Senior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorOH$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.
ER Investigator Senior The PNC Financial Services Group IncER Investigator SeniorCleveland, OH$40,000–$106,250 / yearIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
AML/CFT Senior Investigator Northwest BankAML/CFT Senior InvestigatorColumbus, OhioAssist leaders within Financial Crimes with evaluating gaps and areas of improvement within business processes to ensure their alignment with Northwest’s risk management frameworkMaintain a current awareness of the regulatory environment and emerging financial crimes that may impact Northwest’s products/services. Assist in developing trainings and ongoing formal and informal communication to entrench a risk management culture in the bankDrive the adherence to Northwest’s BSA/AML and OFAC Policy and play a significant role in driving Northwest’s risk culture.
Aml/Cft Senior Investigator Northwest Bancorp, Inc.Aml/Cft Senior InvestigatorColumbus, OHThe AML/CFT Senior Investigator will be responsible for performing triage investigations of transaction monitoring system generated alerts and referrals, including identifying root causes of the alert, sources and uses of funds, and potentially suspicious activity. They are also responsible for conducting investigations to identify potentially suspicious financial and/or fraudulent activity, to include money laundering, terrorist financing, fraud, and/or any other financial risks or crimes.
Clinical Research Sub-Investigator (Np/Pa) ObjectiveHealthClinical 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.
Administrative Professional 2/Investigator Assistant State of OhioAdministrative Professional 2/Investigator AssistantColumbus, OHIn this role, you will be responsible for: Conducting basic investigations of criminal records to include reviewing background checks, potential disqualifying offenses or previous board action, drafting correspondence, and preparing required reports. What You'll Do: Ohio Chemical Dependency Professionals (OCDP) Board certifies and licenses professionals who demonstrate additional education and experience in treating individuals with substance use disorders.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IIOHCollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Essential Functions: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Surveillance Investigator Allied UniversalSurveillance InvestigatorToledo, OH$20–$22 / hourThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.
NewFraud Investigator - Intermittent State of OhioFraud Investigator - IntermittentColumbus, OHThis includes: Cash assistance programs funded by the Temporary Assistance for Needy Families (TANF) Block Grant, including Ohio Works First (OWF) and the Prevention Retention and Contingency (PRC) programs; Food assistance programs including, the Supplemental Nutrition Assistance Program (SNAP), the Summer Electronic Benefit Transfer (EBT) Program, the Commodity Supplemental Food Program (CSFP) and The Emergency Food Assistance Program (TEFAP); Program Integrity; and Adult Protective Services. This position plays a critical role in safeguarding program integrity by independently investigating allegations of fraud, misuse, and other violations within Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), and related public assistance programs.
Columbus - BWC Fraud Investigator - PN: 20066794 State of OhioColumbus - BWC Fraud Investigator - PN: 20066794Columbus, OHNote: Pursuant to Ohio Administrative Code Chapter 4501users of system shall adhere to policies & guidelines published in NCIC operating manual, CJIS security policy, LEADS operating manual, LEADS security policy, newsletters, & administrative messages from LEADS, all of which are either available on ODPS/LEADS intranet or disseminated to LEADS agencies; pursuant to LEADS security policy (revised 05/07/03) state & national fingerprint-based record checks must be conducted within 30 days of initial employment or assignment of all personnel, including appropriate IT personnel, having access to LEADS, or to records storage areas containing CCH/II data; minimum check must include submission of both a State of Ohio BCI& I card & an FBI applicant fingerprint card; both completed applicant fingerprint cards must be submitted by employing agency to State of Ohio Bureau of Criminal Identification & Investigation for processing & forwarding to Federal Bureau of Investigation; record of this check must be kept by employing agency & made available to LEADS upon request; fingerprint card returned by Ohio BCI&I is sufficient documentation. Ability to: define problems, collect data, establish facts & draw valid conclusions; gather, collate, classify information about data, people or things; prepare meaningful, concise & accurate reports, conduct interview effectively; assess immediate situation & make split second decisions; handle sensitive inquiries from & contacts with officials & general public; safely handle irate &/or dangerous citizens; recognize unusual or threatening conditions & take appropriate action; deal with many variables & determine specific action during investigative process; comprehend & record figures accurately; add, subtract, multiply & divide whole numbers; calculate fractions, decimals & percentages; understand manuals & verbal instructions, technical in nature; use proper research methods in gathering data; work in isolation.
