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Navanti Group

Senior Healthcare Fraud Investigator / OSINT Analyst

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What they do

A Healthcare Analyst is responsible for compiling important medical data through the use of computer-based applications, within a health care organization or hospital. Responsible for gathering, compiling, modeling, validating, and analyzing data needed by the organization.

$91,929 / year median in the U.S.

-3% projected decline

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Job Description

Senior Healthcare Fraud Investigator / OSINT Analyst Navanti Group - 3.3 Arlington, VA Job Details Part-time 11 hours ago Qualifications Healthcare financial misconduct investigations Medicare Collaborating with government agencies Investigative data analysis Research report preparation Criminal case experience Insurance investigations Medicaid Investigative reports Intelligence community Legal support investigation Open-source intelligence (OSINT) Full Job Description
DEVELOP YOUR CAREER
Navanti Group is a young company with significant growth potential, and we offer rapid advancement for those who excel. The success of our company lies in the quality of our people, which is why we will work hard to foster your talents and develop your career. Do really interesting work Work on innovative projects in international security, countering radicalization, new media, and business development. Have a voice We eschew traditional hierarchies because they stunt potential. We believe everyone has unique value to add regardless of age or title. We celebrate great ideas that can help our clients meet their objectives, and so we have institutionalized the practice of idea-sharing and development at all levels. We honor drive and excellence Our meritocratic system provides great rewards to those who excel and drive the business. Be creative We encourage fresh thinking because that's what drives innovation in our field. Interested in applying for a position, but don't see one that fits right now? Submit your resume for future consideration here. Navanti provides equal employment opportunities (EEO) to all employees and qualified applicants for employment without regard to race, color, religion, gender, gender identity, sexual orientation, ancestry, national or ethnic origin, age, marital status, handicap, disability, or status as a Veteran. We do not tolerate discrimination in any form and take measures to prevent discrimination against any employee or job applicant. We have a zero-tolerance policy for sexual harassment, exploitation, and/or abuse of power. Senior Healthcare Fraud Investigator /
OSINT Analyst Department:
Programs Location:
Arlington, VA Senior Healthcare Fraud Investigator /
OSINT Analyst Company:
Navanti Group, LLC Location:
Remote Employment Type:
Part-Time /
Consultant Security Clearance:
Active Top Secret clearance required at time of application
Estimated Level of Effort:
Approximately 10-15 hours per week on average, with workload varying based on investigative tasking. The position is anticipated to support approximately 550-650 hours annually; no minimum number of hours is guaranteed. Position Overview Navanti Group is seeking a senior healthcare fraud investigator and Open-Source Intelligence analyst to support a sensitive federal law-enforcement customer. This individual will serve as the primary technical lead for healthcare fraud-related OSINT research, analysis, and reporting. The selected candidate will support federal criminal, civil, administrative, and parallel healthcare fraud investigations by identifying publicly available information, relationships, assets, digital activity, business affiliations, and potential indicators of fraudulent conduct. The position requires an uncommon combination of direct healthcare fraud investigative experience, advanced OSINT expertise, federal investigative experience, and an active Top Secret clearance. Primary Responsibilities Conduct complex OSINT research concerning individuals, healthcare providers, businesses, affiliated entities, assets, ownership structures, and associated networks. Identify and analyze online presence, business relationships, professional affiliations, financial indicators, and other publicly available information relevant to investigative objectives. Conduct link, relationship, and network analysis to identify connections among subjects, providers, businesses, beneficiaries, and associated entities. Apply healthcare fraud expertise to develop investigative leads involving: Medicare and Medicaid fraud Home health agency fraud Durable medical equipment fraud Hospice fraud Provider enrollment and ownership-concealment schemes Kickbacks and patient brokering Billing irregularities and related fraud typologies Translate OSINT findings into actionable healthcare fraud investigative value. Monitor publicly available sources relevant to active and proactive investigations. Prepare clearly sourced investigative summaries, intelligence products, link analyses, and rapid-turn responses. Document research sources, methodologies, limitations, and analytical confidence. Ensure findings are suitable for investigative, operational, administrative, and potential legal review. Support authorized sensitive operational activities, including limited OSINT assistance related to undercover or covert investigative efforts. Coordinate with Navanti's Program Manager and Quality Manager to ensure deliverables meet customer requirements. Mandatory Qualifications Minimum of five years of specialized experience supporting civil or criminal healthcare fraud investigations. Minimum of ten years of experience providing OSINT or investigative support to federal government agencies, the Intelligence Community, or law-enforcement organizations. Demonstrated experience conducting advanced OSINT investigations and intelligence analysis. Experience supporting sensitive or complex federal investigations. Working knowledge of Medicare and Medicaid programs. Familiarity with common and emerging healthcare fraud schemes across multiple provider types. Experience supporting civil, criminal, administrative, or parallel investigative proceedings. Familiarity with federal investigative standards, evidentiary considerations, documentation practices, and reporting requirements. Ability to produce defensible, clearly sourced, and analytically sound investigative products. Demonstrated discretion, sound professional judgment, and a security-conscious operational posture. Preferred Qualifications Prior experience supporting an Office of Inspector General, Department of Justice, federal healthcare law-enforcement organization, or federal investigative agency. Experience with provider ownership research, corporate records, asset identification, public-record databases, social-media analysis, and digital-presence assessment. Experience using network-analysis and social-media intelligence platforms. Experience with link-analysis tools and preparation of visual network products. Experience supporting protective intelligence, undercover operations, or sensitive online investigative activities. Formal training in OSINT tradecraft, fraud investigations, financial investigations, intelligence analysis, criminal justice, or a related discipline. Availability and Performance Requirements The selected candidate must generally be available during federal business hours, Monday through Friday, between 8:00 a.m. and 6:00 p.m. Eastern Time. The individual must be able to acknowledge and begin assigned tasking within eight business hours and provide limited after-hours support for priority investigative requirements when necessary. The position is fully remote, and no routine travel is anticipated. Planned periods of unavailability must be communicated in advance to support continuity of operations. Reporting Structure The Senior Healthcare Fraud Investigator / OSINT Analyst will report administratively to Navanti's Program Manager. Investigative priorities, technical direction, reporting standards, and task deadlines will be established by the authorized federal customer representative.