89 Results for

Compliance Investigator Jobs in New York

Jobs

Albany, NY

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Participate 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.

Experience:

A minimum of two (2) years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities, required, OR.

3 days ago

Kenmore, NY

$45–$65 / hour

em>The Sub-Investigator, under the supervision of the Principal Investigator, is responsible for both clinical and educational aspects of clinical trial studies while focused on interpreting clinical protocols and conducting study visits with subjects..

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.

1 day ago

Bronx, NY

Soft Skills: Strong interpersonal skills; ability to facilitate positive outcomes in adverse situations; excellent written and verbal communication; superior investigative and analytical skills; ability to conduct interviews effectively; ability to work independently and collaboratively.

Today

Syracuse, NY

li>Impactful Work: Contribute directly to improving the quality of nutritional care and resident outcomes in long-term care facilities.

Excellent communication (written and verbal) skills with the ability to relate effectively to providers, physicians, senior medical and administrative personnel, and residents/patients.

3 days ago

$107,700–$199,300 / year

Thoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.

30+ days ago

$70,100–$126,200 / year

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Leads 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.

8 days ago

Cheektowaga, NY

$23.95–$28.31 / hour

Requirements: * Bachelors Degree * 3 years experience in OPWDD/Medicaid Audits, medical reviews, quality assurance/improvement or regulatory compliance This position includes our excellent benefit package! At Aspire, we are driven by the core belief that children and adults with developmental disabilities have the right to realize their full potential and live as independently as possible.

1 day ago

New York, NY

$85,000–$105,000 / year

Communication 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.

30+ days ago

Rochester, NY

Remote

$80,454–$101,426 / year

Prepare and submit Suspicious Activity Reports (SARs), as required, and other regulatory filings as needed, maintaining accuracy and timeliness. We hire great people and welcome all new hires to our award-winning work environment, which has been recognized by the Great Place to Work Institute since 2010.

30+ days ago

Purchase, New York

Ensure appropriate actions are taken to mitigate potential losses to clients and Morgan Stanley (e.g., restricting accounts to prevent further fraudulent activity, coordinating the reissue of credit/debit cards, closing accounts, advising account officers and their clients, and investigating cryptocurrency fraud). We are seeking a Corporate Security, Financial Fraud Investigator to conduct time-sensitive, professional, and comprehensive investigations into allegations and business-unit escalations involving wire transfers, debit/credit cards, checks, ACH, Cryptocurrency, and other suspected fraud that may adversely affect the financial integrity of Morgan Stanley and its clients.

10 days ago

Work At Home, NY

$66,330–$145,860 / year

The position plays a key role in identifying fraud risks, supporting program integrity efforts, and helping to prevent financial losses related to fraud, waste, and abuse. Directs complex investigations, including data analysis, interviews, and document review, to identify potential fraud, waste, and abuse, including NSA-related activity.

29 days ago

Queens, New York

$26–$30 / hour

The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients’ needs and delivers worldwide coverage via its 700+ employees and affiliates worldwide.

CoventBridge Group is a global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs.

30+ days ago

Geneva, NY

$27–$32 / hour

Allied Universal SkillBridge Program Allied Universal partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services' fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administration's (TSA) Third-Party Canine (3PK9) Program.

30+ days ago

Melville, NY

$28–$32 / hour

30+ days ago

Brooklyn, NY

$26–$30 / hour

CoventBridge Group is the global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients’ needs and delivers worldwide coverage via its 1000 employees and affiliates worldwide.

30+ days ago

Buffalo, New York

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Must meet the NYS DFS’s and the NYS OMIG’s minimum investigator requirements as follows: Persons employed by the SIU as investigators shall be qualified by education or experience, which shall include: A minimum of five years in the healthcare field working in FWA 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; or an associate’s or bachelor’s degree in criminal justice or related field; or employment as an investigator in the SIU on or before December 28, 2022. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing corrective action plans, developing correspondence to impacted parties, managing disputes, and collaborating with law enforcement and regulatory agencies.

