Join a global leader in assurance, tax, transaction, and advisory services to build a better working world. At EY, we foster a culture of continuous learning and development, empowering you to shape your career journey. We are seeking a Senior Project Consultant specializing in Forensics and Investigations within our National ASU - Forensics, Investigations & Compliance team in Gurgaon. This role is integral to protecting and restoring enterprise and financial reputations by assisting organizations in navigating investigations, disputes, and regulatory challenges.

This role focuses on supporting Fraud, Waste & Abuse (FWA) management within government-funded health insurance schemes. Key responsibilities include conducting medical audits of claims, identifying indicators of fraud, waste, and abuse, and assisting in the validation of fraud detection mechanisms. You will assess clinical appropriateness against established protocols, provide technical support to claims adjudication, and collaborate with various stakeholders. Depending on your experience, you may lead fraud management initiatives, conduct training, and prepare comprehensive reports.

To excel in this role, you must hold an MBBS degree from a recognized Indian university. A desirable qualification includes an MD or other postgraduate medical qualification. We require 3 to 6 years of experience, preferably in medical audits, claims review, healthcare fraud management, health insurance, or government healthcare schemes. The ideal candidate will possess strong problem-solving skills, the ability to work collaboratively, and a practical approach to delivering insightful solutions. Agility, curiosity, and creativity are highly valued.