NewToledo - BWC Fraud Investigator - PN: 20066671 State of OhioToledo - BWC Fraud Investigator - PN: 20066671Toledo, OHNote: Pursuant to Ohio Administrative Code Chapter 4501users of system shall adhere to policies & guidelines published in NCIC operating manual, CJIS security policy, LEADS operating manual, LEADS security policy, newsletters, & administrative messages from LEADS, all of which are either available on ODPS/LEADS intranet or disseminated to LEADS agencies; pursuant to LEADS security policy (revised 05/07/03) state & national fingerprint-based record checks must be conducted within 30 days of initial employment or assignment of all personnel, including appropriate IT personnel, having access to LEADS, or to records storage areas containing CCH/II data; minimum check must include submission of both a State of Ohio BCI& I card & an FBI applicant fingerprint card; both completed applicant fingerprint cards must be submitted by employing agency to State of Ohio Bureau of Criminal Identification & Investigation for processing & forwarding to Federal Bureau of Investigation; record of this check must be kept by employing agency & made available to LEADS upon request; fingerprint card returned by Ohio BCI&I is sufficient documentation. Ability to: define problems, collect data, establish facts & draw valid conclusions; gather, collate, classify information about data, people or things; prepare meaningful, concise & accurate reports, conduct interview effectively; assess immediate situation & make split second decisions; handle sensitive inquiries from & contacts with officials & general public; safely handle irate &/or dangerous citizens; recognize unusual or threatening conditions & take appropriate action; deal with many variables & determine specific action during investigative process; comprehend & record figures accurately; add, subtract, multiply & divide whole numbers; calculate fractions, decimals & percentages; understand manuals & verbal instructions, technical in nature; use proper research methods in gathering data; work in isolation.
Cinical Research Sub-Investigator (NP/PA) ObjectiveHealth IncCinical 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.
Investigator, 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.
Investigator Management & Training CorporationInvestigatorMarion, OHIf you are interested in employment opportunities with Management & Training Corporation and need assistance, please contact our staffing department through customersupport@mtctrains.com or 801-693-2888. We provide a safe and secure working environment for our staff while helping an at-risk population receive the treatment necessary for success on their road back to a healthy, productive life.
Program 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.
Compliance - Digital Asset Intelligence Operations Manager - Vice President JPMorgan Chase & CoCompliance - Digital Asset Intelligence Operations Manager - Vice PresidentColumbus, OHAdditionally, you will collaborate with partners across Risk, Operations, Technology, and Legal to design innovative detection approaches and deliver impactful intelligence with a special focus on blockchain-based products, platforms, and customer and entity types across global markets. As a Vice President in Global Financial Crimes Compliance - Digital Asset Intelligence Operations, you will lead a high-performing team responsible for detecting, investigating, and mitigating money laundering and terrorist financing (ML/TF) risks across both fiat and digital assets.
Assistant Director, Student Conduct and Compliance Northeast Ohio Medical UniversityAssistant Director, Student Conduct and ComplianceOHOf the above mentioned reports, as the University's Conduct Officer, the incumbent reviews, investigates, processes, adjudicates and responds to inquiries regarding alleged violations of University policies by students and student organizations, administering a student conduct process that is educational and fair-minded by serving as the primary investigator for allegations of student conduct and as a hearing officer. A key member of the Office of Student Services and the Dean of Students leadership team, the Assistant Director is responsible for receiving, triaging, and routing all online and other written reports related to student conduct/professionalism, suspected incidents of hazing, testing irregularities, violations of law, allegations of hate/bias, CARE Team referrals, and/or others as appropriate.
NewResearch Compliance Analyst or Specialist University of CincinnatiResearch Compliance Analyst or SpecialistCincinnati, OH$52,600–$70,000 / hourServe as liaison for designated research protocols/studies; perform initial/ongoing research protocol reviews and provide advice to the Board/Committee; perform protocol audits as required; attend Board/Committee meetings to review and discuss studies to ensure compliance with federal state, local regulations, and University policies and procedures; act as a resource for Board/Committee members regarding regulations during research protocol review. Coordinate information to meet protocol reporting requirements; resolve routine issues involving protocols including direct communication with investigators and research staff; interact with investigators, faculty, students and administration of all levels.
Senior Technical Specialist, Construction Defect The Travelers Companies IncSenior Technical Specialist, Construction DefectIndependence, OH$94,400–$155,800 / yearDirectly investigates 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.
Construction Defect Senior Technical Specialist The Travelers CompaniesConstruction Defect Senior Technical SpecialistIndependence, OH$94,400–$155,800 / yearDirectly investigates 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.
Construction Defect Major Case Specialist The Travelers CompaniesConstruction Defect Major Case SpecialistIndependence, OH$104,000–$171,700 / 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 engage 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 nurse consultants, and fire or fraud investigators, and other experts.
Certified 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.
Site 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.
Commercial 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.
Commercial Lender - Business Banking Officer Consumers National BankCommercial 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.