Subject Matter Expert

We're Hiring | Subject Matter Expert (SME) – Medical Billing & Healthcare Fraud, Waste & Abuse (FWA)
Islamabad, Pakistan (On-site / Hybrid)
Experience Required: 10+ Years (Mandatory)
We are seeking an experienced Subject Matter Expert (SME) with deep domain expertise in US Medical Billing, Healthcare Claims Auditing, and Fraud, Waste & Abuse (FWA) investigations to join our growing healthcare technology and payment integrity team.
This role is designed for a senior-level professional who brings both strategic insight and hands-on experience navigating complex US healthcare regulations, coding standards, and fraud detection frameworks. The ideal candidate will act as the bridge between clinical operations, compliance, and technical teams, ensuring accuracy, integrity, and regulatory alignment across our healthcare analytics and AI-driven solutions.
Key Responsibilities
• Design and refine advanced FWA detection logic and investigative models
• Analyze large-scale cl...

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