Asset Protection Investigator Saks OFF 5THAsset Protection InvestigatorHanover, MD$19–$22.25 / hourThe pay range for this position at commencement of employment is expected to be between $19 - $22.25 /hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. Achieve targets of investigative performance by identifying and addressing internal and external theft exposures; complete accident investigations and general liability claims reports.
NewInvestigator U.S. Department of Homeland SecurityInvestigatorWashington, DC$121,785–$158,322 / yearYou will work under the direction of the Fraud Preventions, Investigations Branch Chief and performing a full range of duties to include planning, conducting and managing investigations of suspected fraud waste and abuse off federal disaster funds, allegations of employee misconduct or other criminal violations of Federal laws under the authority of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Public Law 93-288) as amended. This job is open to Internal Employees - current FEMA employees on a career/career conditional appointment in a competitive service position; current FEMA employees who have previously held a career/career conditional appointment in the competitive service; current FEMA employees who are DRRA Eligible; and FEMA Career Transition Assistance Program (CTAP Eligibles) only.
CRIMINAL INVESTIGATOR (CDI) (Reemployed Annuitant) (Temporary) Social Security AdministrationCRIMINAL INVESTIGATOR (CDI) (Reemployed Annuitant) (Temporary)Washington, DC$89,508–$116,362 / yearServes as a Special Agent in the SSA Office of the Inspector General, Office of Investigations, Cooperative Disability Investigations Division with responsibility for planning, conducting, and coordinating investigations related to fraud, waste, and abuse in SSAs disability programs and operations. Briefs field division management officials and the CDI Unit Team Leader on investigative activities and the direction and progress of investigations; significant findings and developments; problems or questions of evidence; testimony or law.
Criminal Investigator (Digital Forensics) U.S. Department of CommerceCriminal Investigator (Digital Forensics)Washington, DC$125,158–$162,708 / yearA copy of your specific RIF notice; notice of proposed removal for failure to relocate; or a Certificate of Expected Separation (CES); or certification that you are in a surplus organization or occupation (this could be a position abolishment letter, a notice eligibility for discontinued service retirement, or similar notice); or notice of disability annuity termination; or certification from your former agency that it cannot place you after your recovery from a compensable injury; or certification from the National Guard Bureau or Military Department that you are eligible for disability retirement; or a copy of your SF-50 "Notification of Personnel Action" documenting your RIF separation, noting your positions, grade level, and duty location, and/or Agency certification of inability to place you through RPL, etc; nttt. A copy of the service member''s DD-214 showing the service member was released or discharged from active duty due to their death while on active duty; documentation verifying the service member was killed performing active duty (DD 1300); documentation verifying marriage to the service member at the time the service member is killed while on active duty; AND a statement certifying you are the un-married widow or widower of the service member.
Supervisory Investigator District Of ColumbiaSupervisory InvestigatorWashington, DCThe Operations Division provides and facilitates a wide array of services for both agency employees and external customers, including building and facility management, the resolution of parental disputes involving residency status and special education hearings, grants management and compliance oversight, coordination and oversight of the District's annual enrollment audit, management of residency investigations, and formulation for and implementation of agency-wide budget and finance activities. OSSE serves as the District's liaison to the U.S. Department of Education and works closely with the District's 470+ early childhood facilities, 250+ schools, 60+ local education agencies (including DCPS and charter organizations), and community-based organizations to provide critical programming and resources to our stakeholders.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorBaltimore, MDPerforms sophisticated analyses of large-scale hard-copy and electronic data such as health care claims data, financial transaction data, accounting records, or bank records to develop investigative leads and to determine their potential relevance to the allegations at issue. • Performs analysis to clarify the target suspects or organizations pattern of operations to identify information relevant to the legal issues involved and to recommend valuable approaches to the AUSAs or other members of the investigative team.
