Ombudsman - Mission Success (fraud Analytics & Program Integrity)
CACI Federal
Continental US
$105,100 - $231,100 usd; not specified; not specif...
Fraud detection
Program integrity
Data analytics
Serve as an independent, neutral resource for resolving patient, provider, and stakeholder concerns, promoting equitable treatment while safeguarding program integrity and public trust
Job Summary
Serve as an independent, neutral resource for resolving patient, provider, and stakeholder concerns, promoting equitable treatment while safeguarding program integrity and public trust.
Lead the identification and analysis of fraud, waste, and abuse patterns across healthcare claims, provider activity, and payment systems, leveraging machine learning and predictive analytics.
CACI offers a culture of integrity, an environment of trust with flexible time off, and a focus on continuous growth with competitive compensation and comprehensive benefits.
Matching Summary
Serve as an independent, neutral resource for resolving patient, provider, and stakeholder concerns, promoting equitable treatment while safeguarding program integrity and public trust.
Salary
$105,100 - $231,100 USD; Not specified; Not specified
Skills & Requirements
Must-have
fraud detection
program integrity
data analytics
stakeholder engagement
conflict resolution
Nice-to-have
mission success oriented
AI-enabled insights
continuous improvement
executive briefings
Key Requirements
College degree (B.S. or greater) or equivalent experience
10+ years related experience
Executive leadership experience
Demonstrated experience in fraud analytics
Strong expertise in data analytics, predictive modeling, or AI-driven insights