Senior Consultant, Federal Healthcare Fraud, Waste, and Abuse Forensics & Investigations
$95.6k - $188.4kDeloitte
Position Summary Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and an evolving regulatory environment into defensible actions that strengthen, protect, and transform their organization. Join our team and use advanced data, AI, and emerging technologies with industry insights to help clients bring clarity from complexity and accelerate their path to value creation.Recruiting for this role ends 10/30/2026Work You’ll DoAs a Senior Consultant, Forensics and Investigations, you will work with a cross disciplinary team to deploy a fraud detection accelerator for a large federal health care program.Key Responsibilities:Analyze health insurance claims data, open source, and public information to identify new and emerging fraud schemes and identify suspicious billing patterns or other activities indicative of potentially fraudulent behavior.Conduct analysis of open source and public information to identify sources of identity theft.Perform proactive referral generation based on external data, such as government furnished reports and open source information, such as social media. Develop fraud referrals for presentation to the client, law enforcement, and other government agencies. Identify public health insurance program vulnerabilities through data analytics and open-source information.The successful candidate would possess these skills:Ability to work independently and collaborate as part of a teamEffective written and verbal communication skillsMeticulous attention to detail and quality of work productAbility to build and sustain professional relationships Ability to lead projects or workstreamsAbility to manage and prioritize multiple tasks in a fast-paced and dynamic environmentStrong interpersonal skills and professional demeanor Ability to meet deadlinesAbility to provide clear guidance to othersThe TeamDeloitte’s Government & Public Services (GPS) practice – our people, ideas, technology and outcomes – is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.Our Forensic, Discovery, & Financial Crime offering provides services to support anti-money laundering, discovery, business disputes and investigations. Protect brands from financial crime and other corporate misconduct, as well as enable government organizations with tradecraft & technology to combat emerging and evolving threats.QualificationsRequired: Bachelor’s degree3+ years of experience in healthcare fraud and/or program integrity3+ years of experience supporting programs identifying and mitigating fraud, waste, or abuse. Ability to travel 5-25%, on average, based on the work you do and the clients and industries/sectors you serveMust be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the futurePreferred: Experience presenting to clients or other decision makers to represent and articulate ideas to various audiences (technical and non-technical)Excellent written communication skills, including experience drafting findings or referral documentationAbility to synthesize open-source and public information into actionable insightsExperience in healthcare policy, program integrity, or regulatory compliance domainsThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $95,600 to $188,400.You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. Deloitte is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to participate in the recruiting process, please direct your inquiries to the Global Call Center (GCC) at View email address on click.appcast.io. Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters. Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you. Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ways of thinking, ideas, and perspectives, and bring more creativity and innovation to help solve our clients' most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte’s purpose is to make an impact that matters for our people, clients, and communities. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. Learn more. Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career. As used in this posting, "Deloitte" means Deloitte Transactions and Business Analytics LLP, a subsidiary of Deloitte LLP. Please see for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law. Qualified applicants with criminal histories, including arrest or conviction records, will be considered for employment in accordance with the requirements of applicable state and local laws, including the Los Angeles County Fair Chance Ordinance for Employers, City of Los Angeles’s Fair Chance Initiative for Hiring Ordinance, San Francisco Fair Chance Ordinance, and the California Fair Chance Act. See notices of various fair chance hiring and ban-the-box laws where available. Fair Chance Hiring and Ban-the-Box Notices | Deloitte US Careers Requisition code: 366114 Job ID 366114 Risk, Compliance, and Governance | Forensics and InvestigationsSame job available in 18 locations
$95.6k - $188.4k
