Elevance Health IncClinical Fraud Investigator II Elevance Health IncClinical Fraud Investigator IICincinnati, OHMinimum Requirements: Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
SummaCare IncFWA Special Investigations Unit SIU Investigator SummaCare IncFWA Special Investigations Unit SIU InvestigatorAkron, OH$28.10–$42.15 / hour3) Maintains working knowledge of relative enterprise and local information systems, databases, data schemas, software packages, and business operations to facilitate precise, reliable and accurate fulfillment of information needs related to corporate operations. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2026 by the Centers for Medicare and Medicaid Services (CMS).
CVS Health CorpFraud, Waste & Abuse (FWA) Investigator - No Surprises Act (NSA) CVS Health CorpFraud, Waste & Abuse (FWA) Investigator - No Surprises Act (NSA)Work At Home, OH$66,330–$145,860 / yearThe 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.
CareSourceSIU Investigator Lead (Must live in OH or surrounding states) CareSourceSIU Investigator Lead (Must live in OH or surrounding states)Ohio, OH$83,000–$132,800 / yearAct as the Program Integrity liaison and ensure collaboration with state and federal agencies and facilitate accurate deployment and ongoing monitoring of state-specific regulations and ongoing partnership with state regulators in managing Medicaid and Medicare programs. This role is also responsible for the identification and monitoring of emerging FWA trends and conducting research and interactions on claims, industry and other sources (internal and external) of data and information to identify potential FWA and support ongoing fraud investigations.
Allied UniversalSurveillance Investigator Allied UniversalSurveillance InvestigatorToledo, OH$20–$22 / hourAllied 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.
Validation & Engineering Group, IncManufacturing Investigators Validation & Engineering Group, IncManufacturing InvestigatorsCincinnati, OHValidation & Engineering Group, Inc. (V&EG) a Pinnaql company is a leading services supplier who provides solutions for the Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following areas: Laboratory, Compliance, Computer, Engineering, Project Management, Validation, and other services. This isn't just a job - it's an opportunity to make a meaningful difference by shaping the future of healthcare and technology alongside a purpose-driven, supportive team.
State of OhioInvestigator Assistant State of OhioInvestigator AssistantCleveland, OHLausche Building LSCH 615 West Superior Avenue Cleveland 44113-1879 Lausche Building615 West Superior AvenueCleveland44113-1879United States of America-OHIO-Cuyahoga County-ClevelandUnited States of America-OHIO-Cuyahoga County-Cleveland21.93hour21.93hourFull-timeFull-timeSEE 134569true134569falseSubmission for the position Investigator Assistant - Job Number 250008DCfalse134569falsetrueInvestigator Assistant250008DCLottery CommissionLottery CommissionOhio Lottery Commission Office of Human Resources careerslottery.ohio.govOhio
S&T BankFinancial Intelligence Group Investigator S&T BankFinancial Intelligence Group InvestigatorHilliard, OH$33,750–$69,300 / yearFunction: Assists the Financial Intelligence Group Senior Coordinator High Risk Customer Team in performing investigations for unusual/suspicious activity to ensure S&T Bancorp, Inc (S&T) operates in accordance with federal and state laws and regulations related to the Bank Secrecy Act (BSA), Anti-Money Laundering (AML) rules, USA PATRIOT Act (USAPA), the Anti-money Laundering Act of 2020 and Office of Foreign Assets Control (OFAC) to protect the Bank from legal/compliance, and transaction risk. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information.
Mercy HealthInvestigator Research Assistant - Neuro - St. Vincent Medical Center Mercy HealthInvestigator Research Assistant - Neuro - St. Vincent Medical CenterToledo, OHAssist in facilitating communication with central statistical center, Data Safety Management Team, the study sites that are reporting to the CCC at St. Vincent, third party vendor providing the electronic data to the CCC and to all sites, any needed third party subcontract to maintain services needed across all sites and with the third party vendor, core imaging center and assuring timely completion of the tasks. Assist in Drafting and proof editing study abstract, meeting presentations, Submission of abstract to meeting website, Help and drafting of the paper/manuscript preparation, Double checking and performing statistical analysis as needed, submission of full paper to the journals.
