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$150k - $180k
...Health, we understand that healthcare is complex, and we’re here... .... JOB SUMMARY The Senior Compensation Consultant is a senior-level individual... ..., and govern compensation policies, guidelines, and tools to... ...prohibited by applicable national, federal, state or local law....SeniorPolicyFull timeTemporary workWork at officeLocal areaRemote workWork from homeFlexible hours$25.48 - $63.65 per hour
...**To create a human-centric healthcare experience powered by unified... ...looking for an experienced Consultant to help design, configure, activate... ...) solutions across Federal agencies including the Department... ...and organizational security policies and procedures, understand...SeniorPolicyHourly payTemporary workWork experience placementLocal areaFlexible hours$125k - $150k
...Senior Solutions Consultant Req number: R8511 Employment type: Full... ...EEO Statement It is the policy of Computer Aid, Inc.(CAI)... ...complaint, assisted in a review, investigation, or hearing or have... ...their legal rights under any Federal, State, or local EEO law...SeniorPolicyFull timeApprenticeshipWork at officeLocal areaRemote workWorldwide- ...information*** JOB SUMMARY The Senior Consultant, Pharmacy Procurement... ...risk associated with state/federal regulatory requirements, safety... ...and enforce the OhioHealth policy on competitive bidding as well... ...to be among the best in the healthcare industry Equal Employment Opportunity...SeniorPolicyContract workLocal areaShift work
- ...Senior Consultant In Government Accounting Julian & Grube is Ohio's leading accounting firm... ...guidance on government accounting standards, policies, and procedures. Lead and manage... ...veteran status, or any other characteristic protected by federal, state, or local law....SeniorPolicyLocal areaFlexible hours
$137k - $235.75k
...everything. Our strength in healthcare innovation empowers us... ...best talent for the Senior Medical Science... ...support for company and investigator-initiated research. The... ...characteristics protected by federal, state or local law.... ...of their respective policies and date of hire,...SeniorPolicyFull timeLocal areaImmediate startNight shift$80.5k - $166.1k
...Government Services is seeking a skilled Senior Consultant to join our VA Critical Support Team... ...Health (Cerner Millennium) solutions, healthcare workflows, system build,... ...support roles ~ Experience supporting federal clients (VA/DoD) strongly preferred...SeniorTemporary workFlexible hours- ## Sr. Consultant, Strategic Planning and Execution (Order to Cash)... ...Cardinal Health is a global healthcare services and products company... ...in the development of policies and procedures to achieve specific... ...other status protected by federal, state or local law.* #J-188...SeniorPolicyFull timeTemporary workWork experience placementLocal areaImmediate startRemote workFlexible hours
$168k - $231k
...contract structuring. This Senior Counsel role is... ...Provide legal guidance on federal and state regulatory... ...changes. Support audits, investigations, and responses to... ...wellness and smart healthcare decisions for you and... ...Employer It is the policy of Humana not to discriminate...SeniorPolicyFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$46.99k - $112.2k
...Dental Fraud Investigator We're building a world of health around... ...Communicates and cooperates with federal, state, and local law... ...Qualifications ~3-5 years of healthcare fraud investigations... ...skills. Knowledge of Aetna's policies and procedures Ability to...SeniorPolicyHourly payFull timeTemporary workLocal area$120k - $150k
...fast growing AI-driven healthcare technology company!... ...perks! Job Details As a Senior Healthcare Data... ...schema design. Ability to investigate complex data quality issues... ...by applicable federal, state, or local laws.... ...categories. It is Jobot’s policy to comply with all applicable...SeniorPolicyLocal areaFlexible hours$66.5k - $95k
...develops and implements quality policies, procedures, and processes... .... Monitors CAPA in investigations and closes when completed or... ...any other status protected by federal, state or local law. To read... ...and data solutions for healthcare facilities. We are a crucial...SeniorPolicyFull timeTemporary workWork experience placementLocal areaImmediate startMonday to FridayFlexible hoursNight shift$72.7k
...responsible for conducting investigations of organizational or... ...referral to various federal, state and local law... ..., statistics, policies and procedures, licensure... ...Master's Degree Fraud, Forensics Accounting, Business... ...industry and/or Healthcare fraud investigations...SeniorPolicyContract workFor contractorsWork at officeLocal area$46.99k - $102k
...time. Position Summary As a Senior Investigator you will conduct high level... ...known or suspected acts of healthcare fraud and abuse. Routinely... ...necessary Cooperates with federal, state, and local law enforcement... ...AHFI) Knowledge of Aetna's policies and procedures. Knowledge...SeniorPolicyHourly payFull timeTemporary workWork at officeLocal area$123.4k - $176.3k
