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 program integrity support for the VHA Fraud Rapid Response Center.
Key responsibilities:
- Review and validate fraud, waste, and abuse leads using analytics platforms
- Develop investigative case packages related to healthcare provider fraud and billing schemes
- Collaborate with VA stakeholders to support briefings 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 and related healthcare laws
- Ability to pass or maintain a Tier 2 / Moderate Background Investigation (MBI)
Complete Job Description
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