NewCompliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar HealthCompliance Audit / Investigator / Coder - CCS / CPC / or CCAWashington, DC$65,062–$117,291Performs 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).
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorWashington, DC$25–$32 / hourPart timeOur leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment. Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your surveillance expertise.
Senior Property Adjuster (Commercial Property Claims) - Washington, DC Engle Martin & Associates, Inc.Senior Property Adjuster (Commercial Property Claims) - Washington, DCDCPHYSICAL ACTIVITIES AND REQUIREMENTS: In addition to the working conditions and associated physical activities and requirements above, the incumbent may be required to climb, balance, stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, finger, grasp, or feel, especially in the course of investigating and assessing property damage; these requirements may include the need to lift weights of up to 50 pounds, including a ladder. The work requires close visual acuity, with or without correction, to prepare reports containing words, symbols, and numerical figures; the incumbent is required to view a computer terminal, use a keyboard, read printed documents, make detailed visual inspections, perceive color, perceive depth, and have a sufficient field of vision to carry out all inspection and related duties.
Investigator Ethos Risk ServicesInvestigatorWashington, DCPart timePrevious Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
NewLead SIU Investigator Centene Management CompanyLead SIU InvestigatorWashingtonRemoteProvides direction and guidance to staff who investigate and remediate compliance and fraud, waste, and abuse related matters; while maintaining an investigative workload of moderate to high complexity. Bachelor's Degree in related field; or Associate's degree with 6 years related experience; or High School Diploma/GED with 7 years related experience.
PUBLIC NOTICE- DEA Criminal Investigators U.S. Department of JusticePUBLIC NOTICE- DEA Criminal InvestigatorsDC$48,854–$82,938 / yearS.A.A. is based on (1) class standing, (2) grade-point average, or (3) honor society membership: Class Standing: Applicants must be in the upper third of the graduating class, based on completed courses; Grade Point Average: Applicants must have a grade point average of: 3.0 or higher: Based on 4 years of education or as computed based on courses completed during the final 2 years of the curriculum; OR; 3.5 or higher: Based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum; OR; Election to membership in a national scholastic honor society: Applicants can be considered eligible based on membership in one of the national scholastic honor societies recognized by the Association of College Honor Societies OR; COMBINATION OF EDUCATION AND EXPERIENCE: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. Conducts complex criminal investigations targeting narcotics and drug related activities; Prepares comprehensive and succinct criminal investigative reports and prepares and delivers briefings for senior personnel and other Federal, state, and local agencies; Identifies and apprehends drug traffickers and arresting individuals engaged in criminal drug activities; Gathers and analyzes evidence through investigative leads, seizures, arrests, execution of search warrants, and a variety of other means; Testifies on behalf of the Federal government in court or before grand juries.
Criminal Investigator (Deputy U.S. Marshal) U.S. Department of JusticeCriminal Investigator (Deputy U.S. Marshal)Washington, DC$54,485–$70,307 / yearThe mission of the USMS includes protection of the judiciary, court security, witness security, asset forfeiture, apprehending fugitives and violent offenders, apprehending and prosecuting unregistered sex offenders, prisoner transportation, management, and custody, and providing assistance in matters of Federal emergencies and other critical incidents. This specialized experience must be gained in a full time certified law enforcement officer position(s) which includes: Independently execute and enforce the civil and/or criminal process; Plan the execution of warrants of arrest; Plan and carry out investigations; Execute warrants of arrest; Lead security assignments for court proceedings in criminal and/or civil trials; or.
Criminal Investigator (Special Agent) U.S. Department of the InteriorCriminal Investigator (Special Agent)Washington, DC$106,437–$158,322 / yearMinimum Qualifications GS-13: One year of specialized experience equivalent to the GS-12 grade level in the Federal service performing all of the following: Planning and conducting fraud investigations that are primarily criminal in nature; Applying for and executing search warrants and other law enforcement operations; Testifying in court or providing briefings to internal and external parties such as high level agency officials, law enforcement personnel, or federal/state prosecutors; AND. Initial appointments to the competitive or excepted service will be subject to satisfactory completion of a probationary or trial period, and that in the absence of agency action to retain, such appointments will terminate the day before the anniversary date of the individuals appointment (or sooner), if the certifying official determines that finalizing the appointment would not advance the public interest, meet the organization goals and mission of the OIG, and/or otherwise does not promote the efficiency of the service.
