50 Results for

Compliance Investigator Jobs in Virginia

Jobs

Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICES

Arlington, VA

$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

Regional Fraud Investigator Burke & Herbert Bank

Alexandria, VA

$27–$37 / hour

Investigate and manage external fraud investigations, such as check fraud, new account fraud, elder exploitation, wire fraud, online take over and other, ensuring cases are handled timely, and documented accurately with a concise case summary, following existing procedures. This position is responsible for conducting comprehensive external fraud investigations on check fraud, wire fraud, account take over, identity theft, new account fraud, elderly exploitation, and other types of fraud, to detect and prevent fraud losses to the bank and the customer.

30+ days ago

Financial Fraud Investigator Guidehouse Inc

Tysons, VA

$74,000–$124,000 / year

What You Will Do: This role is responsible for conducting identity fraud investigations, reviewing account and identity information, analyzing potentially fraudulent activity, and making investigative determinations in accordance with established procedures and program requirements. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

4 days ago

Financial Fraud Investigator Guidehouse

Virginia

This role is responsible for conducting identity fraud investigations, reviewing account and identity information, analyzing potentially fraudulent activity, and making investigative determinations in accordance with established procedures and program requirements. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

5 days ago

Fraud and Abuse Investigator / CPC Sentara Hospitals

Virginia

Remote

Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products through Sentara Health Plans lines of business. Familiarity with healthcare claims, provider billing patterns, fraud, waste and abuse (FWA) concepts, and the use of data analysis to identify claims or providers requiring further review is preferred.

6 days ago

Senior Investigator UnitedHealth Group Inc.

Arlington, VA

$60,200–$107,400 / year

We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Collaborate with a variety of external sources to identify current and emerging patterns and schemes related to FWA to ensure additional TIP submission.

23 days ago

SIU / Claims Investigator Allied Universal

Virginia Beach, VA

$25–$32 / 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.

7 days ago

Sr. Investigator (Full-time, Remote) Integrity Management Services, Inc.

Alexandria, VA

Remote

Quick Apply

Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. In this role, the Senior Investigator will conduct investigations that support healthcare program integrity initiatives by identifying potential fraud, waste, and abuse (FWA), analyzing complex information, and developing investigative findings.

22 days ago

Investigator (Full-time, Remote) Integrity Management Services, Inc.

Alexandria, VA

Remote

Quick Apply

Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. In this role, the Investigator will perform high level complex Medicare and Medicaid investigations and develop cases for future action, including referral to law enforcement, education, overpayment recovery and other administrative actions.

30+ days ago

Title IX Investigator Liberty University

Lynchburg, Virginia

Individual 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)).

30+ days ago

Asset Protection Investigator (French and English) Genuine Parts Co

Let us know you're interested in a future opportunity by joining our Talent Community on jobs.genpt.com or create an account to set up email alerts as new job postings become available that meet your interest! This role focuses on protecting company assets by conducting thorough investigations, gathering evidence, and preparing detailed case packets for internal review or legal action.

30+ days ago

Investigator (Full-Time, Remote) Integrity Management Services, Inc.

Alexandria, VA

Remote

$50,000–$70,000 / year

Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. In this role, the Investigator will perform high level complex Medicare and Medicaid investigations and develop cases for future action, including referral to law enforcement, education, overpayment recovery and other administrative actions.

30+ days ago

Sr. Investigator (Full-Time, Remote) Integrity Management Services, Inc.

Alexandria, VA

Remote

$45,000–$65,000 / year

21 days ago

Fraud and Abuse Investigator / CPC - Remote Sentara Healthcare Inc

Remote

$72,612.80–$109,990.40 / year

Job Summary: Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products through Sentara Health Plans lines of business. Familiarity with healthcare claims, provider billing patterns, fraud, waste and abuse (FWA) concepts, and the use of data analysis to identify claims or providers requiring further review is preferred.

5 days ago

Clinical Trial Manager - Investigator Initiated Studies HeartFlow

Fairfax, VA

$90,000–$130,000 / year

Heartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). The flagship product-an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis-provides a color-coded, 3D model of a patient's coronary arteries indicating the impact blockages have on blood flow to the heart.

30+ days ago

Principal Investigator, Improper Use Of Assets Financial Industry Regulatory Authority, Inc.

