Senior Healthcare Fraud Investigator
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Job Summary
To support 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 using analytics platforms
- Develop investigative case packages related to community care provider fraud and billing schemes
- Collaborate with VA stakeholders and program leadership to support operational reporting and briefings
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 related laws
- Ability to pass or maintain a Tier 2 / Moderate Background Investigation (MBI)
Complete Job Description
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