Ombudsman - Mission Success (fraud Analytics & Program Integrity)
CACI Federal
Norfolk, US
$105,100 - 231,100 usd py
Fraud analytics
Program integrity
Data-driven oversight
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 advanced analytics to proactively identify high-risk behaviors.
At CACI, we place character and innovation at the center of everything we do, offering a culture of integrity, an environment of trust, and a focus on continuous growth.
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
Skills & Requirements
Must-have
fraud analytics
program integrity
data-driven oversight
machine learning
predictive analytics
conflict resolution
Nice-to-have
mission success oriented
trusted independent authority
high-performing group
continuous growth focus
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
Exceptional communication and executive briefing skills