Senior Healthcare Fraud Investigator
Job Summary
Supporting the Department of Veterans Affairs, the remote Senior Healthcare Fraud Investigator will manage healthcare fraud lead development, case analysis, and referral package development while ensuring program integrity for the VHA Fraud Rapid Response Center.
Key responsibilities:
- Review and validate fraud, waste, and abuse leads generated through analytics platforms
- Develop investigative case packages related to community care provider fraud and coordinated billing schemes
- Collaborate with VA stakeholders to support briefings, white papers, and operational reporting
Required qualifications:
- Bachelor's degree in a relevant field
- 8+ years of experience in federal healthcare program integrity and fraud investigations
- Experience with Medicare, Medicaid, or VHA healthcare programs
- Working knowledge of the False Claims Act, Anti-Kickback Statute, and Stark Law
- Ability to pass or maintain a Tier 2 / Moderate Background Investigation (MBI)
Complete Job Description
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