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Senior Healthcare Fraud Investigator

L5

virtual vocationsDenver, COtoday

Occupations

Fraud Examiners, Investigators and AnalystsClaims Adjusters, Examiners, and InvestigatorsPrivate Detectives and Investigators

Industries

General Medical and Surgical HospitalsAdministration of Public Health ProgramsInvestigation and Personal Background Check Services
To support the DVA VHA in establishing a Fraud Rapid Response Center, the remote Senior Healthcare Fraud Investigator will lead case development by reviewing analytics-generated leads, preparing decision-ready referral packages, and collaborating with federal investigators to combat healthcare fraud, waste, and abuse.
Key responsibilities: Review and validate fraud leads generated by analytics, including anomaly detection and network analysis Develop comprehensive healthcare fraud cases involving community care providers and suspicious billing patterns Prepare detailed referral packages for administrative actions, ensuring accurate documentation and evidence support
Required qualifications: Bachelor's degree in a relevant field Active Public Trust Clearance 8+ years of federal healthcare program integrity and fraud investigations experience Working knowledge of healthcare fraud laws, including the False Claims Act and Anti-Kickback Statute Experience in developing case documentation and preparing investigative packages
Apply now (opens in a new tab)
Apply now (opens in a new tab)

Level

SeniorL5

Location

Denver, CO

Occupation

Fraud Examiners, Investigators and Analysts

Industry

General Medical and Surgical Hospitals

Posted

today

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