CGS Federal (Contact Government Services)
Healthcare Fraud Investigator
$85K–$105K
Boston, MA +3 · Hybrid · Full-time · Posted Feb 18, 2026
- Location
- Boston, MA
Remote
Hybrid
Philadelphia, PA - Experience
- Minimum three years of professional work experience in healthcare, fraud, or a related investigative field.
- Education
- Four-year undergraduate degree or higher in criminal justice, finance, project management, or another related field.
About the job
Provides litigation support for government healthcare fraud cases by analyzing records and data, developing referrals, and assisting attorneys with investigations and case decisions.
What you'll do
- Review and analyze financial, legal, regulatory, and healthcare data; prepare transaction spreadsheets and summaries.
- Develop and evaluate healthcare fraud referrals, identify evidence and information gaps, and advise attorneys on case merits and potential proceedings.
- Support witness interviews, agency relationships, and healthcare fraud training and outreach.
What they ask for
- Four-year undergraduate degree or higher in criminal justice, finance, project management, or a related field.
- At least three years of professional work experience in healthcare, fraud, or a related investigative field.
- Proficiency in Microsoft Office applications and in analyzing data relevant to civil healthcare fraud matters.
- U.S. citizenship; ability to obtain adjudication for the required background investigation and a favorably adjudicated Public Trust Clearance.
Nice to have
- Relevant healthcare fraud experience, including compliance or auditing duties.
- Experience working with a federal or state legal or law enforcement entity.
Pay
USD 85,000–105,000 per year (base salary)
Tools
Microsoft Office, Microsoft Excel, Outlook, Word, PowerPoint, Medicare data, Medicaid data
Model-written summary · the original posting is authoritative