Healthcare Fraud Investigator Contact Government Services LLCHealthcare Fraud InvestigatorArlington, VA$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.
Clinical Fraud Investigator II Elevance Health IncClinical Fraud Investigator IINorfolk, VAMinimum 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.
Fraud Investigator II Boeing Employees Credit UnionFraud Investigator IIVA$35.05–$42.84 / hourWHAT YOU'LL DO: Fraud Monitoring & Detection: You'll use multiple fraud management systems and reporting tools to proactively monitor accounts and identify suspicious monetary and non-monetary activity across products like Zelle, checks, transfers, and new accounts. IMPACT YOU'LL MAKE: As a Fraud Investigator II, you'll play a critical role in protecting members and safeguarding financial assets by identifying and resolving fraudulent activity across a range of products and services.
SIU Investigator Allied UniversalSIU InvestigatorFredericksburg, VAAcquire 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 / Claims Investigator - Part Time Allied UniversalSIU / Claims Investigator - Part TimeLynchburg, Virginia$30–$36 / hour
SIU / Claims Investigator - Central / South VA Allied UniversalSIU / Claims Investigator - Central / South VACharlottesville, Virginia
SIU / Claims Investigator - Northern VA / DC Area Allied UniversalSIU / Claims Investigator - Northern VA / DC AreaFredericksburg, Virginia
SIU Healthcare Investigator (Full-time, Remote) Integrity Management Services, Inc.SIU Healthcare Investigator (Full-time, Remote)Alexandria, VARemoteYou will work both independently and with a team of clinical SMEs to analyze data, assess exposure, and manage investigative caseload from identification through to resolution including overpayment recovery, measuring behavior change and completing necessary reporting for FWA recoupments and savings. Perform root cause analysis to inform future algorithmic identification of similar claims or cases and associated savings (i.e., help move identified case types from "pay-and-chase" to preventive edits and pre-payment activity).
Investigator for Title IX Liberty UniversityInvestigator for Title IXLynchburg, VirginiaIndividual must not be convicted of, or pled nolo contendere or guilty to, a crimeinvolving the acquisition, use, or expenditure of federal, state, or local government funds, -or- be administratively or judicially determined to have committed fraud or any other material violation of law involving federal, state, or local government funds (CFR 668.14(b)(18)(i)). Individual must not be convicted of, or pled nolo contendere or guilty to, a crime involving the acquisition, use, or expenditure of federal, state, or local government funds, -or- be administratively or judicially determined to have committed fraud or any other material violation of law involving federal, state, or local government funds (CFR 668.14(b)(18)(i)).
SIU Field Investigator - VA Allstate Insurance CompanySIU Field Investigator - VARichmond, VA$60,000–$98,450 / yearAnalytical Thinking, Auto Collision (Inactive), Auto Insurance, Auto Insurance Claims, Claims Processing, Collision Investigations, Complex Claims, Crash Investigations, Crime Scene Investigations, Critical Thinking, Documentations, Evidence Gathering, Fraud Investigations, Information Collection, Insurance Claims, Insurance Claims Investigations, Insurance Investigation, Researching, Witness Interviewing. The individual performs a thorough investigation including; (1) conducting background searches, scene investigations, and clinic inspections; (2) taking recorded statements; (3) reviewing and analyzing medical notes, bills, and property damage; and (4) conducting witness interviews and social media searches.
Surveillance Investigator Allied UniversalSurveillance InvestigatorRoanoke, VAAllied 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.
SIU Auto Insurance Field Investigator- VA Gainsco IncSIU Auto Insurance Field Investigator- VARichmond, VAAs an SIU Field Investigator, you will play a crucial role in identifying and preventing fraudulent claims by applying your technical knowledge and human relations skills. Certifications: To perform the essential functions of this job an active Texas or Florida Adjuster License will be preferred to comply with state and GAINSCO requirements.
Criminal Investigator (Special Agent) Office of the Inspector General for Tax AdministrationCriminal Investigator (Special Agent)Richmond, VA$78,009–$144,540 / dayFull timeSpecialized experience is defined as: - Participating in the coordination of multi-agent cases or investigations that involve multiple subjects; AND - Performing criminal or administrative investigations; AND - Providing technical assistance, training, and consultation for criminal investigations, inspections and techniques, or coordinating criminal investigations and strategies; AND - Utilizing various investigative techniques to establish interrelationships of facts or evidence; AND -Investigating sensitive, controversial subjects or cases involving jurisdictional problems. If you are a displaced or surplus Federal employee (eligible for the Career Transition Assistance Plan (CTAP)/Interagency Career Transition Assistance Plan (ICTAP)) you must meet the following "well qualified" definition listed below and any education requirement to receive special selection priority: To be found well-qualified for this position, and in addition to meeting specialized experience, the applicant must have documented the following experience: Having a solid and comprehensive understanding of the position.