Woodbridge, VA

$112,300–$154,000 / year

FINRA employees are required to disclose to FINRA all brokerage accounts that they maintain, and those in which they control trading or have a financial interest (including any trust account of which they are a trustee or beneficiary and all accounts of a spouse, domestic partner or minor child who lives with the employee) and to authorize their broker-dealers to provide FINRA with duplicate statements for all of those accounts. Identify & Escalate Emerging Risks and Threats- Proactively identify notable and emerging fraud-related trends, threats, novel issues, and regulatory risks; escalate matters requiring reprioritization and recommend solutions; stay current on rule changes, interpretations, and industry developments.

25 days ago

Senior Internal Security Investigator GEICO GENERAL INSURANCE COMPANY

Fredericksburg, VA

This role is responsible for conducting complex investigations involving suspected insurance fraud, gathering and analyzing evidence, interviewing involved parties, and collaborating with internal and external partners to support fraud detection and prevention efforts. GEICO is seeking a highly motivated and detail-oriented Senior Internal Security Investigator (SIU) to join our Special Investigations Unit.

15 days ago

Market Investigator - Asset Protection - Dc/Va Nordstrom Inc.

Mclean, VA

$75,500–$122,000 / year

This role will provide on-going in-store training and development of Store Managers and Asset Protection Teams and partner with the Regional Investigators to peruse high impact cases that negatively affect shrink and Nordstrom's ability to deliver on their commitments of Fashion Authority, Service and Experience and Brand to our customers. The role of a Market Investigator can provide you with the experience of building knowledge of criminal prosecution practices and expectations, as well as investigations skills in external and internal investigations (identification, investigation and resolution), skills using mobile, stationary and physical surveillance, and intelligence-led tactics to aid in shrink reduction, including Nordstrom video surveillance system.

16 days ago

Market Investigator - Asset Protection - DC/VA Nordstrom

Mclean, Virginia

$75,500–$122,000 / year

This role will provide on-going in-store training and development of Store Managers and Asset Protection Teams and partner with the Regional Investigators to peruse high impact cases that negatively affect shrink and Nordstrom’s ability to deliver on their commitments of Fashion Authority, Service and Experience and Brand to our customers. The role of a Market Investigator can provide you with the experience of building knowledge of criminal prosecution practices and expectations, as well as investigations skills in external and internal investigations (identification, investigation and resolution), skills using mobile, stationary and physical surveillance, and intelligence-led tactics to aid in shrink reduction, including Nordstrom video surveillance system.

14 days ago

PT Home Health Insurance Verification Specialist/Investigator StratAcuity Staffing Partners Inc

Stone Ridge, VA

Remote

$20–$23 / hour

In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. This individual will play a critical role in ensuring accurate reimbursement, timely admissions, regulatory compliance, and uninterrupted patient care by validating insurance coverage and payer requirements across a variety of government and commercial health plans.

30+ days ago

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Compliance Investigator Jobs in Virginia

Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICES

Regional Fraud Investigator Burke & Herbert Bank

Financial Fraud Investigator Guidehouse Inc

Financial Fraud Investigator Guidehouse

Fraud and Abuse Investigator / CPC Sentara Hospitals

Senior Investigator UnitedHealth Group Inc.

SIU / Claims Investigator Allied Universal

Sr. Investigator (Full-time, Remote) Integrity Management Services, Inc.

Investigator (Full-time, Remote) Integrity Management Services, Inc.

Title IX Investigator Liberty University

Asset Protection Investigator (French and English) Genuine Parts Co

Investigator (Full-Time, Remote) Integrity Management Services, Inc.

Sr. Investigator (Full-Time, Remote) Integrity Management Services, Inc.

Fraud and Abuse Investigator / CPC - Remote Sentara Healthcare Inc

Clinical Trial Manager - Investigator Initiated Studies HeartFlow

Principal Investigator, Improper Use Of Assets Financial Industry Regulatory Authority, Inc.

Senior Internal Security Investigator GEICO GENERAL INSURANCE COMPANY

Market Investigator - Asset Protection - Dc/Va Nordstrom Inc.

Market Investigator - Asset Protection - DC/VA Nordstrom

PT Home Health Insurance Verification Specialist/Investigator StratAcuity Staffing Partners Inc

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