Vulnerabilities Specialist

Are you a driven problem solver looking to help our clients tackle some of the most pressing challenges within Government and Public Services (GPS)? Join Deloitte's Program Integrity practice to help government agencies protect taxpayer money. To address the threats that perpetuate fraud, waste, and abuse, our clients look to our team to provide the guidance and solutions required to help them stay ahead of emerging issues and protect the integrity of their programs. If you are looking for a rapidly growing, collaborative environment with opportunities to make an impact and grow, our Program Integrity team would be a great fit for you!
Work you'll do
- Analyze health insurance claims data, open source, and public information to identify new and emerging fraud schemes and identify suspicious billing patterns or other activities indicative of potentially fraudulent behavior.
- Conduct analysis of open source and public information to identify sources of identity theft.
- Perform proactive referral generation based on external data, such as Office of Inspector General Reports and open source information, such as social media.
- Develop fraud referrals for presentation to the client, law enforcement, and other government agencies.
- Identify Medicare and Medicaid program vulnerabilities through data analytics and open source information.
The team
Deloitte's Government and 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 over 15,000 professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
We bring a rigorous approach to help government agencies effectively detect, prevent, and respond to issues related to fraud, waste, and abuse. Our team helps tackle these threats by bringing cutting edge analytics and AI experience with innovative mindsets. Our Program Integrity team focuses on thought diversity and collaborative problem solving to help clients address these challenges holistically, with a common goal to protect the integrity of their programs.
Qualifications
Required:
- Bachelor's degree required
- Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
- Must be able to obtain and maintain the required clearance for this role
- Experience conducting fraud investigations, health care experience preferred.
- Healthcare fraud and/or program integrity experience, Medicare and Medicaid experience preferred.
- Experience presenting to clients or other decision makers to represent and sell ideas to various audiences (technical and non-technical)
- Experience with Fraud Analytics
- Ability to present complex information to a wide range of stakeholders.
Preferred:
- 3 years of experience with fraud investigation experience
- Anti-Corruption experience
- CFE or AHFE Designation
How you'll grow
At Deloitte, our professional development plan focuses on helping people at every level of their career to identify and use their strengths to do their best work every day. From entry-level employees to senior leaders, we believe there's always room to learn. We offer opportunities to help sharpen skills in addition to hands-on experience in the global, fast-changing business world. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.
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.