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Director Fraud Remote Jobs in Virginia (NOW HIRING)

IQVIA

Senior Data Team Lead (Remote)

Norfolk, VA · Remote

$86K - $217K/yr

No less than 7 years of direct clinical data management experience * 5+ years in a Lead Clinical ... fraud. All information and credentials submitted in your application must be truthful and complete.

IQVIA

Senior Data Team Lead (Remote)

Norfolk, VA · Remote

$86K - $217K/yr

No less than 7 years of direct clinical data management experience * 5+ years in a Lead Clinical ... fraud. All information and credentials submitted in your application must be truthful and complete.

IQVIA

Senior Data Team Lead (Remote)

Richmond, VA · Remote

$86K - $217K/yr

No less than 7 years of direct clinical data management experience * 5+ years in a Lead Clinical ... fraud. All information and credentials submitted in your application must be truthful and complete.

IQVIA

Senior Data Team Lead (Remote)

Virginia Beach, VA · Remote

$86K - $217K/yr

No less than 7 years of direct clinical data management experience * 5+ years in a Lead Clinical ... fraud. All information and credentials submitted in your application must be truthful and complete.

IQVIA

Senior Data Team Lead (Remote)

Virginia Beach, VA · Remote

$86K - $217K/yr

No less than 7 years of direct clinical data management experience * 5+ years in a Lead Clinical ... fraud. All information and credentials submitted in your application must be truthful and complete.

IQVIA

Senior Data Team Lead (Remote)

Richmond, VA · Remote

$86K - $217K/yr

No less than 7 years of direct clinical data management experience * 5+ years in a Lead Clinical ... fraud. All information and credentials submitted in your application must be truthful and complete.

Mission Lane

Compliance Manager

Richmond, VA · On-site +1

$129K - $140K/yr

Direct experience in fraud compliance, including dispute handling processes, remediation frameworks ... remote-first work environment. About Mission Lane: Founded in December 2018, Mission Lane is a ...

Booz Allen Hamilton, Inc.

F5 Engineer

Mclean, VA · On-site +1

$99K - $225K/yr

Knowledge of SSL VPN remote access on F5 Big-IP set-up * Knowledge of AWS Direct Connection, VPC ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...

Booz Allen Hamilton, Inc.

F5 Engineer

Mclean, VA · On-site +1

$99K - $225K/yr

Knowledge of SSL VPN remote access on F5 Big-IP set-up * Knowledge of AWS Direct Connection, VPC ... We reserve the right to take your picture to verify your identity and prevent fraud. Candidate AI ...

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Director Fraud Remote information

What qualifications do I need to be a fraud investigator?

To become a fraud investigator, candidates typically need a bachelor's degree in criminal justice, finance, or a related field. Relevant skills include attention to detail, analytical thinking, and proficiency with investigative tools and software; certifications such as Certified Fraud Examiner (CFE) can also enhance qualifications. Experience in law enforcement, accounting, or auditing is often preferred.

Can a fraud analyst work from home?

Yes, many fraud analysts work remotely, especially in roles that involve analyzing transaction data, using fraud detection software, and communicating via email or video calls. Remote work arrangements depend on the employer's policies and the need for collaboration or access to secure systems.

Are fraud investigators in demand?

Fraud investigators, including those in director roles, are in high demand due to increasing financial crimes and digital fraud. Employers seek professionals with skills in data analysis, cybersecurity tools, and regulatory knowledge to combat fraud effectively.

What does a Director of Fraud (Remote) do?

A Director of Fraud (Remote) is responsible for overseeing and managing an organization's fraud prevention and detection programs while working remotely. They develop strategies to identify and mitigate fraudulent activities, lead teams of analysts or investigators, and ensure compliance with legal and regulatory standards. The role typically involves collaborating with other departments, implementing advanced technologies, and analyzing data to protect the company and its customers from financial loss due to fraud.

What are red flags in remote job interviews?

For a remote fraud director position, red flags include inconsistent or vague answers about experience, reluctance to share detailed work history, poor communication skills, and resistance to technical assessments or background checks. Additionally, suspiciously high salary offers, lack of clarity about job responsibilities, or requests for personal information early in the process can indicate potential issues.

What is the difference between Director Fraud Remote vs Fraud Analyst Remote?

AspectDirector Fraud RemoteFraud Analyst Remote
Required CredentialsBachelor's degree, experience in fraud prevention, leadership skillsBachelor's degree, knowledge of fraud detection tools, analytical skills
Work EnvironmentStrategic oversight, team management, policy developmentData analysis, investigation, reporting
Employer & Industry UsageFinancial institutions, e-commerce, insuranceFinancial services, retail, online platforms

The main difference between a Director Fraud Remote and a Fraud Analyst Remote lies in their responsibilities and seniority. The Director focuses on strategic leadership, policy setting, and managing teams, while the Fraud Analyst handles day-to-day investigations and data analysis. Both roles require relevant experience and work in similar industries, but the Director role involves higher-level decision-making and oversight.

What are the key skills and qualifications needed to thrive as a Director of Fraud (Remote), and why are they important?

To thrive as a Director of Fraud (Remote), you need deep expertise in fraud detection and prevention, risk management, and data analysis, typically backed by a bachelor's or master's degree in finance, business, or a related field. Familiarity with fraud management platforms, data analytics tools like SQL or Python, and certifications such as CFE (Certified Fraud Examiner) are highly valued. Strong leadership, analytical thinking, and effective remote communication skills set top candidates apart in this role. These skills and qualities are crucial for protecting company assets, leading distributed teams, and implementing robust fraud prevention strategies in a remote environment.

What are some common challenges faced by a Director of Fraud working remotely, and how can they be addressed?

A Director of Fraud working remotely often faces challenges such as maintaining effective oversight of distributed teams, ensuring real-time communication during critical incidents, and keeping up with rapidly evolving fraud tactics. To address these, it's important to implement strong digital collaboration tools, schedule regular video meetings, and establish clear protocols for incident response. Additionally, fostering a culture of transparency and continuous learning helps remote teams stay agile and cohesive in combating fraud.
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What job categories do people searching Director Fraud Remote jobs in Virginia look for? The top searched job categories for Director Fraud Remote jobs in Virginia are:
What cities in Virginia are hiring for Director Fraud Remote jobs? Cities in Virginia with the most Director Fraud Remote job openings:
Director Fraud Remote jobs near you

Senior Healthcare Fraud Investigator / OSINT Analyst

Navanti Group

Arlington, VA • Remote

Other

Posted 20 days ago

Job description

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 1015 hours per week on average, with workload varying based on investigative tasking. The position is anticipated to support approximately 550650 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 Navantis 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 Navantis Program Manager. Investigative priorities, technical direction, reporting standards, and task deadlines will be established by the authorized federal customer representative.

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