With Sparksoft, you're not stepping into a routine job; you're joining a team committed to innovation and excellence. Our innovation extends beyond just delivering projects. Through our specialized Innovation Centers, we continuously refine our methods, ensuring we remain industry leaders. We are Sparksoft! The Federal Healthcare Programs Subject Matter Expert (FHPSME) acts as a government healthcare business adviser to both the customer and the project team in all phases of the project. The FHPSME will work collaboratively with the product manager, product owners, business owners, program management team and the data and reporting services teams to deliver business value in support of the Centers for Medicare & Medicaid Services (CMS) in detecting and preventing fraud, waste, and abuse within government-sponsored health programs. The SME will identify emerging trends, recommend modernization opportunities, and help evolve APS capabilities to deliver measurable value, improve fraud detection, and support CMS's long-term program integrity objectives. ROLE & RESPONSIBILITIES:  Provide thought leadership on the future direction of CMS Program Integrity programs and APS capabilities. Monitor emerging industry trends, technologies, regulations, and best practices related to healthcare fraud detection and prevention. Advise CMS leadership on strategic investments, modernization opportunities, and program enhancements. Identify opportunities to expand APS capabilities and increase value delivered to CMS stakeholders. Serve as a liaison and trusted partner to CMS business and system owners and key stakeholders including other CMS systems groups and data vendors. Apply extensive federal healthcare program knowledge to provide analysis, solutions, and requirements for teams across all areas of the APS project Facilitate and participate in client-facing meetings with multiple levels of CMS leadership and end user groups, including requirement gathering sessions, project meetings, and training initiatives. Serve as a strategic advisor for the CMS Advanced Provider Screening (APS) program, providing expertise on system dependencies, relationships, and data flows across CMS systems. Provide subject matter expertise in Federal Fraud, Waste, and Abuse (FWA) prevention, detection, investigation, and enforcement. Interpret and apply HHS regulations, CMS policies, and the Medicare Program Integrity Manual (PIM) to support program integrity initiatives and business operations. Advise business and technical teams on compliance with federal healthcare regulations and CMS program integrity standards. Provide expertise in Medicare and Medicaid provider licensure verification and criminal background screening to support fraud, waste, and abuse (FWA) prevention and detection. Analyse and support CMS programs by applying functional expertise in business processes, system integrations, and data flows across APS, PECOS, UCM, FPS, and related CMS systems. Analyse federal and industry data sources, including SSA, Treasury, State Medical Boards, Department of Justice, HRSA, Board Certification, and State Medical Boards, to support provider screening, sanctions, and fraud, waste, and abuse (FWA) detection activities. Support the development of business rules, analytical models, and requirements to strengthen FWA prevention and detection efforts. Provide guid