SENIOR INVESTIGATOR
Core
Investigate Medicaid providers and recipients suspected of fraud by analyzing data, conducting interviews, and building cases for law enforcement partners.
Role type
Senior Fraud Investigator (IC)
Builds
Fraud cases and evidence packages for prosecution
Domain
Public sector / Healthcare fraud / Medicaid
Deliverable
client delivery
Required skills
Data analysis, investigative interviewing, report writing, case management, surveillance, entity research
Preferred skills
Law enforcement collaboration, field operations
Technologies
Medicaid Data Warehouse (MDW), case management systems
Responsibilities
Generate and review data to identify fraud patterns; Conduct investigations of providers and clients; Interview subjects and verify information; Maintain case notes and write reports; Conduct collateral visits and surveillance; Collaborate with law enforcement partners.
