Medical Fraud Advisor - Data & Investigations
Offices, Boards and Divisions
Offices, Boards and Divisions invites applications for a permanent Medical Advisor in the Civil Fraud Section. The role requires medical, coding, and public health expertise to guide the data team and attorneys in identifying potential health care fraud areas based on data patterns and medical knowledge. Qualified candidates will have GS-0601-15 level experience, with a strong background in health care fraud prevention, Medicare policy advisement, and data analysis to support investigations and #J-18808-Ljbffr Offices, Boards and Divisions
- ...The Department of Justice's National Fraud Enforcement Division investigates and prosecutes fraud against the American people. The Division uses advanced data‑driven investigative techniques, partners with federal, tribal, state, territorial, and local agencies, coordinates...DataFraudLocal area
- ...prominent government service provider in Arlington, VA is seeking a Healthcare Fraud Investigator to provide legal support for a governmental project in Nashville, TN. You will conduct data analyses, review financial records, and create case referrals meeting agency standards...DataFraudWork at office
- ...Dental insurance Health insurance Paid time off Vision insurance We are seeking a Senior Investigative Analyst to support fraud investigations through advanced data analysis, link analysis, and investigative research. The successful candidate will produce...DataFraud
- ...Arlington, VA is seeking a Senior Financial Investigator to join their team. This role involves... ...possible violations of federal law, including fraud and misconduct. The ideal candidate... ...the ability to analyze large volumes of data, and a valid driver's license. The position...DataFraud
- Amtrak is seeking a Lead Enterprise Fraud Risk Analyst in Washington, DC. This role involves executing advanced data analytics to identify and mitigate fraud risks, conducting investigative analyses, and partnering with cross-functional teams to enhance fraud detection....DataFraud
$76.6k - $127.6k
...organization. Join our team and use advanced data, AI, and emerging technologies with... ...As a Project - Consultant, Forensics and Investigations,on the project, you will: Work... ...laundering regulations and practices or fraud detectionAbility to perform job responsibilities...DataFraudLocal area- Navanti Group, LLC is seeking a senior healthcare fraud investigator and OSINT analyst to support a sensitive federal law-enforcement customer... ...OSINT research, analysis, and reporting, identifying public data, networks, and indicators of fraudulent activity. The position...DataFraudRemote job
- ...seeking a Senior Forensic Accountant to support a Federal client’s fraud investigations. The role requires seven years of experience and proficiency... ...involves coordinating with case agents, compiling financial data, and providing on-site forensic financial analysis to...DataFraud
$160k - $185k
Knowesis is seeking a Senior Investigative Analyst to support the Pandemic Response Accountability Committee (PRAC) Analytics Center. The role uses open-source, law enforcement, and third-party data to generate leads, build cases, and produce intelligence reports. Proficiency...DataFraudRemote job- ...is seeking a skilled Auditor to provide auditing and accounting services for fraud investigations. The ideal candidate will develop technical audit guidelines and analyze complex financial data. A four-year degree and a minimum of three years in finance or accounting...DataFraudWork at office
$74.2k - $129.8k
...businesses from employee fraud, abuse, and financial... ...-impact audits and investigations that influence business... ...process. As a trusted advisor to stakeholders such as... ...detection through data-driven rule development... ...including health insurance (medical, dental, vision,...DataFraudFlexible hoursShift work$85k - $105k
...Healthcare Fraud InvestigatorEmployment Type: Full-Time, Mid-LevelCGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Nashville... ...Will Include:Review, sort, and analyze data using computer software programs such as...DataFraudFull timeWork experience placementWork at officeLocal area- Conduct investigative analysis supporting government benefit fraud and financial crime cases Analyze structured and unstructured data from public and non-public sources to identify fraud indicators, anomalies, and behavioral patterns Apply knowledge of fraud typologies...DataFraud
$98k - $163k
...supporting complex financial crime investigations and enforcement matters. Apply advanced data science methodologies to... ...enabled financial crime, or complex fraud schemes.Experience analyzing blockchain... ...workplace.Benefits include:Medical, Rx, Dental & Vision...DataFraudFull timeFlexible hours$69.84k - $108.85k
...Fraud Investigator Location : Location US-MD-Silver Spring ID 2026-2304 Location : Address 11900 Bournefield Way... ...interact productively with clients and staff (orally on-clients in data-gathering and support ~ Working knowledge of banking...DataFraudFull timeWork at officeLocal areaRemote workFlexible hours- ...help public and private sector agencies investigate and disrupt crime. TRM's platforms enable... ...against pig butchering syndicates, romance fraud networks, and investment scam operations... ...legal process to the ground, following the data wherever it leads, and delivering...DataFraudWork at officeWorldwide