Clinical Research Sub-Investigator / Site Director ObjectiveHealth IncClinical Research Sub-Investigator / Site DirectorRichmond, VAUnder the supervision of the Principal Investigator, the Sub-Investigator will contribute to the coordination of clinical trials while also acting as Site Director, overseeing day-to-day site operations and research staff. ObjectiveHealth is a clinical research company that uses proprietary technology to: Increase patient access to research trials within our communities, Provide physicians with enhanced care options for current patients, and.
Investigator (Hotline) U.S. Department of DefenseInvestigator (Hotline)Alexandria, VA$121,785–$158,322 / yearMilitary Spouse Preference (MSP) Eligible: If you are a Military Spouse Preference applicant, you must include a completed copy of the Military Spouse PPP Self-Certification Checklist dated within 30 days along with the documents identified on the checklist to verify your eligibility for Military Spouse Preference. Alternatively, If you are a current military member in active duty service and do not have a copy of your DD Form-214, you must submit a written documentation (certification) from your branch of service certifying that you are expected to be discharged or released from active duty under honorable conditions no later than 120 days after the date the certification is submitted with your application for this position.
Crime Scene Investigator PrInce William County GovernmentCrime Scene InvestigatorWoodbridge, VA$70,921.50–$125,014.50 / yearInvestigators in this role apply cutting-edge technology, continually explore emerging forensic techniques, and expand their expertise through professional development and collaboration with partner agencies. Prince Wiliam County Police Department is seeking a skilled Crime Scene Investigator to join a team where precision, curiosity, and dedication make a measurable difference.
Clinical Research Sub-Investigator (NP/PA) ObjectiveHealth IncClinical Research Sub-Investigator (NP/PA)Richmond, VAObjectiveHealth is seeking a licensed Nurse Practitioner (NP) or Physician Assistant-Certified (PA-C) to serve as a Sub-Investigator at our Richmond, VA research site. This is a unique opportunity for an advanced practice provider in Internal Medicine, Family Medicine, or a related field to contribute to innovative clinical research.
Fraud Investigator II Commonwealth of VirginiaFraud Investigator IIMartinsville, VAReceives, evaluates and tracks allegations of suspected fraud; Conducts an inquiry and investigation into the allegation in an effort to determine intent or no intent on the part of the client in all program areas; Determines an Administrative Disqualification or refers to the Commonwealth"s Attorney Office; Calculates overpayments when the overpayment is discovered through a fraud investigation; Trains other staff in fraud prevention and detection and may provide guidance; Works with law enforcement to prepare cases for trial; Testifies in court, as needed; Prepares reports; Reviews all new policy and procedures; Maintains Fraud Free database tracking system; and. Abilities- Demonstrated ability to: communicate effectively both orally and in writing; perform addition, subtraction, multiplication, and division; calculate overpayments and track payments; testify in court proceedings; train others; establish and maintain effective working relationships with clients, associates, law enforcement, other agencies and others; work independently; analyze data, recognize gaps and collect information; draw legal and supportable conclusions; prepare reports; apply principles of persuasion and/or influence; document data from interviews, forms, and documents; and organize own work schedule.
EEO Human Rights Investigator PrInce William County GovernmentEEO Human Rights InvestigatorWoodbridge, VA$70,921.50–$125,014.50 / yearIf you have a proven track record of delivering high-quality work, thrive in a fast-paced environment, and enjoy collaborating with a highly talented team, we'd love to meet you! Full-time and part-time Prince William County Government employees are eligible to participate in our plans; however, the level and cost of benefits depends on the classification of the position.
Forensic Investigator Supervisor County of Chesterfield VirginiaForensic Investigator SupervisorChesterfield, VA$76,269–$116,311 / yearDirect supervision of the professional staff forensic investigators, other Forensic Professional Staff, and the review of all crime scene reports, and to ensure they are functioning as a cohesive group, able to effectively collect, document, and analyze evidentiary items. This position is subject to working in high security areas governed by the US Department of Justice's "Criminal Justice Information Services (CJIS) Security Policy" and therefore requires successfully passing a more stringent criminal background check.
