Investigator I, Investigator II, Investigator III

MASSAGO

Investigator conducting complex investigations into Medicaid fraud and healthcare abuse in Boston, Massachusetts. Reviewing complaints, analyzing data, and performing investigative tasks as part of a hybrid team.

Posted 7/2/2026full-timeBoston • Massachusetts • 🇺🇸 United StatesMid-LevelSenior💰 $68,738 - $83,173 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting complex criminal and civil investigations, particularly in fraud and abuse within the Medicaid program. Proficient in analyzing financial and medical records, developing investigative plans, and ensuring compliance with health care regulations.

Highest-signal resume keywords

Complex Criminal InvestigationsHealth Care ComplianceFraud InvestigationsMicrosoft ExcelEffective Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisInvestigative ReportingEvidence CollectionSurveillancePublic Records Searches

Soft Skills

Organizational SkillsAnalytical Skills

Tools & Technologies

Microsoft Access

Industry Keywords

Medicaid ProgramRegulatory ComplianceAuditingLaw Enforcement ExperienceBilingual

About the role

Key responsibilities & impact

Conduct complex criminal and civil investigations into allegations of fraud and abuse in the Medicaid program.
Review complaints against providers and access Medicaid claims for data analysis.
Research program rules and regulations and develop investigative plans.
Analyze financial records and review medical records.
Interview witnesses and conduct surveillance.
Serve subpoenas, help execute search warrants, and draft investigative reports and memos.
Collect and secure evidence and conduct public records searches.
Serve as a witness in criminal and civil proceedings.
Perform other investigative tasks necessary to root out fraud, waste, and abuse.

Requirements

What you’ll need

Bachelor’s degree or equivalent experience preferred.
0-2 years of relevant experience for Investigator I.
3-4 years of relevant experience for Investigator II.
5 or more years of relevant experience for Investigator III.
Background in complex criminal or civil investigations.
Background in health care compliance, fraud investigations, regulatory compliance, auditing, or accounting.
Law enforcement experience at the local, state, and/or federal level.
Experience using Microsoft Excel and Access preferred.
Excellent organizational and analytical skills.
Effective written and oral communication skills.
Bilingual candidates are encouraged to apply.
Must have access to reliable transportation or a valid driver's license to travel as needed.

Benefits

Comp & perks

Health insurance
Paid time off
Flexible work arrangements
Professional development opportunities