Investigator Sr AmeriHealth CaritasInvestigator SrWashington, DCRemote$92,600–$126,200 / yearWe offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. The Investigator is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving the full range of products at the AmeriHealth Caritas Family of Companies (ACFC).
Criminal Investigator (Senior Operations Manager) US Department of Health and Human ServicesCriminal Investigator (Senior Operations Manager)Washington, DC$143,913–$187,093 / yearHowever, if you are applying as a https://help.usajobs.gov/working-in-government/unique-hiring-paths/veterans , individual with a https://help.usajobs.gov/working-in-government/unique-hiring-paths/individuals-with-disabilities , or a https://help.usajobs.gov/working-in-government/unique-hiring-paths/federal-employees/career-transition , you will be required to provide other supporting documents as applicable. GS-14: You must have 1 year of specialized experience equivalent to at least the GS-13, in the Federal service, which includes: leading and coordinating multi-jurisdictional criminal investigation operations; providing advice, guidance, and regulatory interpretation of laws, policies, and regulations pertaining to all aspects of criminal investigations; preparing written legal investigative documents/reports; and liaising and maintaining effective relationships in collaboration of criminal investigations with local, state, and federal law enforcement agencies.
Investigator U.S. Department of JusticeInvestigatorWashington, DC$62,982–$118,738 / yearSpecialized experience is defined as experience conducting complex investigations and/or financial examinations; knowledge of public healthcare programs, the statutory and regulatory provisions governing such programs, and/or methods to identify fraud, waste, and abuse within such programs; selecting interviewees and conducting interviews of witnesses; performing quantitative, qualitative or other analysis of relevant facts; coordinating investigatory activities with, and otherwise liaising with, other federal or state agencies; and creating analytical or investigative reports to guide the attorneys and investigative team with regard to further investigative steps, the evidence that supports specific violations, and the relative strength of the evidence. Specialized experience is defined as experience assisting in routine investigations and/or financial examinations; knowledge of relevant state, local, and/or federal laws or regulations regarding health care fraud, contracting fraud, or other fraud; using systems for the secure storage, preservation, organization, and indexing of voluminous documentary evidence; assisting with interviews of witnesses; contributing to reports on the progress of investigations for use by attorneys; and creation of charts, graphs, videotapes, and other audio-visual materials.
Criminal Investigator U.S. Department of JusticeCriminal InvestigatorWashington, DC$125,431–$163,062 / yearIf you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, Non-career SES or Presidential Appointee employee in the Executive Branch, you must disclose this information to the Human Resources Office by providing a copy of your applicable SF-50, along with a statement that provides the following information regarding your most recent political appointment: Position title; Type of appointment (Schedule A, Schedule C, Non-career SES, or Presidential Appointee); Agency; and. The United States Attorneys Office, District of Eastern New York is looking for a highly qualified and experienced Criminal Investigator to handle federal law enforcement matters, and to join a well-respected team responsible for planning, conducting and managing complex criminal investigations related to suspected violations of federal law.
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 Services LLCAffirmative Civil Enforcement ACE InvestigatorDCPerforms 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.
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorWashington, DC$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.
Senior Marine Investigator U.S. Department of Homeland SecuritySenior Marine InvestigatorWashington, DC$106,437–$138,370 / yearStatus 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 . Military Spouses (if applicable) - You MUST submit verification of the marriage to the service member (i.e., a marriage license or other legal documentation verifying marriage) AND: (1) a copy of your spouses active military orders; OR (2) verification of your spouses 100% service-connected disability (VA Letter and/or DD-214); OR (3) verification of the service members death while on active duty (DD-1300/Death Certificate).
Marine Investigator (Suspension & Revocation) U.S. Department of Homeland SecurityMarine Investigator (Suspension & Revocation)Washington, DC$121,785–$158,322 / yearConduct and prepare suspension and revocation cases in accordance with applicable agency policy, maritime laws and regulations for administrative action; Research or investigate difficult and complex issues involving Suspension and Revocation (S&R) programs or similar violations of law; Utilize computer systems (i.e. word-processing, spreadsheets, desktop publishing, graphics, communications, databases, and Internet publishing systems, etc.) to plan and support unit operations and priorities for the mission; and. "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.
