SIU Senior Analyst, Lead Investigator (Must Reside in Maryland) CVS Health CorpSIU Senior Analyst, Lead Investigator (Must Reside in Maryland)MD$46,988–$112,200 / yearThe lead reviewer is accountable for the validation of existing Fraud, Waste and Abuse business rules/leads designed to detect aberrant billing patterns as reviewing incoming referrals. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Investigator Ethos Risk ServicesInvestigatorBaltimore, MDPart timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Baltimore, MDRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Criminal Investigator District Of ColumbiaCriminal InvestigatorWashington, DCReceives and analyzes complaints/allegations under procedures identified and against applicable laws, regulations, and policies regarding potential credibility and conducts interviews and ensures that all District employees and non-employees interviewed during an official investigation are provided all requisite warnings, as the circumstances warrant. Assists the Department of Justice and Districts United States Attorney''s Office in preparing cases for prosecution; Assists the District of Columbia Office of the Attorney General in preparing cases for civil litigation and testify in legal proceedings as required.
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).
Compliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar HealthCompliance Audit / Investigator / Coder - CCS / CPC / or CCAWashington, DC$65,062–$117,291 / yearFull timePerforms 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).
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).
Marine Investigator U.S. Department of Homeland SecurityMarine InvestigatorWashington, DC$89,508–$116,362 / yearThe Marine Investigator serves as the civilian resident 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 such as the Department of Interior/Minerals Management Service, Department of Justice; Federal Bureau of Investigation; Customs; Bureau of Alcohol, Tobacco, and Firearms, Department of Defense, Department of Labors Occupational Safety and Health Administration and local maritime industry representatives. Status Candidates, Merit Promotion, Current Federal Employees, Former Federal Employees, Overseas Employees, Former Overseas Employees, CTAP, ICTAP, 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 .
Special Agent (Lateral) White House USASpecial Agent (Lateral)DC$90,853–$147,928 / yearInvestigate criminal and terroristic activity involving violations of the D.C. Code and Title 18 of the U.S. Code; Collect, evaluate, interpret, and disseminate information related to the mission of the ID; Prepare and disseminate written reports including reports of investigation, various investigative assessments, and investigations bulletins; Perform a full range of comprehensive investigative functions to include planning, organizing, fact-finding, and reporting results on cases ranging from routine to highly complex; Perform protective intelligence operations, coordinating investigative and operational efforts with other USCP sworn officers and outside agency officials; Serve as a liaison with local, state, and Federal law enforcement agencies; Conduct surveillance, surveillance detection, and counter surveillance operations; Represent the USCP during investigative and law enforcement meetings. The PSB ID is responsible for investigating violations of the D.C. Code and Title 18 of the U.S. Code to include allegations of criminal activity, terroristic activity, and threats or unusual interests against Members of Congress and other statutory protectees of Congress that occur in the jurisdiction of the USCP as defined by 2 USC § 1966(a) & (f).
Police Officer (Private - Experienced Officer - Up to 55K Recruitment and Retention Bonus) U.S. Department of the InteriorPolice Officer (Private - Experienced Officer - Up to 55K Recruitment and Retention Bonus)Washington, DC$73,177–$131,716 / yearExamples of qualifying examples include, but are not limited to: Work on a police force, service as a military police officer, specialized military experience, security guards, physical security, visitor protection and law enforcement in parks, forest, or other natural resources or recreational environments, and/or criminal investigations; qualifying experience not immediately related to law enforcement may include, but is not limited to supervisory/managerial experience or personal work related experience that demonstrates the ability to independently manage critical tasks. If you are using education completed in foreign colleges or universities to meet qualification requirements, you must show that your education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university.
Police Officer (Private) Up to 55K Recruitment and Retention Bonus U.S. Department of the InteriorPolice Officer (Private) Up to 55K Recruitment and Retention BonusDC$73,177–$131,716 / yearExamples of qualifying examples include, but are not limited to: Work on a police force, service as a military police officer, specialized military experience, security guards, physical security, visitor protection and law enforcement in parks, forest, or other natural resources or recreational environments, and/or criminal investigations; qualifying experience not immediately related to law enforcement may include, but is not limited to supervisory/managerial experience or personal work related experience that demonstrates the ability to independently manage critical tasks. If you are using education completed in foreign colleges or universities to meet qualification requirements, you must show that your education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university.
RN Research Nurse Coordinator l (Hybrid) - Radiology Washington University in St LouisRN Research Nurse Coordinator l (Hybrid) - RadiologyWashingtonActs as liaison by facilitating communication and coordination of care between patients, families and health team members; explains routines and procedures, in accordance with study protocols, to patients and coordinates patient care information to appropriate sources. This position will support multiple clinical research studies on day-to-day clinical trial activities such as patient recruitment, data collection and entry, patient education, ensuring regulatory compliance, and maintaining accurate documentation of research activities.
Special Agent (Entry-Level) White House USASpecial Agent (Entry-Level)Washington, DCPhase 4: An additional 4 weeks of training in the USCP Field Training Agent Program in Washington, D.C. Travel is required to attend training at applicants expense to the FLETC in Glynco, GA; Cheltenham, Maryland; and Washington, D.C. Employment Disqualifiers: There are specific situations that automatically disqualify applicants for USCP employment. The PSB ID is responsible for investigating violations of the D.C. Code and Title 18 of the U.S. Code, to include allegations of criminal activity, terroristic activity, and threats or unusual interests against Members of Congress and other statutory protectees of Congress that occur in the jurisdiction of the USCP as defined by 2 USC § 1966(a) & (f).
