Current Job Opportunities
Job Title: Healthcare Fraud Investigator (Full-time Remote Position)
Post Date: 7/23/2026 – 8/3/2026
About Us
Aridell Associates, LLC, a professional consulting firm, advises clients on healthcare program operations and helps clients develop solutions to maximize meaningful outcomes, improve their operations, and protect their valuable assets, as well as bestow customer confidence in their operations. Our mission is to advance clients’ operational performance and provide sustainable long-term, successful business strategies.
Position Summary
If you are interested in providing consulting and advisory services or supporting contracts, then this operational support position is for you. The Healthcare Fraud Investigator works as an integral member of a multi-disciplinary team in conducting investigations. In this position, you will independently perform in-depth reviews and make field level judgments in supporting potential healthcare fraud, waste, and abuse investigations or cases that meet established criteria for referral for administrative action or to law enforcement agencies for criminal or civil action. The Healthcare Fraud Investigator will receive day-to-day directions and instructions from a program director, program integrity manager, lead, or their designees for the work activities on behalf of a client. The Healthcare Fraud Investigator will interact with law enforcement partners at the headquarters, regional, and field office levels to discuss potential fraud, waste, and, abuse and potential referrals.
Responsibilities
- Works on investigations and cases assigned by a director, manager, or their designees and meets the required completion time frames and performance metrics.
- Utilizing proactive and reactive leads generated by the team or referrals from partners and stakeholders, works with the team to prioritize complaints for investigation, and then independently investigates each lead by conducting interviews and reviewing data and information to make a potential fraud, waste, and abuse determination.
- Using pre-established external and internal criteria, determines if allegations of potential fraud, waste, and abuse issues merit investigation and/or referral.
- Performs background research by using contract and client data processing systems, third party data sources, and criteria, such as laws, rules, regulations, and manuals, to detect and identify potential fraud, waste, and abuse patterns, schemes, and trends, as well as program vulnerabilities.
- Requests and reviews information from other partners and stakeholders.
- Conducts interviews of victims, witnesses, informants, subject area experts, and targets of investigations.
- Identifies, collects, preserves, analyzes, and summarizes evidence.
- Examines records and verifies the authenticity of data, information, and documents.
- Enters, revises, and updates investigation and case information in the designated case management system(s) within the stipulated time frames required by the client.
- Prepares investigation reports, executive summaries, forms, and other documents in support of investigations or cases referrals to law enforcement or regulatory agencies.
- Utilizes data analysis techniques and analyzes proactive data and information to initiate investigations or make decisions for existing investigations.
- Attends meetings with or on behalf of clients related to contracts or other work assignments.
- Provides briefings on specific cases or potential fraud, waste, and abuse issues as necessary.
- Participates in the appropriate contract/client training and learning development events.
Qualifications
- A Bachelor's Degree in Business Administration or Criminal Justice or related field from an accredited college or university.
- A minimum of 3 years of experience supporting healthcare fraud investigations, special unit and program integrity operations.
- Experience working for an accounting and auditing firm, health plan, regulatory government agency, special investigations unit, or program integrity contractor is preferred.
Knowledge and Skills
- Ability to demonstrate an understanding of investigation concepts and methods and apply it to the daily work.
- Must have an understanding of healthcare programs and supply chains, and the governing laws, rules, regulations, and policies.
- Ability to analyze data and reports to identify trends and areas for improvement.
- Excellent written and verbal communication skills.
- Ability to work in a multi-team environment and communicate efficiently and effectively with fellow team members, partners, and stakeholders.
- Ability to present to large or small groups when required.
- Proficient in using the Microsoft Office Professional Suite, including Word, Excel, PowerPoint, and Outlook.
- Outstanding organizational, time management, and interpersonal skills.
- Ability to work in a fast-paced environment.
- Superior technical writing and research ability.
- Demonstrated commitment to professionalism and ethics.
- Ability to multi-task.
- A pre-employment assessment and background check will be required of any candidate prior to employment with the company.