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar Health Research InstituteCompliance Audit/Investigator - CCS / CPC / or CCADC$65,062–$117,291 / yearPerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorArlington, VA$51,435.30–$66,131.10 / yearPerforms sophisticated analyses of large-scale hard-copy and electronic data, such as health care claims data, financial transaction data, accounting records, or bank records to develop investigative leads and to determine their potential relevance to the allegations at issue. Skills and attributes for success: The investigator will generate new investigations, and to continue with ongoing investigation and civil actions involving fraud in areas such as healthcare, contracting, and grants, as well as other fraud and abuse of federal public funds and programs.
Criminal Investigator U.S. Department of Homeland SecurityCriminal InvestigatorWashington, DC$106,437–$158,322 / yearStatus Candidates, Merit Promotion, Current Federal Employees, Former Federal Employees, Overseas Employees, Former Overseas Employees, CTAP, ICTAP, VRA, VEOA, 30% Disabled, Schedule A, Individuals with Disabilities, Military Spouses, Land and Base Management, Peace Corps, Americorps, Vista For definitions of common terms found in this announcement: http://dhsconnect.dhs.gov/org/comp/mgmt/dhshr/hr/Documents/JOA_Common_Definitions.pdf . You will serve as a Criminal Investigator and be responsible for conducting complex and highly sensitive criminal investigations into matters involving felony violations to the Uniform Code of Military Justice (UCMJ); performing internal affairs investigations into alleged misconduct by CGIS personnel; carrying out investigations into violations of federal laws and statutes under the maritime jurisdiction of the U.S. Coast Guard (USCG); and conducting investigations into matters referred by the Department of Homeland Security, Office of Inspector General to CGIS Headquarters.
Marine Investigator U.S. Department of Homeland SecurityMarine InvestigatorWashington, DC$101,375–$131,790 / yearYou will serve as a Marine Investigator and be responsible for serving as the Prevention Departments source for continuity of investigation program policies, technical issues, special program support activity and is a primary contact with other Federal, State, and local law enforcement agencies related to marine investigations including but not limited to the National Transportation Safety Board, Department of Justice, Federal Bureau of Investigation, Customs and Border Protection, Bureau of Alcohol, Tobacco, Firearms and Explosives, and the Department of Labors Occupational Safety and Health Administration. "Newly appointed" refers to the first appointment (regardless of tenure) as an employee of the Federal Government, an appointment following a break in service of at least 90 days from a previous appointment as an employee of the Federal Government, or, in certain cases, an appointment following a break in service of less than 90 days from a previous appointment as an employee of the Federal Government.
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar HealthCompliance Audit/Investigator - CCS / CPC / or CCAWashington, DC$65,062–$117,291 / yearPerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
NewPolice Officer (Traffic Investigator) United States ArmyPolice Officer (Traffic Investigator)Washington, DC$55,882–$72,644 / yearSpecialized Experience: One year of specialized experience which includes (1) Applying basic laws, regulations, and law enforcement techniques to protect life and property; (2) Assisting in conducting traffic investigations or collisions by taking statements, gathering evidence, or apprehending suspects; (3) Preparing reports on case information investigative findings. Time-in-grade documentation: If you are applying for a higher grade and your SF-50 has an effective date within the past year, it may not clearly demonstrate you meet the one year time-in-grade requirement so you will need to provide an SF-50 which clearly demonstrates you meet the time-in-grade requirements (examples of appropriate SF-50s include Promotions, Within-grade Grade/Range Increases, and SF-50s with an effective date more than one year old).
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorAnnapolis, MarylandVRC provides their investigators with necessary equipment and comparable pay, to include drive time, above normal commute mileage reimbursement, company paid licensing fees in most states and allowance for non-reimbursed business expenses. We currently have career opportunities for experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthMD$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals.
