Senior Consultant, Federal Healthcare Policy 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 support the client by researching and interpreting relevant regulations, policies, and program rules that inform detection strategies and analytic products. You will reviews policy guidance, open-source resources, and public information to identify vulnerabilities, ensures analytic and rules-based detection logic reflects current policy requirements, and connects findings to broader program integrity concerns. You will also partners with Analytics / Rules Engineers and Data Scientists to translate policy and regulatory requirements into detection criteria, and supports the development of referrals and findings for further investigation by appropriate agencies or stakeholders. Key Responsibilities:Research and interpret relevant regulations, policies, and program rules affecting detection strategiesReview open-source resources and public information to identify potential fraud, waste, and abuse vulnerabilitiesTranslate policy and regulatory requirements into detection criteria for Analytics / Rules EngineersSupport development of referrals and documented findings for further investigationConnect specific findings to broader program integrity vulnerabilities and trendsMonitor policy and regulatory changes and assess their impact on existing detection logicDocument policy research, findings, and rationale per SOPsParticipate in stand-ups, sprint planning, and reviews within the SAFe Agile teamThe 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 utilizing research and analytical skills to interpret regulations or policy documents3+ 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: Strong research and analytical skills, with experience interpreting regulations or policy documentsExcellent written communication skills, including experience drafting findings or referral documentationAbility to synthesize open-source and public information into actionable insightsExperience collaborating with technical teams to translate policy into detection criteriaExperience in healthcare policy, program integrity, or regulatory compliance domainsFamiliarity with fraud, waste, and abuse detection methodsThe 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: 366084 Job ID 366084 Risk, Compliance, and Governance | Forensics and InvestigationsSame job available in 18 locations
$95.6k - $188.4k
...Regulatory, Risk & Forensic team helps client... ...Work You’ll DoAs a Senior Consultant, Forensics and Investigations, you will work... ...accelerator for a large federal health care... ...of experience in healthcare fraud and/or program... ...insightsExperience in healthcare policy, program integrity...SeniorPolicyLocal area- ...regularAbout This OpportunityIn this Senior-level role, you will provide... .... The Senior Building Envelope Consultant will lead team efforts on forensic investigations, behavior evaluations, condition... ...constitutes acceptance of this policy. External recruiters interested...SeniorPolicyFull timeContract workTemporary workLocal areaFlexible 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 Commercial Auto & General Liability Claims... ...construction, manufacturing and healthcare. Ranked as one of the... ...quality investigation and analysis to adjust... ...commercial insurance policies and accordingly communicate... ...characteristic under applicable federal, state, or local laws....SeniorPolicyFor contractorsFor subcontractorWork at officeLocal areaFlexible hoursNight shift2 days per week
- ...answers that help healthcare providers,... ...Labcorp is seeking a Senior Laboratory Manager... ...timely manner by consulting with the Medical... ...corporate, state and federal regulatory... ...departmental communication Investigate deviations from... ...as well as policies and procedures Experience...SeniorPolicyTemporary workCasual workInternshipMonday to FridayFlexible hoursShift work
- ...answers that help healthcare providers,... ...Labcorp is seeking a Senior Laboratory Manager... ...timely manner by consulting with the Medical... ...corporate, state and federal regulatory... ...departmental communication Investigate deviations from... ...as well as policies and procedures Experience...SeniorPolicyTemporary workCasual workInternshipMonday to FridayFlexible hoursShift work
- ...Job Description Senior Auditor... ...data analysis, forensic investigations, financial damages... ...transactions. - Analyze healthcare claims and other... ..., litigation consulting, and/or health care... ...applicable policies required to support... ...of State/Federal Holidays Contact...SeniorPolicyFull timeFlexible hours
$85k - $105k
...late again". For this Senior Clinical Quality and... ...through proactive healthcare while working with cutting... ...& Patient Advocacy Investigate & Resolve: Process... ...have a flexible vacation policy and we will encourage... ...compliance to applicable federal, provincial, and state...SeniorPolicyImmediate startRemote workFlexible hours$110.7k - $218.3k
...Recruiting for this role ends on 10/31/2026. Work you’ll do As a Senior Consultant on the SAP team, you will support clients across the solution... ...and provide recommendations related to operating models, policy alignment, compliance controls, tax and value-added tax considerations...SeniorPolicyLocal area$25 - $26 per hour
...provides responsive, accurate, and compassionate support to healthcare providers and clients regarding claims, billing, and... ...or next step. • Use multiple systems, resources, policies, and workflows to investigate billing, claim, and payment-status questions rather than...PolicyContract workTemporary workImmediate start$124k - $280k
...OpportunityAs an AML and Sanctions - Fenergo Principle Product Consultant - Senior Manager, you will leverage data and analytics to provide... ...the H-1B lottery, except as set forth within the following policy: more about how we work: only those qualified applicants that...SeniorPolicyFull timeH1b- ...Hybrid role. Inovalon's current policy is in the office a min. of... ...more** Overview: The Senior Legal Counsel will provide legal... ...involving a broad range of healthcare entities, including... ...pending subpoenas, litigation and investigations; Provide leadership in...SeniorPolicyH1bWork at office
$118.28k - $212.87k
