NewCompliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar HealthCompliance Audit / Investigator / Coder - CCS / CPC / or CCAWashington, DC$65,062–$117,291Performs 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).
Senior Trade Compliance Investigator Honeywell International IncSenior Trade Compliance InvestigatorDCAs a trusted partner, we provide actionable solutions and innovation through our Aerospace Technologies, Building Automation, Energy and Sustainability Solutions, and Industrial Automation business segments - powered by our Honeywell Forge software - that help make the world smarter, safer and more sustainable. Experience as the lead investigator conducting complex investigations involving potential trade compliance violations of the ITAR and/or EAR, restricted party screening, OFAC sanctions violations, diversion concerns, classification, licensing, customs, or recordkeeping matters.
Corporate Investigator Ethics and Compliance ManTech International CorpCorporate Investigator Ethics and ComplianceHerndon, VA$68,600–$114,100 / yearCollaborating with the investigations team, including providing support to the Senior Corporate Investigator, the Executive Director of Investigations, and the Chief Ethics and Compliance Officer to ensure cases are processed completely, accurately, and efficiently and coordinating with other Company departments including Human Resources, Security, Insider Threat, and Legal. Preparing initial reports detailing the factual outcome of the investigation, root cause of any validated non-compliance, and tracking any corrective or remedial measures taken and a summary of investigative findings to be presented to MANTECH leadership detailing any disclosures to be made to the government and other necessary corrective actions or remedial measures.
NewSenior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorMD$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.
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).
Regional Fraud Investigator Burke & Herbert BankRegional Fraud InvestigatorAlexandria, VA$27–$37 / hourInvestigate 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.
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.
Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICESHealthcare Fraud InvestigatorWashington, DC$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 Investigator (Full-Time, Remote) Integrity Management Services, Inc.Senior Investigator (Full-Time, Remote)Alexandria, VARemote$55,000–$85,000 / yearIntegrity 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.
Sr. Investigator (Full-Time, Remote) Integrity Management Services, Inc.Sr. Investigator (Full-Time, Remote)Alexandria, VARemote$55,000–$85,000 / yearIntegrity 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.
Supervisory Criminal Investigator Department of the Treasury, USSupervisory Criminal InvestigatorWashington, DCThe mission of the Treasury Inspector General for Tax Administrations TIGTA Office of Investigations is to protect the Internal Revenue Service IRS from internal and external threats and corruption that could negatively impact the IRS ability to administer the nations tax laws. To be considered well qualified at the GS-14 grade level and in addition to meeting specialized experience the applicant must have documented in hisher resume A solid and comprehensive understanding of the position AND Be able to perform the required tasks efficiently AND Be proficient in applying the knowledge skills and abilities of the job.
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).
Lead SIU Investigator Centene Management CompanyLead SIU InvestigatorWashingtonRemoteProvides direction and guidance to staff who investigate and remediate compliance and fraud, waste, and abuse related matters; while maintaining an investigative workload of moderate to high complexity. Bachelor's Degree in related field; or Associate's degree with 6 years related experience; or High School Diploma/GED with 7 years related experience.
Criminal Investigator - Desk Officer - 90413566 - Washington National Railroad Passenger CorpCriminal Investigator - Desk Officer - 90413566 - WashingtonWashington, DC$136,721–$184,573 / yearServes as the primary contact and liaison between the Office of Investigations field offices and headquarters, providing technical advice; coordinating and reviewing field office operations and investigative work; and advising leadership on significant investigative developments, field office performance, operational and policy issues, and matters requiring leadership review. The position supports investigative quality and consistency by monitoring complex and sensitive casework, assessing trends and deficiencies, coordinating headquarters actions, reviewing reports and case management data, and recommending improvements to policies, procedures, internal controls, and investigative practices.
Senior Fraud, Waste and Abuse (FWA) Investigator PacificSource Health PlansSenior Fraud, Waste and Abuse (FWA) InvestigatorVA$65,296.83–$111,004.62 / yearEssential Responsibilities: Independently plan, conduct, and manage prompt, thorough onsite and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to create comprehensive case files in accordance with established policies and procedures. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork.
NewInvestigator U.S. Department of CommerceInvestigatorWashington, DC$121,785–$158,322 / yearDemonstrates strong oral communication skills by delivering clear, concise briefings to colleagues and leadership on complex investigative developments and findings; providing sworn testimony in administrative and civil proceedings; and effectively engaging with DOJ and other external stakeholders to ensure accurate, timely information exchange. nREINSTATEMENT: If you are a former federal employee that has been separated for at least one year, and wish to be non-competitively reinstated for a higher grade or full performance level than which you left federal employment, you MUST provide a copy of your separation SF50 (the "position occupied" block on the SF-50 should show a "1" and your "tenure" block should show a "1" or "2") AND the last performance appraisal you received from your federal employment which shows at least a fully successful rating.
Senior Principal Investigator, Crypto Asset Investigations - Blockchain Technology Financial Industry Regulatory Authority, Inc.Senior Principal Investigator, Crypto Asset Investigations - Blockchain TechnologyRockville, MDFINRA 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. Additional insurance includes basic life, accidental death and dismemberment, supplemental life, spouse/domestic partner and dependent life, and spouse/domestic partner and dependent accidental death and dismemberment, short- and long-term disability, long-term care, business travel accident, disability and legal.
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.
Lead, All-Source Investigator TRM LabsLead, All-Source InvestigatorWashington DC, District of ColumbiaTrace scam compounds geographically and operationally — combining on-chain attribution with off-chain telemetry, OSINT, and commercially available data to identify operators, controllers, and movement patterns. 5-8+ years of all-source investigative or targeting experience — federal law enforcement (former 1811s — e.g., FBI, HSI, IRS-CI, Secret Service), Intelligence Community all-source analysis, or mission-aligned private sector equivalent.