Senior Investigator - Lead Validation (Healthcare FWA)
Job Description
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Investigator – Lead Validation (Healthcare FWA) based in the United States.
This role is centered on protecting the integrity of the healthcare system by identifying, investigating, and analyzing potential fraud, waste, and abuse through advanced data-driven methods. You will operate within a post-pay investigative environment, leveraging claims data, analytics tools, and trend identification techniques to detect suspicious provider behavior and billing anomalies. The position is highly analytical, requiring strong expertise in data mining, pattern recognition, and structured investigative reasoning. You will translate complex findings into clear, actionable reports and recommendations that support compliance, recovery, and enforcement actions. A key aspect of the role involves collaborating with internal teams and external stakeholders, including legal and law enforcement partners when necessary. This is a fully remote, detail-intensive role for a professional who thrives in investigative analysis and data interpretation within a regulated healthcare setting. Your work will directly contribute to reducing financial loss and improving the integrity of healthcare claims systems.
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Investigator – Lead Validation (Healthcare FWA) based in the United States.
This role is centered on protecting the integrity of the healthcare system by identifying, investigating, and analyzing potential fraud, waste, and abuse through advanced data-driven methods. You will operate within a post-pay investigative environment, leveraging claims data, analytics tools, and trend identification techniques to detect suspicious provider behavior and billing anomalies. The position is highly analytical, requiring strong expertise in data mining, pattern recognition, and structured investigative reasoning. You will translate complex findings into clear, actionable reports and recommendations that support compliance, recovery, and enforcement actions. A key aspect of the role involves collaborating with internal teams and external stakeholders, including legal and law enforcement partners when necessary. This is a fully remote, detail-intensive role for a professional who thrives in investigative analysis and data interpretation within a regulated healthcare setting. Your work will directly contribute to reducing financial loss and improving the integrity of healthcare claims systems.