30+ days ago

Bronx, NY

$26–$30 / hour

24 days ago

New York, NY

$110,000–$140,000 / year

Responsibilities include but not limited to: Conduct daily construction project site visits to monitor for compliance with contractual and legal requirements including but not limited to: labor and prevailing wage compliance; time and materials billing compliance; Sign in/Sign out compliance; and. CohnReznick does not accept unsolicited resumes from third-party recruiters unless such recruiters are currently engaged by CohnReznick Talent Acquisition Team by way of a written agreement to provide candidates for a specified opening.

24 days ago

Buffalo, New York

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30+ days ago

New York City, NY

We are seeking a dedicated and experienced Registered Nurse - Nursing Home Surveyor/Complaint Investigator to join our team in New York City, NY (Bronx, Kings, Richmond, Manhattan, and Queens). This role is a temporary-to-permanent position that involves conducting surveys, complaint investigations, and surveillance activities at nursing homes to ensure compliance with Federal and State regulations.

30+ days ago

Brooklyn, NY

$32–$40 / hour

Acquire 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.

14 days ago

Albany, NY

$60,234–$90,351 / year

p>Identify key control issues by the gathering, analysis and objective interpretation of relevant complex evidence and by conducting formal and informational interviews with relevant employees. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism.

30+ days ago

Middletown, NY

Our Core Values:Experience: Go Above Expectations; Create Positive Moments; Personally AcknowledgeService: Deliver As One Team; Stay A Step Ahead; Guide With Product ExpertiseIntegrity: Do What's Right; Speak the Truth; Own Our ActionsPeople: Grow Together; Respect Every Voice; Build Trusting Relationships; Strengthen Culture & Community ========================================================================================= POSITION PURPOSE The Financial Crimes Investigator is responsible for independently conducting end-to-end investigations involving suspicious activity, fraud, sanctions concerns, and other financial crime risks. Experience in a credit union environment preferred Familiarity with National Credit Union Administration regulatory expectations preferred Experience with both fraud and AML/BSA investigative responsibilities preferred Prior coordination with law enforcement or regulatory examiners preferred Strong data-analysis skills, including trend identification and transactional pattern analysis preferred Experience working in regulated environments subject to audits and examinations preferred Skills/Abilities: Strong investigative, critical thinking and analytical thinking skills.

30+ days ago

New York, NY

p>Rimkus (www.rimkus.com) is a worldwide leader in Engineering and Technical Consulting.

Searches for, identifies, collects, and labels any potential evidence/items from the fire scene, including devices used to set, start, or further the progress of fire; protects the chain of custody of potential evidence/items.

30+ days ago

Latham, NY

$57,000–$83,000 / year

p>QUALIFICATIONS:

An Associate's or Bachelor's degree in Criminal Justice or a related field, or five years of insurance claims investigation experience or five years of professional investigation experience with law enforcement agencies, or seven years of professional investigative experience involving economic or insurance fraud related matters.
Chubb Benefits, a Chubb Company, is a leading provider of individual and group accident, disability, health and life insurance products is seeking a SIU Investigator to join our fast-paced, growing company for over a 100 years in the insurance industry.

7 days ago

New York, NY

$94,000–$110,000 / year

In this role, you will manage investigations from initial alert through final decision and documentation, including escalated or high-risk cases involving emerging financial crime typologies, fraud, sanctions exposure, or potential market manipulation. Stay current on emerging crypto-related financial crime trends, regulatory developments, and industry best practices, including FinCEN and NYDFS guidance related to digital assets and virtual currencies.

30+ days ago

Port Henry, NY

$23–$26 / hour

30+ days ago

Brooklyn, NY

$25–$28 / hour

30+ days ago

The Bronx, NY

$25–$28 / hour

30+ days ago

Syracuse, NY

Excellent listening and analytical skills; work independently and make decisions with little oversight; strong written, verbal, and interpersonal communication skills, including the ability to communicate directly with Upper Management/Leadership; strong attention to detail and organized, ability to manage multiple projects and/or investigations simultaneously in a timely and efficient manner; work collaboratively with multiple departments across the campus and hospital; be respectful of confidentiality/privacy and have discretion in information sharing. With input from the Institutional Equity Officer, the Complaint Investigator will work independently at every stage of the investigatory process, from intake, to interviewing complainants, witnesses, and respondents, to collecting evidence, to making credibility assessments, and to preparing verbal and written investigation reports that detail the findings of fact and conclusions of whether the University's policies have been violated.

