NewMedical Officer American National Red CrossMedical OfficerWashington, DCAs a key medical leader, you will be responsible for collaborating with TCS leadership towards enablinge program development, complying with regulatory requirements, and elevating organizational knowledge within the field of clinical apheresis and cellular therapies, ensuring our clinical services remain at the forefront of the industry. AmeriCorps, the federal agency that brings people together through service, and its partners — the Peace Corps, AmeriCorps Alums, National Peace Corps Association, and the Service Year Alliance — launched Employers of National Service to connect national service alumni with opportunities in the workforce.
Senior Investigator, AML Investigations, Financial Crimes Compliance Intuit IncSenior Investigator, AML Investigations, Financial Crimes ComplianceWashington D.C., DC$175,000–$236,500 / yearIn this role, reporting to the Head of AML Oversight and Intelligence, you'll be crucial in protecting our rapidly expanding financial services - encompassing QuickBooks, TurboTax, and Credit Karma products that facilitate ACH, credit card, lending, digital wallet, cross-border payments, and bill pay - for millions of consumer and business customers. Review transactional activity for consumer and business clients across various channels: ACH, card (credit/debit), cross-border wires, and digital payments.
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar Health Research InstituteCompliance Audit/Investigator - CCS / CPC / or CCADC$65,062–$117,291 / yearPerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar HealthCompliance Audit/Investigator - CCS / CPC / or CCAWashington, DC$65,062–$117,291 / yearPerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Compliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar HealthCompliance Audit / Investigator / Coder - CCS / CPC / or CCAWashington, DC$65,062–$117,291 / yearFull timePerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICESHealthcare Fraud InvestigatorChantilly, 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.
Senior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI - Remote Sentara Healthcare IncSenior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI - RemoteVARemote$25.60–$42.67 / hourExperience utilizing data analytics to identify high-risk providers and claims for pre-payment review within a healthcare payer, SIU, Program Integrity, or Payment Integrity environment is strongly preferred. Experience conducting pre-pay investigations, provider risk assessments, data mining, fraud, waste and abuse (FWA) analysis, and proactive identification of billing anomalies and emerging provider trends.
Senior Investigator UnitedHealth Group Inc.Senior InvestigatorArlington, VA$60,200–$107,400 / yearWe 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.
NewAbuse Investigator - Scams & Fraud OpenAI LLCAbuse Investigator - Scams & FraudWashington, DCFor unincorporated Los Angeles County workers: we reasonably believe that criminal history may have a direct, adverse and negative relationship with the following job duties, potentially resulting in the withdrawal of a conditional offer of employment: protect computer hardware entrusted to you from theft, loss or damage; return all computer hardware in your possession (including the data contained therein) upon termination of employment or end of assignment; and maintain the confidentiality of proprietary, confidential, and non-public information. AI is an extremely powerful tool that must be created with safety and human needs at its core, and to achieve our mission, we must encompass and value the many different perspectives, voices, and experiences that form the full spectrum of humanity.
Special Investigator AmeriHealth CaritasSpecial InvestigatorWashington, DCRemote$80,400–$109,500 / yearWe offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. The Investigator is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving the full range of products at the AmeriHealth Caritas Family of Companies (ACFC).
Investigator Sr AmeriHealth CaritasInvestigator SrWashington, DCRemote$92,600–$126,200 / yearWe offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. The Investigator is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving the full range of products at the AmeriHealth Caritas Family of Companies (ACFC).
SIU Investigator Allied UniversalSIU InvestigatorSilver Spring, Maryland$27–$32 / hourFull timeAcquire 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 .
Education Oversight Division Investigator (Investigative Analyst I/II/III), Grade N21, N26, N28 Montgomery County, MarylandEducation Oversight Division Investigator (Investigative Analyst I/II/III), Grade N21, N26, N28Rockville, MD$97,540–$157,962 / yearMontgomery County Ethics Law: Except as provided by law or regulation, the Countys "Public Employees" (which does not include employees of the Sheriffs office) are subject to the Countys ethics law including the requirements to obtain advanced approval of any outside employment and the prohibitions on certain outside employment. The Inspector General is charged with reviewing the effectiveness and efficiency of programs and operations within County government and independent County agencies including Montgomery County Public Schools, the Board of Education, and Montgomery College.
Clinical Trial Manager - Investigator Initiated Studies Heartflow IncClinical Trial Manager - Investigator Initiated StudiesWashington, DC$90,000–$130,000 / yearHeartflow 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.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)MD$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Supervisory Investigator US Department of Health and Human ServicesSupervisory InvestigatorDC$125,776–$163,514 / yearLeads the Units training and professional development program, identifying training needs; planning, directing, and conducting internal and external training and outreach; coordinating joint training program; recommending employees for training, conferences, and seminars; and supporting the continuing professional development of analysts nationwide. Veterans Preference documentation - If you are a veteran, you must submit a copy of your DD Form 214, Certificate of Release or Discharge from Active Duty (Member Copy - 4) and, if applicable, and Application for 10-Point Veterans Preference and an official document dated 1991 or later, from the Department of Veterans Affairs or from a branch of the Armed Forces that supports your claim.
Supervisory Criminal Investigator (SAC) U.S. Department of JusticeSupervisory Criminal Investigator (SAC)Washington, DC$169,279–$197,200 / yearIf you are selected as the Supervisory Criminal Investigator (Special Agent in Charge), your responsibilities would include, but would not be limited to: Oversees all criminal and administrative investigations related to all assigned components within the Department of Justice to include the Federal Bureau of Investigation (FBI), the Drug Enforcement Administration (DEA), and the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF). Examples of specialized experience include such duties as: supervising a team engaged in conducting comprehensive investigations encompassing allegations of criminal misconduct, serious administrative infractions or integrity violations involving individuals, groups, or large organizations.
Criminal Investigator (Reemployed Annuitant and ICTAP eligibles) U.S. Department of Homeland SecurityCriminal Investigator (Reemployed Annuitant and ICTAP eligibles)Washington, DC$125,158–$162,708 / yearDuties include: Planning, coordinating, and conducting exceptionally difficult and sensitive protective assignments; and leading and coordinating teams of special agents in advance security surveys for high-profile individuals critical to government continuity and national/international security; and conducting countersurveillance in support of protective operations. Applicants must demonstrate that they meet the Minimum Qualification requirements as listed below: You qualify for the GS-13 level (starting salary $125,158.00) if you possess at least one year of specialized experience equivalent to the GS-12 level, performing duties such as: Executing protection assignments for high-profile individuals, facilities, and sensitive operations.
Insider Threat Investigator Navy Federal Credit UnionInsider Threat InvestigatorVienna, VAExperience interpreting technical information from insider threat and cybersecurity tools, such as data loss prevention, user and entity behavior analytics, security information and event management, identity and access management, and privileged access monitoring systems. Leverage insider threat detection and investigative technologies, including data loss prevention, user and entity behavior analytics, security information and event management, identity and access management, and case management tools.
EEO and Workplace Investigator HR AnewEEO and Workplace InvestigatorColumbia, MDFounded in 1999, HR Anew is a nationally WBENC certified woman owned small business that provides human resources advisory, workplace investigation, talent, leadership development, and organizational solutions to government, commercial, nonprofit, healthcare, and educational organizations. Our investigation services are supported by a managed service model that includes investigator recruitment and onboarding, training, case assignment, program management, quality review, performance monitoring, reporting, and executive oversight.