Investigator Initiated Trial Research Operations Project Manager Virginia Commonwealth UniversityInvestigator Initiated Trial Research Operations Project ManagerRichmond, VAResearch Administrators often serve as a key point of contact between the university and the research sponsor, research project staff, and participants, ensuring effective coordination and communication across all stakeholders involved in study development and conduct; Maintain systems and processes for managing at both a project and a program level, including development and tracking of project timelines, study start-up activities, and key study milestones; Work closely with Principal Investigators (PI), study staff, unit administrators, and coordinate with central offices in pre and/or post award stages of project management; as well as providing research program level reporting and analytics to leadership, while facilitating cross-functional coordination (e.g., regulatory, data management, and clinical operations) to support study activation and ongoing execution; Support and coordinate study start-up activities, including feasibility assessment, site readiness, and activation planning, ensuring studies are prepared for timely execution; Oversee and coordinate activities across participating sites or teams, ensuring consistency in study conduct and timely resolution of issues; Identify potential risks, delays, or gaps in project execution and proactively implement mitigation strategies; Track and report study progress, including key milestones such as activation, enrollment, and study completion, to support leadership oversight and decision-making; Other duties as assigned. Bachelor''s degree or equivalent applicable combination of training, education and experience required; Candidates whose resumes highlight the following previous experience will be prioritized: Demonstrated experience working in and fostering an environment of respect, professionalism and civility with a population of faculty, staff, and students from various backgrounds and experiences, or a commitment to do so as a staff member at VCU; Advanced proficiency with data entry and word processing skills, with the ability to analyze and interpret information effectively; Advanced organizational abilities and a keen eye for detail to ensure accuracy and efficiency in all tasks with the ability to multitask and prioritize autonomously; Clear and professional written and verbal communication skills, with the ability to interact effectively with colleagues and stakeholders; Interpersonal skills, capable of building relationships and collaborating with team members at all levels to gather information and support compliance efforts; Problem-solving and organizational aptitude, with the ability to manage multiple tasks, meet deadlines in a dynamic environment and independently make critical decisions.
Principal Associate, Product Operations & Process Management - AML Next Gen Investigator Platforms Capital OnePrincipal Associate, Product Operations & Process Management - AML Next Gen Investigator PlatformsRichmond, VirginiaPrincipal Associate, Product Operations & Process Management - AML Next Gen Investigator PlatformsProduct Management at Capital One is a booming, vibrant craft that requires reimagining the status quo and driving sustainable customer experiences through technology. Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate’s offer letter.
Principal Product Risk Associate - AML Next Gen Investigator Platforms Capital OnePrincipal Product Risk Associate - AML Next Gen Investigator PlatformsRichmond, VirginiaPrincipal Product Risk Associate - AML Next Gen Investigator Platforms Product Management at Capital One is a booming, vibrant craft that requires reimagining the status quo, finding value creation opportunities, and driving innovative, sustainable customer experiences. Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate’s offer letter.
Investigator Initiated Trial Research Operations Project Manager Commonwealth of VirginiaInvestigator Initiated Trial Research Operations Project ManagerRichmond, VAResearch Administrators often serve as a key point of contact between the university and the research sponsor, research project staff, and participants, ensuring effective coordination and communication across all stakeholders involved in study development and conduct; Maintain systems and processes for managing at both a project and a program level, including development and tracking of project timelines, study start-up activities, and key study milestones; Work closely with Principal Investigators (PI), study staff, unit administrators, and coordinate with central offices in pre and/or post award stages of project management; as well as providing research program level reporting and analytics to leadership, while facilitating cross-functional coordination (e.g., regulatory, data management, and clinical operations) to support study activation and ongoing execution; Support and coordinate study start-up activities, including feasibility assessment, site readiness, and activation planning, ensuring studies are prepared for timely execution; Oversee and coordinate activities across participating sites or teams, ensuring consistency in study conduct and timely resolution of issues; Identify potential risks, delays, or gaps in project execution and proactively implement mitigation strategies; Track and report study progress, including key milestones such as activation, enrollment, and study completion, to support leadership oversight and decision-making; Other duties as assigned. Bachelor"s degree or equivalent applicable combination of training, education and experience required; Candidates whose resumes highlight the following previous experience will be prioritized: Demonstrated experience working in and fostering an environment of respect, professionalism and civility with a population of faculty, staff, and students from various backgrounds and experiences, or a commitment to do so as a staff member at VCU; Advanced proficiency with data entry and word processing skills, with the ability to analyze and interpret information effectively; Advanced organizational abilities and a keen eye for detail to ensure accuracy and efficiency in all tasks with the ability to multitask and prioritize autonomously; Clear and professional written and verbal communication skills, with the ability to interact effectively with colleagues and stakeholders; Interpersonal skills, capable of building relationships and collaborating with team members at all levels to gather information and support compliance efforts; Problem-solving and organizational aptitude, with the ability to manage multiple tasks, meet deadlines in a dynamic environment and independently make critical decisions.