Criminal Investigator U.S. Department of Homeland SecurityCriminal InvestigatorDC$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.
Admin Investigator (Hiring Event) U.S. Department of DefenseAdmin Investigator (Hiring Event)Washington, DC$109,137–$187,093 / yearAdministrative Investigators conduct independent, objective administrative and criminal investigations and inquiries, and prepare reports on allegations regarding employee misconduct, unethical behavior, fraud, waste and abuse, gross mismanagement, and other violations of law/policy under the authorities derived from the Inspector General Act of 1978. You can apply for the job opening at https://careers.nga.mil/psp/CAREERS/EMPLOYEE/HRMS/c/HRS_HRAM_FL.HRS_CG_SEARCH_FL.GBL?Page=HRS_APP_JBPST_FL&Action=U&FOCUS=Applicant&SiteId=1&JobOpeningId=20260259&PostingSeq=2 .
Supervisory Criminal Investigator (Director) U.S. Department of Homeland SecuritySupervisory Criminal Investigator (Director)Washington, DC$147,945–$197,200 / yearAdditionalRequirements: Training Requirement: This position requires that you have completed the Criminal Investigator Training Program (CITP) or one of the following equivalents: (FBI Basic Special Agent Academy, DEA Basic Special Agent Academy, U.S. Postal Inspection Service, Basic Inspector Training Program, U.S. Army, CID Agent Course, or the U.S. Air Force Office of Special Investigations, Special Investigators Course). You will qualify for the GS-15 grade level if you possess one year of specialized experience at the GS-14 grade level performing the following: Directing and managing criminal, civil, and administrative investigative programs through subordinate managers, supervisors, and administrative personnel, providing executive leadership, strategic oversight, and operational direction to ensure effective execution of complex investigative operations.
NewCompliance Investigator U.S. Department of LaborCompliance InvestigatorWashington, DC$62,297–$134,195 / yearTo claim 10-point (CP/CPS, XP) preference, you must submit a copy of your DD214 and the proof of entitlement of this preference, which is normally an official statement, dated 1991 or later, from the Department of Veterans Affairs certifying to the present existence of the service-connected disability and indicating the percentage of your disability. regulations; Conducting simple investigations of the violation of laws; Conducting audits/reviews of financial records to identify discrepancies (e.g., labor union, banking records); Examining, researching and gathering information for preparation of portions of investigative reports; Providing advice and guidance to the public on regulatory requirements; and/or.
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar HealthCompliance 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).
General Liability Property Damage Adjuster - Washington Dc/Baltimore Eagle MartinGeneral Liability Property Damage Adjuster - Washington Dc/BaltimoreWashington, DCYour 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.
General Liability Property Damage Adjuster - Washington DC/Baltimore Engle Martin & Associates, Inc.General Liability Property Damage Adjuster - Washington DC/BaltimoreDCYour 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.
Industrial Hygienist US Department of Health and Human ServicesIndustrial HygienistWashington, DC$85,447–$158,322 / yearYou qualify at the GS-13 level, if you meet the following qualification requirement: You must demonstrate in your resume at least one (1) year of qualifying experience equivalent to at least the GS-12 level in the Federal service obtained in either the private or public sector, performing the following types of tasks: 1) Planning and administering an industrial hygiene program for an organization including analyzing and interpreting regulations and policies to determine their applicability to an organizations programs; 2) Developing and implementing methods to eliminate or control hazardous and environmental conditions in a work environment; 3) Providing training and technical advice to program staff on occupational health and safety programs and issues; 4) Evaluating proposed new work processes or materials to assure incorporation of adequate measures for prevention of occupational disease hazards; 5) Preparing technical reports based on toxicological data. You qualify at the GS-12 level, if you meet the following qualification requirement: You must demonstrate in your resume at least one (1) year of qualifying experience equivalent to at least the GS-11 level in the Federal service obtained in either the private or public sector, performing the following types of tasks: 1) Planning and conducting complete evaluations of work operations involving potentially hazardous environmental conditions, analyzing findings, and recommending corrective measures and controls; 2) Providing consultation and basic technical advice to program staff on occupational health and safety programs and issues; 3) Planning and conducting studies and surveys analyzing hygiene and safety issues involved in the industrial process; 4) Investigating health problems which arise among workers.
