Senior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorNJ$70,100–$126,200 / yearLeads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions. Education/Experience: A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.
Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICESHealthcare Fraud InvestigatorNew York, NY$85,000–$105,000 / yearCommunication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client.
NewSenior Investigator UnitedHealth Group Inc.Senior InvestigatorEast Brunswick, NJ$60,200–$107,400 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.
Registered Nurse - Nursing Home Surveyor/Complaint Investigator GreenLife Healthcare StaffingRegistered Nurse - Nursing Home Surveyor/Complaint InvestigatorNew Rochelle, NYParticipate in surveys or complaint investigations to include allegations of abuse and neglect, and perform surveillance activities/tasks at nursing homes (long-term care) to determine compliance with Federal and State regulations. Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.
SIU Investigator Centene Corporation GroupSIU InvestigatorNJ$56,200–$101,000 / yearCollaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.
Special Investigation Unit Investigator Centene Corporation GroupSpecial Investigation Unit InvestigatorNJ$56,200–$101,000 / yearEducation/Experience: Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience (or) An Associates or Bachelor's degree in criminal justice or a related field; (or) employment as an investigator in the MMCO's SIU on or before the effective date of this SubPart required. Minimum of five (5) years in healthcare field working in fraud, waste and abuse investigations and audits, (or) five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) seven years of professional investigation experience involving economic or insurance related matters.
NewRetail Private Investigator TuringRetail Private InvestigatorNew York, New YorkRemote$100–$150Turing supports customers in two ways: first, by accelerating frontier research with high-quality data, advanced training pipelines, plus top AI researchers who specialize in coding, reasoning, STEM, multilinguality, multimodality, and agents; and second, by applying that expertise to help enterprises transform AI from proof of concept into proprietary intelligence with systems that perform reliably, deliver measurable impact, and drive lasting results on the P&L. Turing is looking for candidates with strong experience in retail loss prevention, fraud detection, or corporate security — particularly at the level expected for licensed investigators or asset protection specialists responsible for theft prevention, risk management, and incident resolution.
SIU Investigator Allied UniversalSIU InvestigatorBrooklyn, NY$32–$38 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance. High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud.
Investigator - Network Services - Full Time CoventBridge GroupInvestigator - Network Services - Full TimeManhattan, New York$26–$30 / hourFull timeCoventBridge Integrity Systems delivers investigative services, technology, and expertise that help healthcare and government organizations protect critical programs, strengthen oversight, and address fraud, waste, abuse, and operational risk. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; 888-932-7364; humanresources@coventbridge.com.
AML Investigator Robinhood Markets IncAML InvestigatorNew York, NY$74,000–$87,000 / yearConduct investigations into potentially suspicious activity across cryptocurrency products, brokerage accounts, and fiat transactions generated from transaction monitoring systems, referrals, or external inquiries. The Financial Crimes Investigations team protects Robinhood and its customers by detecting, investigating, and reporting potentially suspicious activity across our brokerage and crypto products.
SIU Investigator - NY Labor Law Allied UniversalSIU Investigator - NY Labor LawMelville, New YorkAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance. High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud.
Clinical Trial Manager - Investigator Initiated Studies Heartflow IncClinical Trial Manager - Investigator Initiated StudiesNew York, NY$90,000–$130,000 / yearHeartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). The flagship product-an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis-provides a color-coded, 3D model of a patient's coronary arteries indicating the impact blockages have on blood flow to the heart.
NewSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)NY$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
AML Investigator RobinhoodAML InvestigatorNew York, NY$74,000–$87,000 / yearConduct investigations into potentially suspicious activity across cryptocurrency products, brokerage accounts, and fiat transactions generated from transaction monitoring systems, referrals, or external inquiries. The Financial Crimes Investigations team protects Robinhood and its customers by detecting, investigating, and reporting potentially suspicious activity across our brokerage and crypto products.
Registered Nurse - Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare StaffingRegistered Nurse - Nursing Home Surveyor/Complaint InvestigatorNew Rochelle, NY$124,800 / yearParticipate in surveys or complaint investigations to include allegations of abuse and neglect, and perform surveillance activities/tasks at nursing homes (long-term care) to determine compliance with Federal and State regulations. Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.
Global Financial Crimes Senior Investigator (Brokerage) Bank of America CorpGlobal Financial Crimes Senior Investigator (Brokerage)Jersey City, NJ$90,000–$115,000 / yearBack to search results Global Financial Crimes Senior Investigator (Brokerage) Charlotte, North Carolina; Jersey City, New Jersey; Pennington, New Jersey; Plano, Texas; Phoenix, Arizona; Dallas, Texas Additional locations Apply × To proceed with your application, you must be at least 18 years of age. This includes our commitment to being an inclusive workplace, attracting and developing exceptional talent, supporting our teammates' physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve.
Clinical Investigator Oscar HealthClinical InvestigatorNew York, NYRemote$75,348–$98,894 / yearBachelor of Science in Nursing (BSN), Associate Degree in Nursing (ADN) with a Bachelor of Science in Health Administration, Clinical Informatics, or a related Medical Science field, or Associate Degree in Nursing (ADN) with 5+ years of specialized clinical audit experience. Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia.
NewPhase I Hematology/Oncology Clinical Investigator (Assistant/Associate Professor) Rutgers The State University of New JerseyPhase I Hematology/Oncology Clinical Investigator (Assistant/Associate Professor)New Brunswick, NJTo accelerate scientific discovery focused on understanding cancer, innovating cancer treatment, and improving cancer prevention; to provide outstanding, novel, and compassionate patient care; to provide evidence-based and culturally informed education to physicians, nurses, researchers, staff, and the community; and to achieve cancer health equity in our state through outreach to and engagement of our extraordinarily diverse communities. The Rutgers Cancer Institute's Duncan and Nancy MacMillan Cancer Immunology and Metabolism Center of Excellence is an institute at the intersection of oncologic immunology and metabolism that seeks to increase research that leads to new therapies for patients; develop cutting-edge facilities to test new interventions; and facilitate commercial and university collaborations.
Geriatrician - Principal Investigator Pinnacle Clinical ResearchGeriatrician - Principal InvestigatorRidgewood, New JerseyTo do this, they agree that the research: oIs conducted in accordance with all federal regulatory requirements, state law, and Pinnacle Clinical Research policies (including SOPs) oIs conducted in accordance with the IRB-approved plan oThey will ensure the accuracy, security, and integrity of the research data and the subsequent analysis of that data. Ideal candidates will have significant experience in caring for patients with Alzheimer’s dementia and steatotic liver disease with strong analytical skills, and a dedication to advancing clinical research through high-quality patient care and ethical study practices.
Quality Improvement Investigator Special Citizens Futures UnlimitedQuality Improvement InvestigatorYonkers, NY$60,000–$65,000 / yearParticipates in internal audits of each agency program, including visits, writing deficiency notes, conferencing with managers to review deficiencies, reviewing corrective actions and providing support for needed follow up. In this impactful position, you will lead incident investigations, collaborate with agency leadership, support regulatory compliance efforts, and contribute to initiatives that enhance services and outcomes for the individuals we support.