Senior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorMN$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.
Research Physician Investigator (Principal Investigator/Sub-Investigator) - Full Time Thermo Fisher ScientificResearch Physician Investigator (Principal Investigator/Sub-Investigator) - Full TimeRichfield, MinnesotaDemonstrated ability to collaborate effectively across a matrixed organization, partnering with clinical operations, recruitment, regulatory, pharmacy, laboratory, and sponsor-facing teams to achieve study objectives. As a business of PPD, we are committed to optimizing each step in the patient journey and delivering best-in-class site performance to bring our customers greater certainty to clinical trial delivery.
Clinical Research Physician (Principal Investigator/Sub-Investigator) - Full Time Thermo Fisher Scientific IncClinical Research Physician (Principal Investigator/Sub-Investigator) - Full TimeRichfield, MN$240,000–$315,000 / yearDemonstrated ability to collaborate effectively across a matrixed organization, partnering with clinical operations, recruitment, regulatory, pharmacy, laboratory, and sponsor-facing teams to achieve study objectives. As a business of PPD, we are committed to optimizing each step in the patient journey and delivering best-in-class site performance to bring our customers greater certainty to clinical trial delivery.
SIU Investigator Centene Corporation GroupSIU InvestigatorMN$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates 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.
SIU Investigator - Part Time Allied UniversalSIU Investigator - Part TimeMinneapolis, MN$27–$36 / 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.
SIU Investigator Allied UniversalSIU InvestigatorMinneapolis, MN$27–$32 / 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.
SIU Investigator III Medica Health Plans IncSIU Investigator IIIMinnetonka, MN$62,700–$94,080 / yearAnnual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data. The Special Investigation Unit (SIU) Investigator III conducts complex investigations into suspected fraud, waste, and abuse involving members, providers, and employees.
Special Investigator Medica Health Plans IncSpecial InvestigatorMinnetonka, MN$62,700–$94,080 / yearAnnual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data. The Special Investigation Unit (SIU) Investigator III conducts complex investigations into suspected fraud, waste, and abuse involving members, providers, and employees.
Fraud Investigator Government of the Virgin IslandsFraud InvestigatorSaint Croix, VIUnder the general supervision of the Director of Performance Reporting or designee within the Division of Family Assistance, this position is responsible for conducting investigations of alleged fraud cases in the Supplemental Nutrition Assistance Programs (SNAP) to determine if evidence exists or is sufficient to recommend disqualification from the program and/or prosecution. Job Type: Classified Agency: |Department of Human Services- STT| Location: St. Thomas/ St.
SIU Investigator III Medica Services Company LLCSIU Investigator IIIMinnetonka, MN$62,700–$94,080 / yearPart timeAnnual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. The Special Investigation Unit (SIU) Investigator III conducts complex investigations into suspected fraud, waste, and abuse involving members, providers, and employees.
Field Investigator - G192 Target CorpField Investigator - G192Brooklyn Park, MN$73,000–$132,000 / yearEnsure the protection of Target team members, physical assets and corporate facilities - and increase profitability by supporting field leadership teams on emergency preparedness and physical security procedures. Drive business and market specific strategies by leveraging data and metrics and partnering with store, district, group, and HQ leadership to deliver results through field teams.
SIU Investigator IV Medica Health Plans IncSIU Investigator IVMinnetonka, MN$70,200–$105,315 / yearAnnual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data. Advanced skills in Microsoft Office (Word, Excel, PowerPoint, Outlook), SharePoint and Intra/Internet as well as proficiency with incorporating/merging documents from various applications.
NewSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)MN$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.
Employee Relations Investigator CBRE Group IncEmployee Relations InvestigatorMinneapolis, MNCBRE serves clients through four business segments: Advisory (leasing, sales, debt origination, mortgage serving, valuations); Building Operations & Experience (facilities management, property management, flex space & experience); Project Management (program management, project management, cost consulting); Real Estate Investments (investment management, development). About the Role: As a CBRE Employee Relations Investigator, you will take the lead in the end-to-end investigative process, including planning, interviews, e-discovery, documentation review, and report writing where concerns have been raised by employees or external parties to ensure that CBRE's environment is reflective of our RISE values (Respect, Integrity, Service, and Excellence).
NewSecurity Investigator- Sylmar CA (Primary Location) UPSSecurity Investigator- Sylmar CA (Primary Location)US - SAN FERNANDO (CASFR), MN$82,140–$133,500 / yearList of material job duties in which UPS believes a criminal history may have a direct, adverse, or negative relationship potentially resulting in the withdrawal of a conditional offer of employment: Employees must conduct themselves with honesty and integrity in all their duties, including the ability to safeguard customer and business materials, packages, property, and information with which they are entrusted. Pay is based on several factors including but not limited to, market location and may vary depending on job-related knowledge, skills, and education/training and a candidate's work experience.
NewSecurity Investigator UPSSecurity InvestigatorUS - DALLAS (TXDAL), MNWork independently and collaboratively with other investigators leading future-focused projects and initiatives for security and investigative enhancements and process improvements which significantly impact security protocols. Identify innovative opportunities to streamline processes, enhance investigation methodologies, and leverage technology solutions to improve the efficiency and effectiveness of security protocols.
M&R Coding Clinical Investigator UnitedHealth Group IncM&R Coding Clinical InvestigatorPlymouth, MN$24–$43 / hour2+ years of experience as an AHIMA or AAPC Certified coder with 2+ years of CPT/HCPCS/ICD/Modifiers - 10/CM/PCS coding experience or Licensed nurse with medical record auditing and coding/billing experience. Certified Coder AHIMA or AAPC Certified coder (CPC, CCS, CCS-P) or Nurse (RN, LPN) with unrestricted and active license/certification with medical record auditing and coding/billing experience.
Loss Prevention Investigator Fleet Farm E-Commerce Enterprises, LLCLoss Prevention InvestigatorWinona, MNAs a Loss Prevention Investigator, you work closely with store and loss prevention leadership utilizing one of the industry's most advanced camera systems, exception based reporting tools, and other investigate techniques to reduce shrink. The ability to work a flexible schedule to meet the needs of the business including early mornings, nights, weekends and holidays is preferred.
NewProgram Integrity Analyst/Investigator Clinical - Behavioral Health Blue Cross Blue Shield of MinnesotaProgram Integrity Analyst/Investigator Clinical - Behavioral HealthEagan, MinnesotaRemoteProactively identify, analyze, investigate and evaluate moderate to complex potential fraud, waste, or abuse, including pre-pay and/or post-pay medical claims reviews to determine valid cases for appropriate action; document findings, and prepares case referrals, letters, and reports. This includes gathering, analyzing and interpreting complex data and information to provide meaningful results in developing leads, collaboration with internal resources as well as complying with state and federal requirements for fraud, waste and abuse detection and prevention.
Principal Investigator – Cultural Resources / Archaeology System OnePrincipal Investigator – Cultural Resources / ArchaeologyDuluth, MinnesotaThis role is ideal for a seasoned cultural resource professional who can provide leadership, ensure regulatory compliance, and support collaborative field teams working on meaningful projects across the Northern Plains. Work collaboratively with Traditional Cultural Specialists and Tribal Historic Preservation Office (THPO) representatives to ensure culturally sensitive resources are properly recorded and respected.