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Senior Consultant, Federal Healthcare Policy Forensics & Investigations

$45.96 - $90.58 per hour
Full-time

Deloitte

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 job-api.jobget.com. 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

Vacancy posted 1 day ago
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