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$83.6k - $113.9k
...analysis for litigation matters and forensic accounting engagements. Playing a key role in fraud investigations, including embezzlement,... ...in dispute and litigation consulting matters, including partnership... ...or genetics. In addition to federal law requirements, Armanino complies...SeniorFraudFull timeContract workLocal areaFlexible hours- ...over the course of an investigation; and implementing... ...but not limited to federal and state laws, rules... ...to cross-functional senior business stakeholders... ...response, particularly in healthcare-related areas.... ...advising in the areas of fraud, waste, and abuse.Anti-Kickback...SeniorFraudRemote work
- ...Highmark Inc. is seeking a qualified investigator to develop and maintain an anti-fraud program, conduct investigations into potential fraud, and coordinate... ...should have a bachelor’s degree and 3 years of healthcare fraud experience. The position entails collaborating...SeniorFraud
$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$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- ...Compliance Investigator Our client is seeking a Compliance Investigator responsible... ...include potential compliance policy or federal healthcare law-related matters, such as the Anti... ...Knowledge: Familiarity with federal fraud and abuse laws is preferred. Proven Track Record...FraudWork at office
- ...Senior Financial Investigator (SFI) and Financial Investigator (FI)Organizes and conducts detailed examinations... ...Organized Crime, White Collar Crime, Fraud, Drug, Money Laundering, or similar... ...that are obtained pursuant to Federal and State subpoenas and search warrants...SeniorFraudTemporary workFor contractorsLocal area
- ...A leading insurance investigation company is looking for an Experienced Field Investigator to conduct surveillance and investigative activities. You will review case information, perform covert surveillance, capture high-quality video evidence, and prepare thorough reports...SeniorFraud
$56.2k - $101k
Position Purpose: Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical... ...compliance with applicable federal and state regulations, contractual... ...trends that may present risks to healthcare programs and recommend appropriate...FraudFull timePart timeWork at officeRemote workFlexible hours$87.2k - $169.3k
...Senior CRA 1IQVIA Early Clinical Development is hiring for a Senior... ...Master File (TMF) and the Investigator Site File (ISF) in accordance... ...services, commercial insights and healthcare intelligence to the life... ...tolerance policy for candidate fraud. All information and...SeniorFraudFull timePart timeImmediate startWorldwide- ...help build the future of the healthcare and the life sciences industry... ...Medical Science Liaison/Senior Medical Science Liaison (MSL/... ...&D Team to support sites and investigators participating in the company-... ...misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam...SeniorFraudFull timeLocal areaNight shift
$140k - $220k
...advisory, and business consulting firm serving middle-... ...of services including forensic accounting, litigation... ...seeking an experienced Senior Manager with... ...interruption, forensic investigations, and complex loss measurements... ..., contract disputes, fraud matters, and other forensic...SeniorFraudContract workFlexible hours$86.9k - $198k
...selected will be subject to a security investigation and may need to meet eligibility requirements... ...and protect against identity fraud. You are expected to be on camera during... ...any other status protected by applicable federal, state, local, or international law.SummaryLocation...SeniorFraudFull timeContract workPart timeWork at officeLocal areaRemote work$89.17k - $142.68k
...strategic analytics partner to the Special Investigations Unit (SIU) and Payment Integrity teams by... ...data analysis, dashboard development, healthcare claims expertise, and stakeholder engagement to identify fraud, waste, abuse, payment accuracy opportunities, and operational...Fraud$77.6k - $176k
...selected will be subject to a security investigation and may need to meet eligibility requirements... ...and protect against identity fraud. You are expected to be on camera during... ...any other status protected by applicable federal, state, local, or international law.SummaryLocation...SeniorFraudFull timeContract workPart timeWork at officeLocal areaRemote workShift work$129.8k - $361.8k
...Establish and maintain relationships with senior levels within customer organization and... ...research services, commercial insights and healthcare intelligence to the life sciences and... ...maintains a zero tolerance policy for candidate fraud. All information and credentials...SeniorFraudFull timeContract workPart timeWork at officeImmediate startWorldwide$86.8k - $198k