- ...Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time, Experienced... ...and skills in investigative techniques and fraud detection to provide assistance for a large... ...statements, invoices, correspondence, computer data, and other records pertaining to the...DataFraudFull timeWork at officeLocal areaFlexible hours
- ...the US Government. Responsibilities As an Investigative Analyst at the full performance level,... ...cases (e.g., examines past and present fraud incidents in each country receiving foreign... .... Perform computer-based analysis of data for criminal, civil and administrative cases...DataFraudFull timeContract workPart timeWork at officeRemote workRelocation
$86.8k - $198k
Employee Relations Investigator LeadThe Opportunity:We are seeking a highly skilled Lead Employee... ..., system access audits, communications data, and metadata analysis. Assess risk levels... ...and protect against identity fraud. You are expected to be on camera during...DataFraudFull timeContract workPart timeWork at officeLocal areaRemote work- Financial Investigator Employment Type: Full-Time, Mid-Level Department: Financial Investigation... ..., timelines, scientific or technical data for prosecutorial objectives. Establish or... ...federal law, including money laundering, wire fraud, mail fraud, bank fraud, healthcare fraud...DataFraudFull timeInterim roleLocal areaFlexible hours
$100k - $110k
Title: Mail Fraud Investigative AnalystLocation: Washington, DCSecurity Clearance: Top Secret desired, but not requiredSchedule: Due to the nature... ...operational capabilities with advanced technologies and data insights to meet the government’s most complex challenges.At...DataFraudPermanent employmentLocal areaWeekend work$65k - $88.6k
...for an experienced Healthcare Investigator to join its industry leading... ...have a passion for combating Fraud, Waste, and Abuse in the Health... ...analysis of situations or data requires an in-depth evaluation... ...Investigative research and medical record reviews o CPT code...DataFraudFull timeTemporary workFor contractorsApprenticeshipWork experience placementWork at officeLocal areaRemote workWork from homeHome officeMonday to Friday- ...‑Time, Mid‑Level Department: Financial Investigation CGS is seeking a Senior Financial Investigator... ..., timelines, scientific, or technical data, for the purpose of advancing... ...but not limited to money laundering, wire fraud, mail fraud, bank fraud, health care fraud...DataFraudFull timeInterim roleLocal areaFlexible hours
$90k - $120k
A technology company is seeking a Senior Fraud Investigations Analyst in McLean, Virginia. The role involves leading investigations into account takeover activities and analyzing large datasets to identify fraud patterns. Qualified candidates should have at least 4 years...DataFraud$60k - $110k
..., analytical Financial Crimes Investigator to support timely, risk-based investigations of suspected fraud and other financial crimes. This... ...analysis of transactions and data to independently reach a... ...Insurance+* ~ Flexible Spending Medical Account (FSA)+ ~ Flexible Spending...DataFraudFull timeTemporary workWork at officeLocal areaImmediate startRemote workFlexible hours- Idme is seeking a Fraud Investigations Analyst based in McLean, VA. The role focuses on investigating account takeover activities and analyzing... ...users. As an Analyst, you’ll use your skills in SQL, Python, and data analysis to identify patterns and improve fraud detection...DataFraudFull time
- ID.me in McLean, VA, is seeking a Senior Fraud Investigations Analyst to lead investigations into account takeover activities and analyze large... ...proficiency in SQL and Python. This role involves significant data analysis, collaboration with teams to enhance detection...DataFraudFull timeWork at office
$127.2k - $246.9k
...Manager, Personnel Background Investigations to join our Enterprise... ...expert interpretation of analyzed data; direct, plan, and execute sensitive... ...(CPI), or Certified Fraud Examiner (CFE), or other relevant... ...includes a variety of medical and dental plans, vision coverage...DataFraudH1bWork at officeLocal area$86k - $130k
...Fraud InvestigatorAt Freddie Mac, our mission of Making Home Possible is what motivates... ...so, please apply to Freddie Mac's Fraud Investigator opportunity and work in conjunction with... ...complete investigative reports and statistical data in accordance with established policies...DataFraudLocal areaFlexible hours$62k - $78k
...Shut down Trump's bogus "voter fraud" commission. Revealed the... ...Reporting to the Director of Investigations, American Oversight is seeking... ...connects dots among many disparate data points and situations.... ...physical or mental disability, medical condition, family care status...DataFraudFull timeWork experience placementWork at officeLocal areaRemote work
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