Senior Healthcare Fraud Investigator
Job Summary
Leading healthcare fraud prevention initiatives, the remote Senior Healthcare Fraud Investigator will develop case documentation, validate provider risk indicators, and prepare decision-ready packages to support oversight of federal healthcare programs serving Veterans.
Key responsibilities
- Review and validate anomalies and provider risk indicators generated through advanced analytics
- Develop healthcare fraud, waste, and abuse case documentation and referral packages
- Prepare weekly decision-ready case packages containing findings and recommendations
Required qualifications
- 8+ years of experience in federal healthcare fraud investigations or program integrity
- Working knowledge of healthcare fraud regulations such as the False Claims Act and Anti-Kickback Statute
- Bachelor's degree in a relevant field
- Ability to pass or currently hold a Tier 2 / Moderate Background Investigation (MBI)
- Strong analytical and investigative skills
Complete Job Description
The complete job description is available to members. Premium membership includes:
Full access to 42,491 remote jobs from human-vetted companies, updated daily
Resume Builder - AI-powered tool to craft, enhance, and tailor your resume to a specific job
Twice-monthly live group coaching and the full Remote Career Center
20% member discount on Career Services
Backed by a 30-day money-back guarantee
Company Company Name
Headquarters Headquarters
Founded Founded
Website
The company description is available to members. Go Premium for full access to every job and company profile in our remote jobs database, backed by a 30-day money-back guarantee.