Risk Manager (Perm/FT/Benefits) Harford County, MDRisk Manager (Perm/FT/Benefits)bel air, MD$78,036–$165,762 / yearEXPERIENCE: Four (4) years of experience in at least two of the following areas: Administration of programs for purposes of preventing/minimizing property loss/personal injury; Administration and implementation of safety protocols; Administration of a self-insurance/commercially available insurance programs; Determination and evaluation of loss exposures and implementation of programs and training; Property, liability or workers' compensation claims investigation and/or adjustment practices and subrogation processes; or, Insurance administration. Manages the county self-insurance program and all insurance policies, including but not limited to general liability, automobile liability, property liability, cyber liability, pollution liability, Maryland Motor Vehicle Administration self-insurance regulations, and workers' compensation; recommends appropriate levels of all insurance coverage.
Risk Manager (Perm/Ft/Benefits) Harford County, MDRisk Manager (Perm/Ft/Benefits)Bel Air, MD$78,036–$165,762 / yearEXPERIENCE: Four (4) years of experience in at least two of the following areas: Administration of programs for purposes of preventing/minimizing property loss/personal injury; Administration and implementation of safety protocols; Administration of a self-insurance/commercially available insurance programs; Determination and evaluation of loss exposures and implementation of programs and training; Property, liability or workers' compensation claims investigation and/or adjustment practices and subrogation processes; or, Insurance administration. Manages the county self-insurance program and all insurance policies, including but not limited to general liability, automobile liability, property liability, cyber liability, pollution liability, Maryland Motor Vehicle Administration self-insurance regulations, and workers' compensation; recommends appropriate levels of all insurance coverage.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)MD$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
General Liability Property Damage Adjuster - Washington DC/Baltimore Engle Martin & Associates, Inc.General Liability Property Damage Adjuster - Washington DC/BaltimoreBaltimore, MDYour EMpact: Determine appropriate methods and extent of needed investigation for all assigned claims, including conducting investigations through field visits and phone contact; obtaining contracts, job files, and appraisals; conducting insured, witness, and claimant interviews and/or statements, complete site inspections; scope, measure and write estimates, and using other fact-finding methods to evaluate liability, damages, and proper coverage. Investigate insurance claims in a variety of settings including, but not limited to: retail establishments, office buildings, residences, condominiums, apartments, hotels, corporate facilities, governmental facilities, schools, clinics, or hospitals; assess loss or damage resulting from various events including, but not limited to, inclement or catastrophic weather, construction defect, and fire.
Risk Manager (Perm/FT/Benefits) HCG Harford County, MarylandRisk Manager (Perm/FT/Benefits)Bel Air, MarylandAdministration of programs for purposes of preventing/minimizing property loss/personal injury; 2. Administration and implementation of safety protocols; 3. Administration of a self-insurance/commercially available insurance programs; 4. Determination and evaluation of loss exposures and implementation of programs and training; 5. Manages the county self-insurance program and all insurance policies, including but not limited to general liability, automobile liability, property liability, cyber liability, pollution liability, Maryland Motor Vehicle Administration self-insurance regulations, and workers' compensation; recommends appropriate levels of all insurance coverage.
NewForensic Accountant U.S. Department of TransportationForensic AccountantWashington, DC$97,307–$158,322 / yearCompletion of the requirements for a degree that included substantial course work in accounting or auditing, e.g., 15 semester hours, but that does not fully satisfy the 24-semester-hour requirement of paragraph A, provided that (a) the applicant has successfully worked at the full-performance level in accounting, auditing, or a related field, e.g., valuation engineering or financial institution examining; (b) a panel of at least two higher level professional accountants or auditors has determined that the applicant has demonstrated a good knowledge of accounting and of related and underlying fields that equals in breadth, depth, currency, and level of advancement that which is normally associated with successful completion of the 4-year course of study described in paragraph A; and (c) except for literal nonconformance to the requirement of 24 semester hours in accounting, the applicants education, training, and experience fully meet the specified requirements. Non-competitive eligibles - If requesting concurrent consideration for Non-competitive (NC) appointment eligibility, you must provide the appropriate SPECIAL APPOINTING AUTHORITY DOCUMENTS, such as PCS orders (military spouse) describing move & marriage certificate; letter from VA or DD214 describing 100% disability of spouse; letter from State Vocational Office certifying disability (schedule A), etc.