NSUFA807- Title IX and EEO Investigator Commonwealth of VirginiaNSUFA807- Title IX and EEO InvestigatorNorfolk, VA$75,000–$85,000 / yearApplicants who possess an Interagency Placement Screening Form (Yellow Form) or a Preferential Hiring Form (Blue Form) as issued under the Department of Human Resources Management (DHRM) Policy 1.30 Layoff (Commonwealth of Virginia Employees Only), must attach these forms when submitting their state application and/or résumé. The type of background check(s) performed are dependent upon the type of position for which you have been identified as a finalist and may include: criminal history, including sexual offender registry checks, reference checks, degree validation, DMV (driving) records, license verification, and credit report reviews.
Senior Scientist - Principal Investigator - LCMS Thermo Fisher Scientific IncSenior Scientist - Principal Investigator - LCMSRichmond, VAWith clinical trials conducted in 100+ countries and ongoing development of novel frameworks for clinical research through our PPD clinical research portfolio, our work spans laboratory, digital and decentralized clinical trial services. What You'll Do: Independently perform method validations, method transfers and analytical testing of pharmaceutical and biopharmaceutical compounds in a variety of formulations and/or delivery systems.
Environmental Compliance Specialist Gerdau SAEnvironmental Compliance SpecialistPetersburg, VAWe Have: A strong global presence with mini-mills that transform millions of metric tons of raw material to produce steel beams, flat-rolled steel, merchant bar, rebar, spikes, and wire used by the automobile industry, appliance, construction, machinery, and equipment industries. You will be interacting with co-workers, consultants, vendors, and neighbors and provide guidance and assistance to division management with regards to pollution control, hazardous waste and environmental issues and to assure continued compliance with federal, state, and local environmental rules and regulations.
Director, Employee Relations & Compliance Peraton IncDirector, Employee Relations & ComplianceReston, VA$135,000–$216,000 / yearReporting to the CHRO, this Director will be responsible for the design and execution of Peraton' ER program; including workplace investigations, case management, policy compliance, and manager education - while serving as a key liaison to Legal regarding employment law matters and government agency inquiries. Peraton is seeking an experienced Director, Employee Relations & Compliance to lead the company''s enterprise-wide employee relations function and serve as the HR organization''s primary resource on employment law compliance.
Junior Compliance Officer - DC, NoVA, Baltimore LIS SolutionsJunior Compliance Officer - DC, NoVA, BaltimoreArlington, VAProgram Overview: LEGAL INTERPRETING SERVICES, INC. is seeking Junior Compliance Officers (JCOs) to support of the Department of Homeland Security, Immigration and Customs Enforcement, Homeland Security Investigations Worksite Enforcement Unit. Candidates must be able to work on-site, handle sensitive information appropriately, complete DHS/ICE training requirements, and obtain a favorable DHS/ICE personnel security determination before accessing law enforcement databases, government systems, facilities, or sensitive information.
Director of Fraud Operations KoalafiDirector of Fraud OperationsRichmond, VAYou will lead a team of six Fraud Investigators, setting the direction, building the processes, and developing the capabilities that allow Koalafi to scale its fraud prevention function as the business grows. You will: Actively experiment with AI tools (including large language models, automation platforms, and agentic workflows) to identify opportunities to improve investigator efficiency and decision quality.
Relationship Banking Officer - Martinsville Carter Bank & TrustRelationship Banking Officer - MartinsvilleMartinsville, VASUMMARY: The Relationship Banking Officer plays a key role in managing customer relationships, providing tailored financial solutions, and promoting the Carter Banks wide range of products and services. Assist customers with the loan application process, including personal loans, auto loans, home equity lines of credit (HELOCS), and small business loans.