Special Agent (Reemployed Annuitant) Investigations Division White House USASpecial Agent (Reemployed Annuitant) Investigations DivisionWashington, DCInvestigate criminal and terroristic activity involving violations of the D.C. Code and Title 18 of the U.S. Code; Collect, evaluate, interpret, and disseminate information related to the mission of the ID; Prepare and disseminate written reports including reports of investigation, various investigative assessments, and investigations bulletins; Perform a full range of comprehensive investigative functions to include planning, organizing, fact-finding, and reporting results on cases ranging from routine to highly complex; Perform protective intelligence operations, coordinating investigative and operational efforts with other USCP sworn officers and outside agency officials; Serve as a liaison with local, state, and Federal law enforcement agencies; Conduct surveillance, surveillance detection, and counter surveillance operations; Represent the USCP during investigative and law enforcement meetings. The PSB ID is responsible for investigating violations of the D.C. Code and Title 18 of the U.S. Code to include allegations of criminal activity, terroristic activity, and threats or unusual interests against Members of Congress and other statutory protectees of Congress that occur in the jurisdiction of the USCP as defined by 2 USC § 1966(a) & (f).
Special Agent (Reemployed Annuitant) DPD White House USASpecial Agent (Reemployed Annuitant) DPDWashington, DCMust have completed the FLETC Criminal Investigator Training Program (CITP) or USCP Basic Agent Training Program (BATP) or equivalent training program from the Federal Bureau of Investigation (FBI), Drug Enforcement Agency (DEA) or U.S. Postal Inspection Service. Must have completed FLETC Criminal Investigator Training Program (CITP) or USCP Basic Agent Training Program (BATP) or equivalent training program from the Federal Bureau of Investigation (FBI), Drug Enforcement Agency (DEA) or U.S. Postal Inspection Service.
Supervisory Enforcement Manager U.S. Department of CommerceSupervisory Enforcement ManagerWashington, DC$169,279–$197,200 / yearTraining Requirements: Applicants who have satisfactorily completed the Uniformed Police Training Program (UPTP) or the Criminal Investigator Training Program (CITP) provided by the Federal Law Enforcement Training Center, or an equivalent training program which provided instruction in the laws of arrest, search and seizure as they relate to investigating offenses against the United States, must provide a copy of your certification during the hiring process. Individuals w/Disabilities, Pathways Interns & Recent Grads who are eligible for conversion, etc.); OR current or former employees who are serving, or previously served on temp or term appmt in land mgmt agency; OR veterans w/preference or those separated from armed forces OR NOAA Corps under honorable conditions after 3+ yrs of continuous service.
NewSpecial Agent US Department of EnergySpecial AgentDC$121,785–$158,322 / yearTRAINING: The incumbent must qualify to obtain a Special Deputation by the United States Marshals Service; including at minimum: having successfully completed an accredited basic law enforcement training program (civilian or military); having at least one year of previous law enforcement experience; not have a break in service in Law Enforcement for over 5 years; and not having been convicted of a crime of domestic violence as defined in Title 18, USC Section 922 (g) (9) Lautenberg Amendment. OPTIONAL DOCUMENTS TO SUPPORT PREFERENCE OR ELIGIBILITY CLAIMS: VETERANSPREFERENCE (DD-214, VA Disability Letter, etc.): If you are claiming veterans preference, you must submit a copy of your Certificate of Release or Discharge From Active Duty, DD-214 (Member 4 copy), or other official documentation from a branch of the Armed Forces or the Department of Veterans Affairs showing dates of service and type of discharge.
Tax Law Specialist Reviewer NTE 1 YR MBE 4 YR MBMP Department of the Treasury, USTax Law Specialist Reviewer NTE 1 YR MBE 4 YR MBMPLanham, MD$125,776–$187,093 / yearYou must also meet the following requirement(s): TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. If applying for a higher grade and you met time-in-grade (TIG) at another agency, it is recommended that you provide an SF-50(s) (Notification of Personnel Action) (or equivalent) which demonstrates you meet the 52-week TIG requirement (e.g., Promotion with an effective date more than one (1) year old, Within-Grade-Increase at the highest grade held).
Medical Science Liaison, Camzyos (Dc, DE, MD, VA) Bristol Myers SquibbMedical Science Liaison, Camzyos (Dc, DE, MD, VA)Baltimore, MDRemote$166,090–$201,262 / yearThe purpose of their interactions is to engage in meaningful scientific exchange that will ensure patients have access to BMS medicines, to ensure their safe and appropriate use through peer to peer discussions aligned with medical strategies and needs expressed by external stakeholders, and to facilitate research. Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
Therapeutics Discovery Staff Scientist Chenega CorporationTherapeutics Discovery Staff ScientistMDThis key personnel role designs immunogenicity and virology studies; evaluates cellular and humoral immune responses; supports small-animal studies in BSL-2, BSL-3, and BSL-4 laboratories; prepares technical reports and manuscripts; mentors junior staff; and collaborates with internal and external partners to advance USAMRIID''s medical countermeasure portfolio. Chenega Services and Federal Solutions, LLC., a Chenega Professional Services' company, is looking for a Therapeutics Discovery Staff Scientist to support the design and execution of in vitro and in vivo studies to evaluate medical countermeasures, including vaccines and therapeutics, and to investigate infectious disease pathogenesis.