Role Description 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 role will 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. - 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 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 - Ability to comprehend and provide analysis of deliverables and related customer-facing materials - Ability to demonstrate sound judgment, attention to detail, and critical thinking - Ability to work independently Requirements - (5) years minimum experience supporting Medicare, Medicaid, or healthcare Program Integrity initiatives - Thorough understanding of CMS Program Integrity regulations, Medicare and Medicaid guidance, policy directives, and related federal requirements - Demonstrated expertise in CMS Program Integrity operations and policy Required Education - Bachelor’s degree Preferred Experience - Seven to ten years supporting CMS CPI initiatives - Five years reviewing policy and regulatory guidance Work Location / Schedule - Remote position

Role Description - Define test strategy, test approach, and detailed test plans aligned to project scope. - Lead and manage end-to-end testing activities (SIT, UAT, E2E, regression). - Oversee test execution ensuring coverage across functional, integration, and regression areas. - Manage test team activities: - Task allocation - Progress tracking - Mentoring and guidance - Review and approve: - Test cases - Test scenarios - Test data - Drive defect management lifecycle including triage, prioritization, and closure. - Provide status reporting & metrics (defect trends, execution status, risks). - Collaborate with stakeholders (BA, Dev, Client) for requirement clarity and delivery alignment. Company Description

• To address and handle high end cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution. • Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. • Handles high end cases with serious injuries and/or complex coverage scenarios. • Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization. • Identifies cases for settlements/redemptions. • Gathers/documents additional information and coordinates with client designees. • Requests legal/private investigation; assigns to and coordinates with local counsel; monitors local counsel performance. • Responds to plaintiff's counsel, union, employee, or client requests. • Identifies issues and formulates defense strategy. • Establishes/adjusts accrued liability and approves administrative expenses. • Identifies subrogation opportunities and manages process. • Attends and participates in mediations, trials, arbitrations or hearings as needed. • Works with partners to affect early return-to-work. • Caseload: 90-100 litigated files

Role Description IOM will hire a research consultant, who will assist IOM to conduct desk analysis and research design, collect and process primary data through key-informant interviews and interviews with migrants, and analyse findings in a final written report. The consultant will generate evidence-based insights into migration trajectories, drivers, and factors associated with onward movements within the EU, with a particular focus on Sweden as a destination. The consultant will undertake the following main deliverables: - Lead the research work and ensure timely deliverables of indicated tasks and close coordination with IOM during the whole period of research. - Using the IOM approved data collection tools, conduct desk-analysis, key informant-interviews with relevant stakeholders, and in-depth-interviews with migrants. - Draft and finalize final report based on obtained findings, including the results of desk-analysis and interviews. - Develop the final report in line with IOM brand guidelines. Qualifications - Advanced degree in social sciences, migration studies, or a related field. - Proven experience in conducting qualitative and quantitative research. - Strong analytical skills and ability to synthesize complex information. - Experience in migration-related research is an advantage. - Fluency in English; knowledge of Swedish or other EU languages is an asset. Requirements - Excellent communication and interpersonal skills. - Ability to work independently and as part of a team. - Strong organizational skills and attention to detail. - Commitment to IOM's values and principles. Benefits - Competitive salary and benefits package. - Opportunity to work in a dynamic and multicultural environment. - Professional development and training opportunities. Company Description Established in 1951, IOM is a Related Organization of the United Nations and the leading UN agency in the field of migration. Working closely with governmental, intergovernmental and non-governmental partners, IOM promotes humane and orderly migration for the benefit of all. - IOM saves lives and protects people on the move. - IOM drives solutions to displacement and facilitates pathways for regular migration. - IOM provides services and advice to governments and migrants. - IOM is committed to fostering a respectful, inclusive and supportive workplace.