Travel Requirements
Minimal Travel. Travel is reimbursable.
Job Location
This is a work-from-home/remote position.
Apply Now
Email a cover letter and resume to: jarias@aridell.com
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Job Title: Senior Forensic Accountant (Full-time Remote Position)
Post Date: 7/23/2026 – 8/3/2026
About Us
Aridell Associates, LLC, a professional consulting firm, advises clients on healthcare program operations and helps clients develop solutions to maximize meaningful outcomes, improve their operations, and protect their valuable assets, as well as bestow customer confidence in their operations. Our mission is to advance clients’ operational performance and provide sustainable long-term, successful business strategies.
Position Summary
If you are interested in providing consulting and advisory services or supporting investigations, then this operational support position is for you. The Senior Forensic Accountant works as an integral member of a multi-disciplinary team in supporting complex financial analysis relating to the tracking of fraud proceeds and supporting investigations of Federal benefit programs. In this position, you will perform in-depth analysis and reviews and provide support in the areas of money laundering and asset forfeiture. The Senior Forensic Accountant will receive day-to-day directions and instructions from the Project Manager or their designees for the work activities on behalf of a client. The Senior Forensic Accountant will interact with law enforcement partners at the headquarters, regional, and field office levels on criminal and civil investigations.
Responsibilities
- Works on investigations and cases assigned by a director, manager, or their designees and meets the required completion time frames.
- Independently conducts financial investigations by reviewing data and information to make determinations.
- Performs research using client systems, third party data sources, and criteria, such as laws, rules, regulations, and manuals.
- Identifies, collects, preserves, analyzes, and summarizes evidence.
- Examines records and verifies the authenticity of data and information.
- Enters, revises, and updates investigation and case information in the designated case management system.
- Prepares investigation reports, executive summaries, forms, and other documents in support of investigations.
- Utilizes data analysis techniques and analyzes proactive data and information to make decisions for existing financial investigations.
Qualifications
- A Bachelor's Degree in Business Administration or Criminal Justice or related field from an accredited college or university is preferred.
- Must have five years of experience supporting complex financial analysis relating to tracing the proceeds of fraud with a minimum of five years’ experience specializing in financial investigations with an emphasis on money laundering and asset forfeiture. Experience working with Federal benefit programs and Federal law enforcement is preferred.
- Must have a minimum of five years’ experience in forensic accounting and the tracing and analysis of funds, including bank records.
- Must have previous experience on a large-scale forensic accounting assignment involving Federal benefit programs that involves the tracing of funds on large criminal or civil litigation matters involving fraud and money laundering allegations.
- Must possess a working knowledge of current financial investigative techniques, including the use of commercial databases and other sources of information. Must have an expert level of proficiency in Microsoft Office, including Excel and PowerPoint. Working knowledge of link and graph analysis software tools is preferred.
- Must possess a certification as a Certified Public Accountant (CPA), Certified Fraud Examiner (ACFE), or Certified Anti-Money Laundering Specialist (CAMS). Specialized training in the subject of money laundering and fraud in Federal benefit programs is a plus.
Knowledge and Skills
- Ability to demonstrate an understanding of investigation concepts and methods and apply it to the daily work.
- Must have an understanding of Federal benefit programs (e.g., Paycheck Protection Program, Employee Retention Credit, Unemployment Benefits, and Economic Injury Disaster Loan Program) and domain, and the governing laws, rules, regulations, and policies.
- Ability to analyze data, information, reports, and documents.
- Excellent written and verbal communication skills.
- Ability to work in a multi-team environment and communicate efficiently and effectively with fellow team members, partners, and stakeholders.
- Ability to present to large or small groups when required.
- Outstanding organizational, time management, and interpersonal skills.
- Ability to multi-task and work in a fast-paced environment.
- A pre-employment assessment and background check will be required of any candidate prior to employment with the company.
Travel Requirements
Minimal Travel. Travel is reimbursable.
Apply Now
Email a cover letter and resume to: jarias@aridell.com
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