ObjectiveHealth IncSub Investigator (NP/PA-C) - PRN ObjectiveHealth IncSub Investigator (NP/PA-C) - PRNSpringboro, OHThis is a unique opportunity for an advanced practice provider in Internal Medicine, Family Medicine, or a related field to contribute to innovative clinical research while maintaining a flexible schedule. ObjectiveHealth is seeking a licensed Nurse Practitioner (NP) or Physician Assistant-Certified (PA-C) to serve as a Part-Time Sub-Investigator at our Dayton, OH research site.
Validation & Engineering GroupManufacturing Investigators Validation & Engineering GroupManufacturing InvestigatorsCincinnati, OHValidation & Engineering Group, Inc. (V&EG) a Pinnaql company is a leading services supplier who provides solutions for the Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following areas: Laboratory, Compliance, Computer, Engineering, Project Management, Validation, and other services. This isn't just a job - it's an opportunity to make a meaningful difference by shaping the future of healthcare and technology alongside a purpose-driven, supportive team.
ObjectiveHealth IncClinical Research Sub-Investigator (NP/PA) ObjectiveHealth IncClinical Research Sub-Investigator (NP/PA)Springboro, OHThis is a unique opportunity for an advanced practice provider in Internal Medicine, Family Medicine, or a related field to contribute to innovative clinical research while maintaining a flexible schedule. ObjectiveHealth is seeking a licensed Nurse Practitioner (NP) or Physician Assistant-Certified (PA-C) to serve as a Sub-Investigator at our Dayton, OH research site.
Perrigo Co PlcContinuous Improvement Investigator Perrigo Co PlcContinuous Improvement InvestigatorCovington, OHThe Continuous Improvement Investigator is responsible for investigating and resolving Operational Deviation Reports (ODRs) alongside the Continuous Improvement Engineer (CIE), Operations, Maintenance and Quality. Alongside competitive compensation, we offer benefits tailored to supporting you and your family, as well as career development opportunities to ensure you feel valued and supported, both professionally and personally.
UC HealthInvestigator, Public Safety & Security, Fulltime, Shift Varies UC HealthInvestigator, Public Safety & Security, Fulltime, Shift VariesCincinnati, OHCompletes investigations related to known or suspected employee dishonesty; malfeasance; alleged misappropriation of employee/patient/visitor/institutional property and information; and participates in internal security inquiries as directed by the Director of System Public Safety, and /or their designee. Assists in identifying and investigating inappropriate behavior claims and conditions at the direction of UC Health General Counsel, or his/her human resources or their designees.
CareSourceProgram Integrity Investigator IV CareSourceProgram Integrity Investigator IVOhio WFH, OH$83,000–$132,800 / yearReview reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques that will reveal intelligence for identification of any associative or causal relationships pertaining to Fraud Waste and Abuse and Error, providing management level summaries that explain key findings and providing documentation for use during Audits. Utilizes a variety of data analytics platforms to mine large volumes of data to identify and mitigate fraudulent claim activity, discover patterns and anomalies in billing behavior and develop metrics around transactional and operational data to report on fraud attempts, losses and trends.
JPMorgan Chase & CoCompliance - Global Financial Investigations Unit Detect / Report Senior Associate JPMorgan Chase & CoCompliance - Global Financial Investigations Unit Detect / Report Senior AssociateColumbus, OHAs a Senior Anti Money Laundering Investigator, you will be an integral part of the Firm''s Global Financial Intelligence Unit (GFIU), responsible for strategically detecting, investigating, and mitigating money laundering / terrorist financing (ML/TF) risks, including typology, geography, product, customer/entity type and other money laundering / terrorist financing (ML/TF) risk categories. Leverage strong knowledge of banking systems and Anti-Money Laundering (AML) typologies and be a self-starter who is willing to work in ambiguous detail, having the ability to dissect and analyze large amounts of unstructured information to find and resolve high risk money laundering / terrorist financing (ML/TF) activity.
Case Western Reserve UniversityResearch Compliance Specialist Case Western Reserve UniversityResearch Compliance SpecialistCleveland, OH$52,705–$66,672 / yearThe Research Compliance Specialist is primarily responsible for administering Case Western Reserve Universitys conflict-of-interest (COI) policies, procedures, and workflows to ensure compliance with federal regulations, sponsor requirements, and institutional expectations. This position manages COI Committee operations, oversees the universitys electronic COI disclosure system, and serves as a key resource to faculty, staff, investigator, and affiliate partners.
