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Senior Fraud Manager Jobs in Reston, VA (NOW HIRING)

Ardent

Senior Cybersecurity Program Manager

Washington, DC · On-site

$131K - $131K/yr

Ardent is seeking a Senior Cybersecurity Program Manager to lead day-to-day operations and ... This role will oversee multidisciplinary fraud analytics and cybersecurity operations teams ...

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Senior Fraud Manager information

See Reston, VA salary details

$29.6K

$101K

$189.9K

How much do senior fraud manager jobs pay per year?

As of Jul 19, 2026, the average yearly pay for senior fraud manager in Reston, VA is $101,019.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $142,000.00 per year, depending on experience, location, and employer.

What is the difference between Senior Fraud Manager vs Fraud Analyst?

AspectSenior Fraud ManagerFraud Analyst
Required CredentialsBachelor's degree, experience in fraud prevention, certifications like CFE or ACFEBachelor's degree, knowledge of fraud detection tools, certifications optional
Work EnvironmentLeadership role overseeing teams, strategic planning, policy developmentData analysis, investigation, reporting
Employer & Industry UsageFinancial institutions, e-commerce, insurance companiesBanking, retail, online services

The Senior Fraud Manager focuses on leading fraud prevention strategies and managing teams, while the Fraud Analyst primarily conducts investigations and analyzes data to detect fraud. Both roles require relevant certifications and industry experience, but differ in scope and responsibilities.

How does a Senior Fraud Manager typically collaborate with other departments to prevent and address fraudulent activities?

A Senior Fraud Manager works closely with teams across the organization, such as IT, Compliance, Risk, and Customer Service, to design and implement effective fraud prevention strategies. This collaboration often involves sharing data insights, coordinating on investigations, and ensuring that everyone follows consistent protocols. Regular cross-departmental meetings and training sessions are common, allowing the Senior Fraud Manager to align efforts, quickly respond to incidents, and stay ahead of emerging threats. Building strong relationships with external partners, such as law enforcement or financial institutions, is also a key part of the role.

What does a Senior Fraud Manager do?

A Senior Fraud Manager is responsible for overseeing an organization's fraud prevention, detection, and investigation strategies. They lead teams that analyze suspicious activities, implement anti-fraud policies, and coordinate with law enforcement and regulatory bodies. Their goal is to minimize financial losses due to fraud and ensure compliance with relevant laws and industry standards. Additionally, they use data analytics and risk assessments to identify vulnerabilities and recommend process improvements.

What are the key skills and qualifications needed to thrive as a Senior Fraud Manager, and why are they important?

To thrive as a Senior Fraud Manager, you need expertise in fraud detection, risk assessment, and a background in finance or criminology, often supported by a relevant degree and several years of experience. Familiarity with fraud prevention tools, data analytics platforms, and certifications like CFE (Certified Fraud Examiner) are highly valued. Strong leadership, analytical thinking, and effective communication are essential soft skills for leading teams and influencing stakeholders. These skills are crucial for proactively identifying threats, minimizing losses, and maintaining organizational integrity.
What job categories do people searching Senior Fraud Manager jobs in Reston, VA look for? The top searched job categories for Senior Fraud Manager jobs in Reston, VA are:
What cities near Reston, VA are hiring for Senior Fraud Manager jobs? Cities near Reston, VA with the most Senior Fraud Manager job openings:
Senior Fraud Manager jobs near you
Senior Healthcare Fraud Investigator / OSINT Analyst

Senior Healthcare Fraud Investigator / OSINT Analyst

Navanti Group

Arlington, VA • On-site

Part-time

Posted 6 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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