Senior Healthcare Fraud Investigator
Job Summary
To support the DVA VHA in establishing a high-visibility Fraud Rapid Response Center, the remote Senior Healthcare Fraud Investigator will lead fraud case development by reviewing analytics-generated leads, preparing decision-ready referral packages, and collaborating with various stakeholders to enhance program integrity.
Key responsibilities:
- Review and validate fraud, waste, and abuse leads generated by analytics
- Develop potential healthcare fraud cases and prepare comprehensive referral packages
- Collaborate with OIC, VA OIG, and VHA stakeholders to support case development and program integrity activities
Required qualifications:
- Bachelor's degree in a relevant field
- Active Public Trust Clearance
- 8+ years of federal healthcare program integrity and fraud investigations experience
- Working knowledge of healthcare fraud laws and authorities
- Experience developing case documentation and preparing investigative packages
Complete Job Description
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