Senior Healthcare Fraud Investigator

Virtual Vocations Inc

To support the DVA VHA in establishing a Fraud Rapid Response Center, the remote Senior Healthcare Fraud Investigator will lead case development by reviewing analytics-generated leads, preparing decision-ready referral packages, and collaborating with federal investigators to combat healthcare fraud, waste, and abuse. Key responsibilities: Review and validate fraud leads generated by analytics, including anomaly detection and network analysis Develop comprehensive healthcare fraud cases involving community care providers and suspicious billing patterns Prepare detailed referral packages for administrative actions, ensuring accurate documentation and evidence support Required qualifications: Bachelor's degree in a relevant field Active Public Trust Clearance 8+ years of federal healthcare program integrity and fraud investigations experience Working knowledge of healthcare fraud laws, including the False Claims Act and Anti-Kickback Statute Experience in developing case documentation and preparing investigative packages

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Vacancy posted 1 day ago

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