...is currently seeking a Senior Associate in Technology for our Consulting practice. Responsibilities... ..., HITRUST, and other healthcare data security... ...complies with all applicable federal, state and local laws... ...abilities to adhere to company policies, exercise sound...SeniorPolicyH1bLocal area$77.7k - $146.9k
...s nowhere like RSM.As a senior associate in RSM’s growing Healthcare Risk and Controls Practice... ....RSM’s Health Care Risk Consulting Group performs process... ...on foundational industry policies, procedures, and work-... ...protected under applicable federal, state or local law....SeniorPolicyFull timeWork experience placementInternshipLocal areaRemote work- ...Senior Procurement SpecialistWhy choose between doing meaningful work and having... ...fields as diverse as cybersecurity, healthcare, aviation, defense, and enterprise... ...ensuring compliance with MITRE's Corporate Policies and Practices and Federal Acquisition Regulations in all...SeniorPolicyContract workWork experience placementInternshipLocal areaImmediate start3 days per week
- ...everything. Our strength in healthcare innovation empowers us to... ...searching for the best talent for Senior Sales Consultant to support clients in... ...efforts consistent with company policies and procedures. Handles and... ...protected by federal, state or local law. We actively...SeniorPolicyFull timeLocal areaWorldwideRelocationNight shift
- ...to-date patient medical records in accordance with agency policies and state/federal regulations. · Coordinate with physicians’ offices and... ...school diploma or equivalent required; associate degree or healthcare-related certification preferred. · Minimum 2 years of administrative...PolicyReliefWork at officeLocal area
$61k - $72k
...the Role We are looking for an experienced, hands‑on Senior Business Travel Consultant passionate about people and about making an impact. Our... ...Rest assured that you’re covered by life and disability policies from your start date, with options to add extra...SeniorPolicyContract workFixed term contractWork at officeRemote workWorldwideRelocation packageFlexible hoursShift workWeekend work3 days per week- ...Position Summary The Senior Human Resources Generalist is a... ...This role promotes AMIkids’ policies, procedures, and practices while... ...ensuring compliance with federal and state employment regulations... ...relations issues, including investigations, grievances, conflict...SeniorPolicyFull timeLocal area
$106.9k - $147k
...our caring community The Senior Software Engineer codes software... ...personal wellness and smart healthcare decisions for you and your... ...Opportunity Employer It is the policy of Humana not to discriminate... ...complies with all applicable federal civil rights laws and does...SeniorPolicyBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$128.3k - $176.4k
...our caring community The Senior Software Engineer codes software... ...systems, FHIR standards, or healthcare AI applications... ...Opportunity Employer It is the policy of Humana not to discriminate... ...complies with all applicable federal civil rights laws and does not...SeniorPolicyFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$106.9k - $147k
...our caring community The Senior Cloud Solutions Engineer participates... ...personal wellness and smart healthcare decisions for you and your... ...Employer It is the policy of Humana not to discriminate... ...complies with all applicable federal civil rights laws and does not...SeniorPolicyFull timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome office$2,909.36 per month
...Working Title: 68064738 - SENIOR ATTORNEY Pay Plan:... ...agency procedures, policies, and applicable laws.... ...administrative rules, federal regulations, and departmental... ...Serve as an internal consultant to agency personnel... ...and Federal Bureau of Investigation (FBI) and may include...SeniorPolicyWork at officeLocal areaFlexible hours$117.6k - $161.7k
...shaping the future of healthcare through AI excellence. We are seeking a Senior Data Scientist who will... ...scientists, engineers, policy experts, and business leaders... ...related field. Prior consulting experience Additional... ...with all applicable federal civil rights laws and does...SeniorPolicyFull timeTemporary workApprenticeshipWork at officeRemote work2 days per week3 days per week- ...understanding of the consulting engineering process and... ...to 10-35% for site investigations and assessments, or client... ...K‑12, multi‑family, healthcare, labs, recreational... ...or other employment policies on the basis of any... ...protected by applicable federal, state, or local law....SeniorPolicyWork at officeLocal areaFlexible hoursWeekend workAfternoon shift
- ...answers that help healthcare providers,... ...Labcorp is seeking a Senior Laboratory Manager... ...timely manner by consulting with the Medical... ...corporate, state and federal regulatory... ...communication Investigate deviations from established... ...as well as policies and procedures...SeniorPolicyFull timeTemporary workCasual workInternshipMonday to FridayFlexible hoursShift work
- ...Insight Global is seeking an IT Support Specialist for a top healthcare technology and diagnostic imaging client. This candidate will provide... ...information, please review Insight Global's Workforce Privacy Policy: Skills and Requirements • High School diploma or GED •...PolicyRemote work
- ...Solutions is seeking a full-time Senior Acquisition Analyst located... ...on program status, policies and procedures, in support of... ...Solutions are subject to background investigations. Employment is contingent... ...of their rights pursuant to federal employment laws.For further...SeniorPolicyFull timeContract workFor contractorsFor subcontractor
- Federal Senior Principal Engineer, Solutions Architecture - SOCOM(Onsite role - 5 days per week - prefer local candidates)(Active/Current TS/SCI Clearance Required)(Scif - no Bluetooth devices)Required location: Tampa, FloridaDell Technologies offers one of the largest...SeniorLocal area
- OverviewSr. Forensic Engineer (Hybrid/Remote) - Tampa, FLAt NV5, we... ...professionals, engineers, and consultants who are builders, problem... ...in accordance with applicable federal, state and local laws. NV5 complies... ...company has facilities. This policy applies to all terms and...SeniorPolicyFull timeCasual workWork at officeLocal areaRemote work
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