Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medical Fraud Advisor - Data & Investigations in Washington DC vacancy
  •  ...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... 
    Data
    Fraud
    Local area

    Offices, Boards and Divisions

    Washington DC
    3 days ago
  •  ...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... 
    Data
    Fraud
    Work at office

    CGS Federal (Contact Government Services)

    Arlington, VA
    5 days ago
  •  ...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... 
    Data
    Fraud

    MAGNUS Management Group LLC

    Washington DC
    1 day ago
  •  ...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... 
    Data
    Fraud

    CGS Federal (Contact Government Services)

    Arlington, VA
    3 days ago
  • 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.... 
    Data
    Fraud

    Amtrak

    Washington DC
    4 days ago
  • $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... 
    Data
    Fraud
    Local area

    Deloitte

    Washington DC
    4 days ago
  • 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... 
    Data
    Fraud
    Remote job

    Navanti Group

    Arlington, VA
    5 days ago
  •  ...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... 
    Data
    Fraud

    AIS (Applied Information Sciences)

    Alexandria, VA
    2 days ago
  • $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... 
    Data
    Fraud
    Remote job

    Knowesis

    Washington DC
    3 days ago
  •  ...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... 
    Data
    Fraud
    Work at office

    CGS Federal (Contact Government Services)

    Arlington, VA
    3 days ago
  • $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,... 
    Data
    Fraud
    Flexible hours
    Shift work

    Amazon

    Arlington, VA
    1 day ago
  • $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... 
    Data
    Fraud
    Full time
    Work experience placement
    Work at office
    Local area

    Contact Government Services LLC

    Washington DC
    3 days ago
  • 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... 
    Data
    Fraud

    Jobtailor

    Washington DC
    5 days ago
  • $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... 
    Data
    Fraud
    Full time
    Flexible hours

    Guidehouse

    Arlington, VA
    1 day ago
  • $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... 
    Data
    Fraud
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    EagleBank

    Silver Spring, MD
    2 days ago
  •  ...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... 
    Data
    Fraud
    Work at office
    Worldwide

    Apply

    Washington DC
    5 days ago
  •  ...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... 
    Data
    Fraud
    Full time
    Work at office
    Local area
    Flexible hours

    Contact Government Services LLC

    Washington DC
    2 days ago
  •  ...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... 
    Data
    Fraud
    Full time
    Contract work
    Part time
    Work at office
    Remote work
    Relocation

    US Agency for International Development

    Washington DC
    1 day ago
  • $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... 
    Data
    Fraud
    Full time
    Contract work
    Part time
    Work at office
    Local area
    Remote work

    Booz Allen Hamilton

    McLean, VA
    5 days ago
  • 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... 
    Data
    Fraud
    Full time
    Interim role
    Local area
    Flexible hours

    Cgsfederal

    Washington DC
    5 days ago
  • $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... 
    Data
    Fraud
    Permanent employment
    Local area
    Weekend work

    MVM, Inc.

    Washington DC
    15 hours ago
  • $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... 
    Data
    Fraud
    Full time
    Temporary work
    For contractors
    Apprenticeship
    Work experience placement
    Work at office
    Local area
    Remote work
    Work from home
    Home office
    Monday to Friday

    Humana

    Washington DC
    1 day ago
  •  ...‑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... 
    Data
    Fraud
    Full time
    Interim role
    Local area
    Flexible hours

    CGS Federal (Contact Government Services)

    Arlington, VA
    2 days ago
  • $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... 
    Data
    Fraud

    ID.me

    Mc Lean, VA
    3 days ago
  • $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... 
    Data
    Fraud
    Full time
    Temporary work
    Work at office
    Local area
    Immediate start
    Remote work
    Flexible hours

    NASA Federal Credit Union

    Upper Marlboro, MD
    8 days ago
  • 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... 
    Data
    Fraud
    Full time

    Idme

    Mc Lean, VA
    1 day ago
  • 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... 
    Data
    Fraud
    Full time
    Work at office

    Idme

    Mc Lean, VA
    5 days ago
  • $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... 
    Data
    Fraud
    H1b
    Work at office
    Local area

    KPMG

    McLean, VA
    1 day ago
  • $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... 
    Data
    Fraud
    Local area
    Flexible hours

    Freddie Mac

    Falls Church, VA
    4 days ago
  • $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... 
    Data
    Fraud
    Full time
    Work experience placement
    Work at office
    Local area
    Remote work

    American Oversight

    Washington DC
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medical Fraud Advisor - Data & Investigations. Be the first to apply!