30+ days ago

Poughkeepsie, NY

$82,501–$103,724 / year

The Investigator serves as an active member of the Incident Review Committee and manages multiple incidentâ€'related databases to ensure accurate reporting, tracking, and followâ€'up, contributing to a safe and highâ€'quality care environment. The role also ensures investigations are completed in alignment with New York State requirements, including those established by OMH Part 524 and OASAS Part 836, while maintaining a supportive and professional approach.

30+ days ago

New York, NY

$61–$72 / hour

Our client provides top-ranked care, dozens of inpatient and outpatient specialties, and mental health services with a team of highly trained and caring medical professionals who are compassionate, culturally competent and patient centered. Many of their roles are temp-to-hire, giving our client and our candidates the opportunity to ensure they are the right fit for a full-time position, as this comes with career advancement opportunities and excellent benefits.

27 days ago

$86,482–$129,723 / year

Under the direction of and in cooperation with the Director, Associate Director of Civil Rights Investigations and Title IX Coordinator, as well as through the exercise of some independent judgment and initiatives informed by knowledge of relevant University policies, laws and regulations, the Investigator shall: Civil Rights & Title IX Investigations. Experience composing clear, concise, timely, and professionally written investigative reports, managing confidential information, and independently and efficiently managing a significant caseload required.

27 days ago

New York, NY

$200,000–$300,000 / year

The Principal Investigator (PI) promotes good clinical practices in the conduct of clinical investigations by assuring adherence to protocol requirements, protecting the rights and welfare of subjects, assuring the integrity of data generated at the site, and directing the conduct of the clinical investigation according to federal and state regulations and guidance documents. Assures Initial and Ongoing Review by a Duly Constituted IRB by: Provide the IRB with adequate information to initially review the study (i.e., protocol, investigator's brochure, informed consent form, recruitment advertisements and any written information to be given to subject(s).

30+ days ago

Syracuse, NY

We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Excellent communication (written and verbal) skills with the ability to relate effectively to providers, physicians, senior medical and administrative personnel, and residents/patients.

30+ days ago

Syracuse, NY

In this role you will participate as a member of an interdisciplinary survey/investigation team to review allegations of abuse and neglect, perform surveillance activities/tasks at nursing homes (long term care)/Transitional Care Units (TCUs), and Adult Day Health Care Programs (ADHCP) to determine compliance with the requirements of participation; prepare written reports of investigative findings and prepare Statement of Deficiencies (SOD) within required time frame, using Principles of Documentation; participate in emergency surveys at Skilled Nursing Facilities (SNF's); participate in State monitoring during Immediate Jeopardy situations; as well as other duties. Soft Skills: Strong interpersonal skills; ability to facilitate positive outcomes in adverse situations; excellent written and verbal communication; superior investigative and analytical skills; ability to conduct interviews effectively; ability to work independently and collaboratively.

13 days ago

Canandaigua, NY

$22.22–$23.66 / hour

Reviews the OPWDD Incident Review Management Application (IRMA) to ensure all required information is entered in a timely manner, keeps the team informed of new incidents as they occur in the database and enters information as needed. Prepare for and conduct interviews and obtain sworn statements (when needed) on matters arising from investigations conducted, such as investigations for abuse, neglect, or other categories as defined by OPWDD and the NYS Justice Center.

18 days ago

Middletown, NY

p>This position is ultimately responsible for research project feasibility, research project start-up, screening visits, research project maintenance and follow up, research project closeout, and post-closeout safety follow-up. Appropriately delegate study-related activities to qualified research staff while providing ongoing oversight according to FDA regulations, local regulations, and ICH/GCP guidelines.