...selected will be subject to a security investigation and may need to meet eligibility requirements... ...and protect against identity fraud. You are expected to be on camera during... ...any other status protected by applicable federal, state, local, or international law.SummaryLocation...SeniorFraudFull timeContract workPart timeWork at officeLocal areaRemote work$99k - $225k
...Across private and public sectors—from fraud detection to cancer research to national... ...selected will be subject to a security investigation and may need to meet eligibility requirements... ...other status protected by applicable federal, state, local, or international law.SummaryLocation...SeniorFraudFull timeContract workPart timeWork at officeLocal areaRemote work$72.35k - $103.4k
...financial, operational, and fraud investigations, or other audits and... ...process, statistical, and forensic analysis. This systematic,... ...corporate audit, business process consulting, information technology, or... ...accordance with local, state, and federal laws.The posting will be...SeniorFraudLocal areaFlexible hours$99k - $225k
...Across private and public sectors—from fraud detection to cancer research to national... ...selected will be subject to a security investigation and may need to meet eligibility requirements... ...other status protected by applicable federal, state, local, or international law.SummaryLocation...SeniorFraudFull timeContract workPart timeWork at officeLocal areaRemote work$77.6k - $176k
...selected will be subject to a security investigation and may need to meet eligibility requirements... ...and protect against identity fraud. You are expected to be on camera during... ...any other status protected by applicable federal, state, local, or international law.SummaryLocation...SeniorFraudFull timeContract workPart timeWork at officeLocal areaRemote work$99k - $225k
...Military’s space programs. As a senior ground systems engineer on... ...will be subject to a security investigation and may need to meet... ...and protect against identity fraud. You are expected to be on camera... ...status protected by applicable federal, state, local, or international...SeniorFraudFull timeContract workPart timeWork at officeLocal areaRemote work$77.6k - $176k
...data to impact important missions, from fraud detection to cancer research to national... ...selected will be subject to a security investigation and may need to meet eligibility requirements... ...other status protected by applicable federal, state, local, or international law....SeniorFraudFull timeContract workPart timeWork at officeLocal areaRemote workShift work$30.5k - $43.5k
...development. Summary HMS works to make the healthcare system better for everyone. We identify and prevent fraud, waste, and abuse so individuals can access the care they... ...families via phone. Verify, document, and investigate healthcare coverage for Medicaid...FraudFull timeWork at officeFlexible hours3 days per week$86.1k - $128.5k
...OpportunityWSP is seeking a Senior Civil/Geotechnical Engineer with... ...industry to join our Mine Waste team in Lakewood, CO. The following... ...including geotechnical field investigations, laboratory testing programs,... ...authorities on Federal, State, regional, and locally...SeniorFor subcontractorLocal areaFlexible hours$80k - $140k
...Job Description Job Description Consultant / Senior Consultant – Forensic Engineer Hybrid Position in the Denver, CO area Role Overview:... ...fundamentals. The individual must be able to inspect, investigate, analyze, explain, write, defend technical opinions, and...SeniorFor contractors$136.85k - $197.8k
Systems Engineer, Senior / ExperiencedCompany:The Boeing CompanyThe Boeing Defense... ...known as a Single Scope Background Investigation (SSBI) by the federal government within the past 5 years... ...America)Stay safe from recruitment fraud! The only way to apply for a position...SeniorFraudBi-weekly payPermanent employmentFull timeVisa sponsorshipWork visaRelocation packageFlexible hoursShift work$125.9k - $188.86k
...critical, higher education, sports, healthcare, grocery, restaurant, and... ...Position Overview: As a senior project manager at Henderson... ...communication with clients and sub-consultants to ensure satisfaction with... ...TO CANDIDATES: RECRUITMENT FRAUD ALERT Henderson representatives...SeniorFraudCasual workFlexible hours$22.5 - $27 per hour
...to more than just providing healthcare-we're committed to making a... ...one of Colorado's largest Federally qualified healthcare centers... ...Program and Medicare Fraud, Waste and Abuse within 90 days of hire.Verify... ...needs, making sure patient consults with the Pharmacist when professional...FraudHourly payFull timeLocal areaRemote workFlexible hours
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