Responsibilities: Serve as a policy and investigative subject-matter expert for program integrity in Medicare and Medicaid. Support development of models in Medicare and Medicaid with a primary focus on managed care and prescription drugs. Identify new fraud, waste, and abuse vulnerabilities in Medicare and Medicaid. Identify innovative approaches, ranging from AI to investigative practices, to improve the identification of fraud, waste, and abuse.

The team

Deloitte's Government and 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 over 15,000+ professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.

We bring a rigorous approach to help government agencies effectively detect, prevent, and respond to issues related to fraud, waste, and abuse. Our team helps tackle these threats by bringing cutting edge analytics and AI experience with innovative mindsets. Our Program Integrity team focuses on thought diversity and collaborative problem solving to help clients address these challenges holistically, with a common goal to protect the integrity of their programs.

Qualifications

Required:

• Bachelor's degree required
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
• Must be able to obtain and maintain the required clearance for this role
• Ability to travel 0-20%, on average, based on the work you do and the clients and industries/sectors you serve
• Experience managing senior-level client relationships
• Experience managing and building capacity in analytics teams
• Expertise in federal healthcare policy, Medicare and/or Medicaid claims data, and program integrity
• Experience presenting to clients or other decision makers to present and sell ideas to various audiences (technical and non-technical)
• Experience with Fraud Analytics
• Experience leading and managing interdisciplinary teams of junior and mid-level analysts
• Program Management Office (PMO) experience
• Pre-sales, proposal, and RFP experience

Preferred:

• Experience with identifying potential fraud, waste, and abuse
• Experience with program and policy evaluation
• Quality assurance and metrics development capacity
• Business Intelligence or analytics communications experiences
• Experience leading and growing AI/ML teams

Information for applicants with a need for accommodation: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html

#RLSFY25

Recruiting tips

From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters.

Benefits

At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you.

Our people and culture

Our diverse, equitable, and inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. Learn more about our inclusive culture.

Our purpose

Deloitte's purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. Learn more about Deloitte's purpose, commitments, and impact.

Professional development

From entry-level employees to senior leaders, we believe there's always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

As used in this posting, "Deloitte Advisory" means Deloitte & Touche LLP, which provides audit and enterprise risk services; Deloitte Financial Advisory Services LLP, which provides forensic, dispute, and other consulting services; and its affiliate, Deloitte Transactions and Business Analytics LLP, which provides a wide range of advisory and analytics services. Deloitte Transactions and Business Analytics LLP is not a certified public accounting firm. Please see www.deloitte.com/us/about for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. These entities are separate subsidiaries of Deloitte LLP.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.

Requisition code: 200691