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Senior Consultant - Forensics - National - ASU - Forensics

6 - 10 years

18 - 22 Lacs

Gurugram

Posted:1 month ago| Platform: Naukri logo

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Skills Required

AI Forensic Accounting Compliance Accounting Insurance Data Analytics Data Privacy

Work Mode

Work from Office

Job Type

Full Time

Job Description

We are looking for a highly skilled and experienced Senior Consultant to join our team in Gurgaon. The ideal candidate will have 6-10 years of experience in forensic investigations, fraud analytics, healthcare audits, or compliance consulting. ### Roles and Responsibility Lead the design and execution of fraud detection methodologies using forensic analytics, AI/ML tools, and structured investigative frameworks. Oversee data integrity checks and validation processes across claims datasets in large-scale public health programs. Develop actionable insights and dashboard visualizations for early detection and prevention of fraudulent transactions. Guide cross-functional teams in implementing compliance controls and protocols across multiple components of the healthcare system. Ensure adherence to regulatory frameworks and data privacy standards while handling sensitive scheme information. Provide subject-matter expertise to build fraud-resilient operational models in complex healthcare delivery systems. ### Job Requirements Postgraduate degree in Public Health Administration/MBA/MPH/Data Analytics, or a related discipline. Professional certifications in forensic accounting, fraud examination, or data audit. Minimum 6 years of experience in forensic investigations, fraud analytics, healthcare audits, or compliance consulting. Proven expertise in public scheme evaluation or data integrity projects at the state or national level. Strong understanding of healthcare insurance systems, claim processing, and grievance redressal mechanisms. Prior exposure to AI/ML-based fraud detection systems or government-funded insurance scheme audits is preferred.

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