30+ days ago

New York

$95,545–$139,725 / year

We have also created an internal culture that provides the resources and technology needed to encourage personal and professional growth opportunities through reimbursement for education; a free in-house resource for hundreds of educational and self-enrichment courses; mentorship program; wellness program; Women’s Organization and ongoing philanthropic opportunities. Overview:

Colliers Engineering & Design (CED) is a leading engineering and environmental consulting firm with a rapidly growing archaeological practice dedicated to preserving and interpreting cultural heritage.

7 days ago

Staten Island, New York

$100,000–$150,000 / year

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About Us

Hawthorne Health is a leading community site network and home research visit solution provider, with 20+ sites and more than 2,000 research experienced healthcare professionals across the U.S. Hawthorne leverages convenient, trusted, healthcare locations, identified patient data, and intelligent technology to accelerate patient access, improve retention, and reduce study costs.

About the Role

Hawthorne Health is seeking a Nurse Practitioner (NP) or Certified Physicians Assistant (PA-C) with experience supporting sponsor initiated trials as a Principal or Sub-Investigator to oversee clinical trials at our site in Staten Island, NY.

Site Address:

6400 Amboy Rd.

23 days ago

melville, NY

Our Loss Prevention \u2013 Asset Protection Investigators are responsible for executing key initiatives relating to theft, operational accountability, shrink and safety for Uncle Giuseppe's store locations. Our Uncle Giuseppe's Stores located on Long Island is seeking an experienced FT Loss Prevention-Asset Protection Investigator.

30+ days ago

Yonkers, NY

$60,000–$65,000 / year

9 days ago

Kenmore, New York

$45–$65 / hour

The Sub-Investigator, under the supervision of the Principal Investigator, is responsible for both clinical and educational aspects of clinical trial studies while focused on interpreting clinical protocols and conducting study visits with subjects. System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.

30+ days ago

New York City, NY

$125,000–$150,000 / year

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To conform to U.S. Government export regulations, applicant must be a (i) U.S. citizen or national, (ii) U.S. lawful, permanent resident (aka green card holder), (iii) Refugee under 8 U.S.C. § 1157, or (iv) Asylee under 8 U.S.C. § 1158, or be eligible to obtain the required authorizations from the U.S. Department of State.

Conduct Enhanced Due Diligence (EDD) on high-risk users and transactions; perform periodic reviews of customer risk profiles and recommend adjustments to risk ratings.

17 days ago

$94,665–$121,791.32 / year

Provide timely notifications to the Federal Railroad Administration (FRA), Public Transportation Safety Board (PTSB), National Transportation Safety Board (NTSB), Occupational Safety and Health Administration (OSHA) and other required agencies and ensure accurate recordkeeping and reporting in collaboration with other Office of System Safety (OSS) teams to maintain compliance with all regulatory and MTA/MNR requirements. Minimum 5 years of experience in the transportation industry related to the responsibilities of the position, at least two (2) years of which entail experience in one or more of the following: Transportation (train operations), Maintenance of Equipment, Maintenance of Way (Track, Structures, Communications & Signals, Power) and/or conducting safety-related investigations.

30+ days ago

$56,000–$66,400 / year

In this role, you will be responsible for researching, analyzing, and resolving inquiries related to international wire transfers, ensuring timely and accurate investigation of payment discrepancies, compliance-related issues, and client escalations. Where a position or applicant may fall in a particular wage range depends on a number of factors including but not limited to skill sets, experience training licenses and certifications (if applicable), and other business and organization needs.

30+ days ago

Canandaigua, NY

$22.22–$23.66 / hour

27 days ago

Lexington, New York

The Senior AML Financial Crime Risk Investigator conducts holistic reviews of client relationships; assesses risks related to Sanctions, Anti-Bribery and Anti-Corruption, analyzes complex data sets to proactively identify leads; prepares suspicious activity reports (SARs); recommends demarketing clients, as appropriate; and creates supporting documentation in compliance with policies, procedures, and regulatory requirements. Total Rewards at TD includes base salary and variable compensation/incentive awards (e.g., eligibility for cash and/or equity incentive awards, generally through participation in an incentive plan) and several other key plans such as health and well-being benefits, savings and retirement programs, paid time off (including Vacation PTO, Flex PTO, and Holiday PTO), banking benefits and discounts, career development, and reward and recognition.

