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Fraud Monitoring Jobs in Virginia (NOW HIRING)

Guidehouse

Fraud AI / Data Senior Consultant

Mclean, VA

$113K - $188K/yr

Experience building fraud and/or fincrime monitoring rules in one or more programming languages * Experience deploying models into production (MLOps) * Experience with AI platforms (Databricks ...

Guidehouse

Fraud AI / Data Senior Consultant

Mclean, VA · On-site

$113K - $188K/yr

Experience building fraud and/or fincrime monitoring rules in one or more programming languages * Experience deploying models into production (MLOps) * Experience with AI platforms (Databricks ...

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Fraud Monitoring information

What are the most common challenges faced in a Fraud Monitoring role, and how can I prepare for them?

One of the most common challenges in Fraud Monitoring is keeping up with the constantly evolving tactics used by fraudsters, which requires ongoing learning and adaptability. You may also face high-volume workloads, especially during peak times or when new scams emerge, making time management and prioritization important. Collaborating closely with investigation teams, IT departments, and customer service is typical, so strong communication skills are helpful. To prepare, stay updated on industry trends, familiarize yourself with current detection tools, and continually refine your analytical skills.

How much money does a fraud analyst make?

A fraud analyst typically earns a median annual salary of around $50,000 to $70,000, depending on experience, location, and industry. Entry-level positions may start lower, while experienced analysts with certifications can earn higher salaries, especially in financial services or e-commerce sectors.

Is fraud investigation a good career?

Fraud investigation is a viable career that involves analyzing financial data, identifying suspicious activity, and working with law enforcement or compliance teams. It often requires strong analytical skills, attention to detail, and knowledge of investigative tools and regulations. The field offers opportunities for advancement and specialization, with job stability in financial institutions, government agencies, and corporations.

What are the key skills and qualifications needed to thrive in the Fraud Monitoring position, and why are they important?

To thrive in Fraud Monitoring, you need strong analytical skills, attention to detail, and a solid understanding of financial systems, often bolstered by a degree in finance, accounting, or a related field. Familiarity with fraud detection software, data analysis tools (like Excel or SQL), and, at times, certifications such as CFE (Certified Fraud Examiner) are valuable. Effective communication, problem-solving abilities, and a proactive mindset are standout soft skills for this role. These competencies are essential to accurately detect, prevent, and report fraudulent activity, safeguarding organizational assets and reputation.

How do I become a fraud examiner?

To become a fraud examiner, you typically need a bachelor's degree in criminal justice, accounting, or a related field, along with experience in investigations or auditing. Earning certifications such as the Certified Fraud Examiner (CFE) from the Association of Certified Fraud Examiners can enhance credibility and job prospects. Strong analytical skills, attention to detail, and knowledge of fraud schemes and forensic tools are also important for success in this role.

What is a Fraud Monitoring job?

A Fraud Monitoring job involves analyzing transactions and activities to detect and prevent fraudulent activities. Professionals in this role use fraud detection tools, monitor account behavior, and investigate suspicious patterns. They collaborate with risk management teams to mitigate potential threats and ensure compliance with security protocols. Strong analytical skills, attention to detail, and knowledge of fraud prevention techniques are essential for this role.

What are popular job titles related to Fraud Monitoring jobs in Virginia? For Fraud Monitoring jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Fraud Monitoring jobs in Virginia look for? The top searched job categories for Fraud Monitoring jobs in Virginia are:
Fraud Monitoring jobs near you
Infographic showing various Fraud Monitoring job openings in Virginia as of July 2026, with employment types broken down into 85% Full Time, 8% Part Time, and 7% Contract. Highlights an 92% In-person, 2% Hybrid, and 6% Remote job distribution.
Senior Healthcare Fraud Investigator / OSINT Analyst

Senior Healthcare Fraud Investigator / OSINT Analyst

Navanti Group

Arlington, VA • On-site

Part-time

Posted 11 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 10-15 hours per week on average, with workload varying based on investigative tasking. The position is anticipated to support approximately 550-650 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 Navanti's 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 Navanti's Program Manager. Investigative priorities, technical direction, reporting standards, and task deadlines will be established by the authorized federal customer representative.

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