NewNurse (Research Specialist) US Department of Health and Human ServicesNurse (Research Specialist)Washington, DC$102,415–$158,322 / yearAs a GS-13 Nurse (Research Specialist), the incumbent would be responsible for the following duties: The incumbent is an independently licensed nurse who serves as a senior nurse specialist, within the NHLBI Office of the Clinical Director, who participates in assessing, planning, implementing, and evaluating nursing practices for an assigned clinical area. As a GS-12 Nurse (Research Specialist), the incumbent would be responsible for the following duties: Serving as an independently licensed nurse, within the NHLBI Office of the Clinical Director, who participates in assessing, planning, implementing, and evaluating nursing practices for an assigned clinical area.
Paralegal Specialist U.S. Department of DefenseParalegal SpecialistWashington, DC$64,406–$101,309 / yearFOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the 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. Combination: Combinations of successfully completed post-high school education and experience may be used to meet total qualification requirements for grade levels GS-09 and GS-11 and may be computed by first determining the applicants total qualifying experience as a percentage of the experience required for the grade level; then determining the applicants education as a percentage of the education required for the grade level; and then adding the two percentages.
Bodily Injury Adjuster - Litigation, Moderate/Complex - MD, VA, DC, WV, DE (Remote) Allstate Insurance CompanyBodily Injury Adjuster - Litigation, Moderate/Complex - MD, VA, DC, WV, DE (Remote)DCRemote$53,500–$84,625 / yearYou'll wear a few hats to fill a few roles throughout your day that all require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each casualty claim. As a Litigation Bodily Injury Adjuster, your main focus will be investigating automobile accidents involving single or multiple vehicles, which result in property damage and/or bodily injury with attorney/litigation involved.
NewIT Specialist (DATAMGT) US Department of Health and Human ServicesIT Specialist (DATAMGT)Washington, DC$147,945–$197,200 / yearCustomer Service - Works with clients and customers (that is, any individuals who use or receive the services or products that your work unit produces, including the general public, individuals who work in the agency, other agencies, or organizations outside the Government) to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations; knows about available products and services; is committed to providing quality products and services. Applicants may also submit the following supporting document type(s),which may not be required for all applicants: Veterans Preference documentation - If you are a veteran, you must submit a copy of your DD Form 214, Certificate of Release or Discharge from Active Duty (Member Copy - 4) and, if applicable, and Application for 10-Point Veterans Preference and an official document dated 1991 or later, from the Department of Veterans Affairs or from a branch of the Armed Forces that supports your claim.
NewSupervisory Law Enforcement Specialist (District Commander) U.S. Department of Homeland SecuritySupervisory Law Enforcement Specialist (District Commander)Washington, DC$133,641–$173,739 / yearSpecialized Experience: GS-14: Applicant must demonstrate one full year of specialized experience comparable in scope and responsibility to the GS-13 level in the Federal service (obtained in either the public or private sectors) performing the following duties: Overseeing the activities of personnel responsible for the security and law enforcement of facilities; Coordinating actions with higher level authorities and other local law enforcement agencies to secure assistance for security and emergency procedures; Assisting with the management of security, law enforcement, and risk mitigation programs or strategies; and. Conditions of Employment: Law Enforcement: This position shall possess law enforcement authority under Title 40 of the United States Code, Section 1315, exercising such authority relating to criminal offenses to provide investigative and law enforcement services to tenant agencies, Federal employees and members of the general public located in/or conducting business in government-owned or leased properties.
Program Specialist (Research and Development) U.S. Department of Veterans AffairsProgram Specialist (Research and Development)Washington, DC$79,533–$103,399 / yearYou will be rated on the following Competencies for this position: Oral Communication: Expresses information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information (for example, technical, sensitive, controversial); makes clear and convincing oral presentations; listens to others, attends to nonverbal cues, and responds appropriately. The Program Specialist is responsible for writing, reviewing and updating policies and operating procedures which affect the research activities and for assuring the proper maintenance of required records and the submission of reports and related documents to appropriate supervisory organizations and individuals a local, VISN, and Central Office levels.
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.
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.