Director of Risk Operations West Creek Financial IncDirector of Risk OperationsRichmond, VAYou will: Actively experiment with AI tools (including large language models, automation platforms, and agentic workflows) to identify opportunities to improve investigator efficiency and decision quality Lead the evaluation and adoption of new fraud prevention technologies and third-party tools Work with Fraud Analytics and Engineering to scope and prioritize tooling investments that support the team Bring a point of view on where AI can realistically augment or automate portions of the fraud review workflow - and be willing to build and test those ideas, not just propose them About You Experience 6+ years of experience in fraud operations, fraud investigations, or risk management within a financial services or fintech environment 2+ years of people management experience, with a track record of developing individual contributors Direct experience with merchant fraud, point-of-sale financing, or B2B2C financial products strongly preferred Familiarity with consumer regulatory requirements relevant to fraud and disputes (CFPB, FCRA, Reg E, UDAAP) Skills and Orientation Strong process improvement orientation - you find poorly documented, inconsistent workflows genuinely uncomfortable and are motivated to fix them Excellent written communication skills; you write clear, structured documentation that others can easily follow Sharp pattern recognition and investigative instincts - you can identify what's anomalous and pursue it methodically Comfortable making and defending judgment calls in ambiguous situations with incomplete information Data literate - you can work with Excel and basic reporting tools to monitor team performance and identify trends; SQL familiarity is a plus Collaborative and low-ego; this is a small company and you'll need to work effectively across functions without a large support structure Mindset Genuinely excited about AI and actively experimenting with how it applies to your domain - not waiting to be told, but exploring on your own Orientation toward building scalable systems rather than heroic individual effort Strong sense of ethics and confidentiality - you understand the sensitivity of the information this role handles Comfortable having difficult conversations with merchants, internal stakeholders, and leadership Motivated by catching fraud and building something that makes that easier over time Why choose Koalafi: A career at Koalafi means opportunities to tackle exciting challenges every single day. You'll be expected to roll up your sleeves - diving into complex investigations, designing workflows, writing documentation, and coaching your team - while simultaneously thinking about how the function needs to evolve over the next 12-24 months.
Technical Specialist, Construction Claim The Travelers Companies IncTechnical Specialist, Construction ClaimChantilly, VA$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.
Major Case Specialist, Construction Defect The Travelers Companies IncMajor Case Specialist, Construction DefectRichmond, VA$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.
SIU Nurse Auditor, RN, CPC (Full-time, Remote) Integrity Management Services, Inc.SIU Nurse Auditor, RN, CPC (Full-time, Remote)Alexandria, VARemoteThis position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers.
Sr. Business Manager - Fraud Capital OneSr. Business Manager - FraudMcLean, VirginiaCredit Risk: Drive step-change improvements in credit performance by connecting drivers of future consumer credit trends to historical behavior, creating risk models, and testing hypotheses using rigorous monitoring and analysis. Business Manager will be a member of the Partnership Fraud Strategy team, and their responsibilities will include: Set and own a roadmap to improve Partnership fraud mitigation from good to great, while focusing on impactful CX interactions for Partnerships.
Senior Manager Fraud Strategy and Trend Analytics (HYBRID--Richmond, VA) Atlantic Union Bankshares CorpSenior Manager Fraud Strategy and Trend Analytics (HYBRID--Richmond, VA)Glen Allen, VAActing as a strategic extension of the Director of Enterprise Fraud and Business Resiliency, this role provides leadership coverage, decision support, and execution strength across prevention, detection, and analytics initiatives, including during complex or ambiguous risk scenarios. Oversight of fraud tool and vendor portfolios in partnership with Technology and Model Risk, including rule sets, models, authentication/identity verification, device/behavioral analytics, and case management workflows.
Medical Science Liaison, Camzyos (DC, DE, MD, VA) Bristol-Myers Squibb CoMedical Science Liaison, Camzyos (DC, DE, MD, VA)Richmond, VARemote$166,090–$201,262 / yearThe purpose of their interactions is to engage in meaningful scientific exchange that will ensure patients have access to BMS medicines, to ensure their safe and appropriate use through peer to peer discussions aligned with medical strategies and needs expressed by external stakeholders, and to facilitate research. Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.