...business leaders, investigates user needs and... ...Salesforce Architect, Senior Engineer, or... ...Marketing Cloud Consultant, Marketing Cloud... ...the development of policies and procedures to... ...status protected by federal, state or local... ...data solutions for healthcare facilities. We...SeniorPolicyFull timeTemporary workFor contractorsWork experience placementLocal areaImmediate 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- ...CVS Health is seeking a Senior Investigator in Ohio to conduct high‑level investigations of healthcare fraud and abuse, including Medicaid matters, handling sensitive, national cases and providing testimony when required. Requirements: 4+ years in healthcare fraud investigations...Senior
- Jobot is seeking a Senior Tax Manager to lead tax planning and compliance across federal, state, local, and payroll taxes. The role emphasizes healthcare experience, a minimum of seven years in tax management... .... Hybrid work and an open PTO policy accompany competitive benefits,...SeniorPolicyLocal areaImmediate start
$99.4k - $150.3k
...for this position will be accepted on an ongoing basis. The Senior Solution Consultant is a trusted delivery expert who combines functional and... ...Salesforce is an equal opportunity employer and maintains a policy of non-discrimination with all employees and applicants for...SeniorPolicyWork experience placement- ...compliance with BD quality systems, policies, procedures and best practices, and all local, state, federal and BD safety regulations,... ...: Facilitate incident investigations with strong root cause analysis... ...us reinvent the future of healthcare. At BD, you’ll discover a...SeniorPolicyFull timeLocal area
$160k - $170k
Job Title: Real Estate Senior Consultant Department: Administration and Planning | Planning Architecture and Real Estate Physical Space and... ...of existing university financial structures and policies. Minimum of four years of experience working directly with medical...SeniorPolicyTemporary workFixed term contractShift workDay shift$76.4k - $127.4k
...touches virtually every aspect of healthcare. We are known for delivering insights... ...Directors, Controllers, and Senior Managers on key accounting tasks/deliverables... ...and maintains accounting policies and controls.Reviews, investigates, and corrects errors and inconsistencies...SeniorPolicyFull timeWork at officeWork from homeFlexible hours- ...Senior Design Architect Are you an architect... ...retail, religious, and healthcare. The company has been... ...with outside consultants, subcontractors, and... ...subject to a background investigation and drug test. Offers... ...with Ferguson Construction policy and state law....SeniorPolicyFull timeFor contractorsFor subcontractor
$79.7k - $113.8k
Join to apply for the Consultant, Product Systems Analyst role... ...is a global, integrated healthcare services and products company... ...to the development of policies and procedures Works on... ...other status protected by federal, state or local law. Seniority level Seniority level Associate...Policy16 hoursFull timeTemporary workLocal areaImmediate startRemote workFlexible hours$137k - $235.75k
...Our strength in healthcare innovation empowers... ...Description:Senior Medical Science Liaison... ...support for investigator‑initiated studies... ...with applicable policies and without assuming... ...characteristics protected by federal, state or local... ...Landscape, Consulting, Cross-Functional...SeniorPolicyFull timeTemporary workWork experience placementLocal areaImmediate startRemote work- ...Description Summary: The Senior Systems Analyst Epic will... ...requires a deep understanding of healthcare workflows, system integration... ...with operational goals and policy. Create and maintain specifications... ...compliance with all state, federal, and local regulations....SeniorPolicyWork at officeLocal areaRemote workShift work
- ...everything from routine reviews to the most complex, high-risk investigations in fintech. Whether your background is in fast-moving fintech,... ...refine Klarna's broader Financial Crime framework — shaping policy, process, and documentation to meet regulatory requirements while...SeniorPolicyLocal areaShift work
$100k - $130k
...tech, content, finance, healthcare and other large... ...Zayo is seeking a Senior Account Manager to support... ...complex deals applying a consultative and trusted advisor approach... ...paid time off policy including paid parental... ...accordance with applicable federal, state, and local laws...SeniorPolicyFull timeWork experience placementWork at officeLocal areaRemote work$97k - $180k
...to know more about you!As a Consultant, you'll provide information... ...internal entities about complex policy, practice and employment law... ...compliance with state and federal local laws and regulations,... ...on you to conduct extensive investigations involving associates and management...PolicyFull timeTemporary workPart timeCasual workWork at officeLocal areaImmediate start
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