...Regulatory, Risk & Forensic team helps client... ...You’ll DoAs a Senior Consultant, Forensics and Investigations, you will support... ...identify potential fraud, waste, and abuse... ...impact. Serving federal, state, & local government... ...criteriaExperience in healthcare policy, program integrity...SeniorFraudLocal area- Medica is seeking an experienced SIU Investigator IV to lead complex fraud, waste, and abuse investigations involving members, providers, and employees. The role also covers onsite audits, collaboration with legal and law enforcement, and guiding investigative processes...SeniorFraudWork at office
- Medica in Minnetonka, MN is seeking an SIU Investigator IV to lead advanced fraud, waste, and abuse investigations involving members, providers, and employees. You will manage complex cases, review evidence from multiple sources, and guide actions that support legal or...SeniorFraud
- Medica is seeking an SIU Investigator III to join our Minnetonka, MN office. This onsite role conducts complex fraud, waste and abuse investigations, performs onsite audits and provider reviews, and collaborates with Legal, Regulatory, and law enforcement partners to advance...SeniorFraudWork at office
- Medica in Minnetonka, MN is seeking an SIU Investigator III to lead complex investigations into fraud, waste, and abuse involving members, providers, and employees. You will work with legal teams and regulatory agencies, perform on-site audits, analyze evidence, and prepare...SeniorFraudWork at office
$91.1k - $179.5k
...Regulatory, Risk & Forensic team helps client leaders... ...mission to reduce fraud, waste, and abuse within programs by... ...for impact. Serving federal, state, & local government... ...the detection or investigation of fraud, waste, and... ...-level employees to senior leaders, we believe...FraudWork at officeLocal area$24 - $43 per hour
...Coding Consultant Optum is a global organization that delivers care... ...Consultant is responsible for investigating and resolving instances of healthcare fraud and abuse of medical providers. Coding Consultant... ...protected by local, state, or federal laws, rules, or regulations....FraudHourly payMinimum wageFull timeWork experience placementLocal areaRemote workMonday to FridayWeekend work$72.7k
...maintaining an anti-fraud program which... ...responsible for conducting investigations of organizational... ...alleged fraud, waste and abuse perpetrated by... ...to various federal, state and local... ...'s Degree Fraud, Forensics Accounting, Business... ...industry and/or Healthcare fraud investigations...SeniorFraudContract workFor contractorsWork at officeLocal area$70k - $130k
...DescriptionWhat is the opportunity?As the Senior AML Analyst: Surveillance & Investigations you will support the US WM AML... ...provide advice regarding market abuse of low-priced and/or thinly traded... ...Thinking, Communication, Fraud Management, Fraud Risk Management,...SeniorFraudFull timeFlexible hours$140.3k - $210.5k
...Workday to our customers! The Workday Healthcare Consulting team is an industry focused team that... ...Professional Services Healthcare Senior Consultant will be responsible for ensuring... ...privacy right, or cooperating in an investigation in accordance with applicable law....SeniorFull timeWork at officeRemote workHome officeFlexible hours$106.4k - $159.6k
...is a global leader in healthcare technology with a Mission... ...) Operating Units.The Senior Mechanical Design... ...improvements.Conduct technical investigations and contribute to root... .... Recruitment Fraud AlertWe are aware of phishing... ...rate complies with federal and local regulations...SeniorFraudFull timeWork experience placementH1bWork at officeLocal areaImmediate startWorldwideFlexible hours$105.6k - $158.4k
...Senior R&D Engineer Careers that change lives start... ...is a global leader in healthcare technology with a... ...Design studies to investigate specific life science... ...employment. Recruitment Fraud Alert We are aware... ...offered rate complies with federal and local regulations...SeniorFraudH1bWork at officeLocal areaImmediate startFlexible hours$50k
...of service. Staffing Consultant Pay : $50,000 plus incentive... ...ensure employee retention. Investigate allegations of sexual harassment... ..., wrongful terminations, and fraud. Assess clients' needs,... ...awareness of local, state, and federal laws pertaining to employment...SeniorFraudFull timeWork at officeLocal areaShift workWeekday work$156.8k - $235.2k
...is a global leader in healthcare technology with a Mission... ...LifeThe HR Analytics Consultant will be responsible... ...will work closely with Senior HR leaders, business stakeholders... .... Recruitment Fraud AlertWe are aware of... ...rate complies with federal and local regulations...FraudFull timeH1bWork at officeLocal areaImmediate startFlexible hours$135.9k - $159.9k
Are you ready to make an impact?As a Senior Consultant in the Healthcare and Life Sciences - Mergers & Acquisitions practice at West Monroe, you will... ...status, or any other characteristic prohibited by federal, state or local law. To learn more about diversity, equity...SeniorLocal areaImmediate startFlexible hours$127.1k - $149.5k
Are you ready to make an impact?West Monroe is seeking a Senior Consultant to join the Healthcare Practice team. Our team partners with health plans and... ...status, or any other characteristic prohibited by federal, state or local law. To learn more about diversity, equity...SeniorLocal areaImmediate startFlexible hours$144.8k - $217.2k