Canadian Nuclear Laboratories LtdCompliance Specialist Team Lead Canadian Nuclear Laboratories LtdCompliance Specialist Team LeadCincinnati, OHFrom building the next generation of clean nuclear and hydrogen energy technologies, to developing targeted cancer treatments, to continuing our global leadership in environmental remediation-we are driven by impact, innovation, and purpose. Ability to comprehend and organize information, assess issues and take action within broad organization objectives dealing with a variety of diverse technical, complex organizational and economic challenges.
University of DaytonResearch Compliance and Post Award Specialist University of DaytonResearch Compliance and Post Award SpecialistDayton, OHThe University Research Compliance and Post Award Specialist supports institution-wide research compliance programs and non-financial post award support by providing regulatory guidance, facilitating committee and administrative reviews, and helping investigators and research teams meet applicable federal, state, local, sponsor, and institutional requirements. This role serves as a primary liaison among faculty, staff, students, compliance committees, and campus partners, and contributes to training, facilitating subawards, secure management of compliance records and systems, and acts as a liaison between faculty and sponsors.
Nicolet National BankVP Agriculture Banking Officer Nicolet National BankVP Agriculture Banking OfficerOHResponsible for developing and maintaining a variety of commercial loan accounts (secured and unsecured) that meets established lending requirements and provide maximum profitability to Nicolet at minimum risk. Develop new business by calling on prospects and customers for commercial loans with an emphasis on cross-selling Nicolet products and services to establish a complete banking relationship between the customer and bank.
CareSourceManager SIU CareSourceManager SIUDayton, OH$83,000–$132,800 / yearCertified Fraud Examiner (CFE), Certifications through America’s Health Insurance Plans (AHIP), Healthcare Anti-Fraud Association (HCAFA) and/or Managed Healthcare Professional (MHP), Accredited Health Care Fraud Investigator (AHFI), and/or Certified Professional Coder (CPC) are preferred . $83,000.00 - $132,800.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
The Travelers Companies IncTechnical Specialist, Construction Claim The Travelers Companies IncTechnical Specialist, Construction ClaimIndependence, OH$85,600–$141,200 / yearDirectly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
SummaCare IncCertified Coder Special Investigations Unit SIU SummaCare IncCertified Coder Special Investigations Unit SIUAkron, OH$28.10–$42.15 / hourSummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2026 by the Centers for Medicare and Medicaid Services (CMS). Maintain excellent working knowledge of process improvement techniques, methodologies and principles applying these in the normal course of operations.
Allied UniversalSite Supervisor - Day Shift Allied UniversalSite Supervisor - Day ShiftOxford, OHAllied Universal Named to Forbes List of America's Best Employers by State IRVINE, Calif. Sept. 3, 2025 Allied Universal, the worlds leading security and facility services company, has been named to Forbes list of Americas Best Employers by State (2024), ranking in the top 100 for Arizona, Georgia, New Jersey and North Carolina. 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.
Allied UniversalSite Supervisor Allied UniversalSite SupervisorWest Chester, OHRead More] 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. [Read More] 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 Administrations (TSA) Third-Party Canine (3PK9) Program.
Consumers Bancorp IncCommercial Lender - Business Banking Officer Consumers Bancorp IncCommercial Lender - Business Banking OfficerBoardman, OHMaintaining and applying a thorough understanding of the bank's credit policy, Consumers eligibility and all necessary business practices to ensure the submission of accurate and complete loan application packages. Our corporate culture fosters a collaborative approach to business decisions and decision making for the greater good of the organization and its customers.
Farmers Group, Inc.Field Property Claims Adjuster-Cleveland, OH Farmers Group, Inc.Field Property Claims Adjuster-Cleveland, OHCleveland, OHRemotePersonal contacts are a major part of activity and include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and all other persons incident to the investigation and processing of claims. Investigates, confirms coverage, determines liability, establishes damages, reports status and negotiates the settlement of assigned cases (has authority to make payment of assigned claims within prescribed limits).