3 days ago

$165,000–$185,000 / year

In addition to the Minimum Qualification Requirements, candidates must possess the following: A baccalaureate degree from an accredited college and four years of full-time experience in the performance of criminal investigations, 18 months of which must have been in an administrative, managerial, executive, or supervisory capacity; Education and/or experience equivalent to "1" above. Must possess a valid certificate of completion from a New York State Basic Course for Police Officers academy or must be eligible to attend and successfully complete a Police Officer refresher course.

30+ days ago

New York, New York

Remote

$70–$100 / hour

Design challenging, real-world physics problems in areas like classical mechanics, electromagnetism, and quantum mechanics. Currently enrolled in or recently completed a PhD program in Physics or a related field.

30+ days ago

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Compliance Investigator Jobs in New York

Registered Nurse - Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare Staffing

Sub-Investigator/PA Joulé

Licensed Master Social Worker - Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare Staffing

Registered Dietitian - Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare Staffing

Principal Compliance Investigator Centene Corporation Group

Senior Compliance Investigator Centene Corporation Group

Compliance Billing Auditor/Investigator Aspire of WNY

Healthcare Fraud Investigator Contact Government Services LLC

Fraud Investigator ESL Federal Credit Union

Financial Fraud Investigator - Corporate Security - Vice-President Morgan Stanley

Fraud, Waste & Abuse (FWA) Investigator - No Surprises Act (NSA) CVS Health Corp

Claims Investigator - Full Time CoventBridge Group

SIU Investigator Allied Universal

Claims Investigator Allied Universal

Investigator - Network Services - Full Time CoventBridge Group

Medical Investigator I/II (RN Required) Univera Healthcare

Surveillance Investigator - Full Time CoventBridge Group

Integrity Monitor Investigator CohnReznick LLP

Medical Investigator I/II (RN Required) Excellus BCBS

Registered Nurse - Nursing Home Surveyor/Complaint Investigator GreenLife Healthcare Staffing

SIU Investigator - NY Labor Law Allied Universal

Investigator II Citizens Financial Group Inc

Financial Crimes Investigator Heritage Financial Credit Union

Fire Investigator Rimkus

SIU Investigator Chubb Ltd

Senior Crypto AML Investigator Robinhood Markets Inc

Surveillance Investigator Allied Universal

Surveillance Investigator - Brooklyn Allied Universal

Surveillance Investigator - Bronx Allied Universal

Complaint Investigator SUNY Upstate Medical University

Incident Investigator Westchester Medical Center Health Network

EEO Investigator HirePower Personnel Inc.

Civil Rights and Title IX Investigator University of Rochester

Principal Investigator- Psychiatrist or Neurologist Clinilabs Inc

Registered Dietitian - Nursing Home Surveyor/Complaint Investigator GreenLife Healthcare Staffing

Licensed Master Social Worker - Nursing Home Surveyor/Complaint Investigator GreenLife Healthcare Staffing

Quality Assurance Investigator The Arc Ontario

Contract Principal Investigator Circuit Clinical Solutions Inc

Senior Principal Investigator Colliers Engineering & Design

Sub Investigator - Clinical Trials - Staten Island, NY Hawthorne Health

Loss Prevention-Asset Protection Investigator Uncle Giuseppe's, Inc

Quality Improvement Investigator Special Citizens Futures Unlimited

Sub-Investigator/PA System One

Senior BSA/AML Investigator xAI

Accident Investigator Metropolitan Transportation Authority

Associate Wire Investigator Corpay Inc

Quality Assurance Investigator Ontario ARC

Financial Crime Risk Senior Investigator - Subpoenas (US) TD Bank

Assistant Chief Investigator Manhattan District Attorney's Office

Senior Research Investigator Mercor

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