...is a global leader in healthcare technology with a Mission... ...partners with senior business leaders to identify... ...an Executive Search Consultant, you will lead executive... .... Recruitment Fraud AlertWe are aware of phishing... ...rate complies with federal and local regulations...FraudFull timeH1bWork at officeLocal areaImmediate startRemote workFlexible hours- ...Eligibility After Five Years of ServiceRyan is growing our Federal Income Tax Consulting practice—focused on Accounting for Income Taxes (ASC 740)—... .... We’re seeking exceptional professionals at the Manager, Senior Consultant and/or Consultant levels who are currently...SeniorFull timeFlexible hours
- ...Senior EngineerJoin our team as a Senior Engineer and take a lead in building tools to aid fraud analysts and investigators to help mitigate fraud & abuse seen in both Target stores and online. In this role... ...compliance with state and federal laws, Target will make reasonable...SeniorFraudFlexible hours
$191.2k - $286.8k
...global leader in healthcare technology with a... ...legal and compliance consult will include but... ...litigation, investigations, and voluntary disclosures... ...particularly to senior leadersAbility to... ...compliant with federal/local regulations... .... Recruitment Fraud AlertWe are aware...SeniorFraudFull timeH1bWork at officeLocal areaImmediate startWorldwideFlexible hours- ...world's leading companies plan, decide and act. As a core Senior Solution Consultant, you will join our presales team supporting some of our largest... ...employment. Please contact us to request accommodation. Fraud Recruitment DisclaimerIt has come to our attention that...SeniorFraud
$152.8k - $229.2k
...Medtronic is a global leader in healthcare technology with a Mission to... ...impact.A Day in the LifeThe Senior Principal Process Engineer... ...of employment. Recruitment Fraud AlertWe are aware of phishing... ...The offered rate complies with federal and local regulations and may...SeniorFraudFull timeH1bWork at officeLocal areaImmediate startRemote workFlexible hours$70.2k - $120.4k
...feels valued. The SIU Investigator IV leads advanced... ...investigations into suspected fraud, waste, and abuse involving members,... ...through expert consultation and direction.... ...Fraud Examiner (CFE) Healthcare, health plan or provider... ...rights pursuant to federal employment laws. For...FraudWork experience placementWork at office3 days per week$176.8k - $265.2k
...is a global leader in healthcare technology with a Mission... ...patient outcomes. The Senior Principal Electrical... .... Lead root-cause investigations, debug complex hardware... ...employment. Recruitment Fraud AlertWe are aware of... ...offered rate complies with federal and local regulations...SeniorFraudFull timeH1bWork at officeLocal areaImmediate startRemote workFlexible hours$62.7k - $107.5k
...valued. The Special Investigation Unit (SIU)... ...investigations into suspected fraud, waste, and abuse involving members,... ...Partners Consult with internal legal... ...justice, criminology, healthcare administration or related... ...enforcement at the state or federal level, criminal case...FraudWork experience placementWork at office3 days per week$24 - $43 per hour
...responsible to investigate, review and provide... ...the client. The Senior Recovery... ...Director/physician consultations, interpretation of state and federal mandates, applicable... ..., evidence of fraud, waste or abuse, and recommends... ...Bachelor's degree ~ Healthcare claims...FraudHourly payMinimum wageFull timeContract workWork experience placementLocal areaRemote work$140k - $210k
...Medtronic is a global leader in healthcare technology with a Mission to... ..., and team collaboration.The Senior Business Product Owner owns... ...of employment. Recruitment Fraud AlertWe are aware of phishing... ...The offered rate complies with federal and local regulations and may...SeniorFraudFull timeContract workH1bWork at officeLocal areaImmediate startRemote workFlexible hours- ...to be recognized by Modern Healthcare as one of 2023’s Top Diversity... ...of infectious and solid waste, moves, set-ups, used equipment... ...assessment, drug screen, background investigation, and compliance with the U.S... ...protected under applicable federal, state, or local law. Job...Full timePart timeLocal areaShift workNight shiftWeekend work
$88k - $132k
...Senior Financial Analyst Careers that change lives start here... ...Medtronic is a global leader in healthcare technology with a Mission to... ...employment. Recruitment Fraud Alert We are aware of phishing... ...offered rate complies with federal and local regulations and may...SeniorFraudH1bWork at officeLocal areaImmediate startFlexible hours$70.1k - $126.2k
...inquiries from state and federal regulatory agencies Manage... ...related to non compliance and fraud waste and abuse. Convene leaders from key... ...regard to identifying, investigating and corrective actions for... ...your skills while making healthcare more accessible and effective...SeniorFraudFull timeContract workPart timeInterim roleH1bWork at officeRemote workFlexible hours
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