Senior Consultant, Federal Healthcare Financial Crime and Fraud Policy

Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and an evolving regulatory environment into defensible actions that strengthen, protect, and transform their organization.

Join our team and use advanced data, AI, and emerging technologies with industry insights to help clients bring clarity from complexity and accelerate their path to value creation.

Work You'll Do

As a Senior Consultant, Financial Crime and Fraud, you will support the client by researching and interpreting relevant regulations, policies, and program rules that inform detection strategies and analytic products.

You will reviews policy guidance, open-source resources, and public information to identify vulnerabilities, ensures analytic and rules-based detection logic reflects current policy requirements, and connects findings to broader program integrity concerns.

You will also partners with Analytics / Rules Engineers and Data Scientists to translate policy and regulatory requirements into detection criteria, and supports the development of referrals and findings for further investigation by appropriate agencies or stakeholders.

Key Responsibilities:


* Research and interpret relevant regulations, policies, and program rules affecting detection strategies


* Review open-source resources and public information to identify potential fraud, waste, and abuse vulnerabilities


* Translate policy and regulatory requirements into detection criteria for Analytics / Rules Engineers


* Support development of referrals and documented findings for further investigation


* Connect specific findings to broader program integrity vulnerabilities and trends


* Monitor policy and regulatory changes and assess their impact on existing detection logic


* Document policy research, findings, and rationale per SOPs


* Participate in stand-ups, sprint planning, and reviews within the SAFe Agile team

The successful candidate would possess these skills:


* Ability to work independently and collaborate as part of a team


* Effective written and verbal communication skills


* Meticulous attention to detail and quality of work product


* Ability to build and sustain professional relationships


* Ability to lead projects or workstreams


* Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment


* Strong interpersonal skills and professional demeanor


* Ability to meet deadlines


* Ability to provide clear guidance to others

The Team

Deloitte's Government & 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 professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.

Our Enterprise Operations & Risk offering enables clients...