Special Investigation Unit Investigator III L.A. Care Health PlanSpecial Investigation Unit Investigator IIILos Angeles, CAThe Special Investigation Unit Investigator III performs in-depth evaluation of potential fraud & abuse cases and develops complex investigations that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for fraud, waste & abuse. claims history, provider files) to determine provider billing patterns and detect potential fraudulent or abusive billing practices or vulnerabilities in Medi-Cal/Medicare policies and initiates appropriate action.
Surveillance Investigator Allied UniversalSurveillance InvestigatorSan Dimas, California$20–$24 / hourFull timeThe 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. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Healthcare Fraud Investigator Contact Government Services LLCHealthcare Fraud InvestigatorLos Angeles, CA$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 InvestigatorLos Angeles, CA$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.
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorLos Angeles, CA$51,435.30–$66,131.10 / yearPerforms sophisticated analyses of large-scale hard-copy and electronic data, such as health care claims data, financial transaction data, accounting records, or bank records to develop investigative leads and to determine their potential relevance to the allegations at issue. Skills and attributes for success: The investigator will generate new investigations, and to continue with ongoing investigation and civil actions involving fraud in areas such as healthcare, contracting, and grants, as well as other fraud and abuse of federal public funds and programs.
Discrimination, Harassment, and Retaliation (DHR)/Title IX Investigator CSU CareersDiscrimination, Harassment, and Retaliation (DHR)/Title IX InvestigatorLos Angeles, CaliforniaThe incumbent identifies and interviews relevant parties and witnesses; gathers directly related evidence from various sources; documents all investigatory meetings; composes and sends appropriate correspondence with parties, advisors, and others regarding investigations and other aspects of the formal and informal resolution processes; documents investigation steps in applicable case management system. As a federally recognized Hispanic-serving (HSI) and Asian American, Native American, and Pacific Islander-serving institution (AANAPISI), Cal State LA recognizes the transformative power of education and embraces its duty to identify and serve the needs of all its students.
Senior Investigator, Office for Equity, Diversity & Inclusion CSU CareersSenior Investigator, Office for Equity, Diversity & InclusionLos Angeles, CaliforniaThe incumbent identifies and interviews relevant parties and witnesses; gathers directly related evidence from various sources; documents all investigatory meetings; composes and sends appropriate correspondence with parties, advisors, and others regarding investigations and other aspects of the formal and informal resolution processes; documents investigation steps in applicable case management system. As a federally recognized Hispanic-serving (HSI) and Asian American, Native American, and Pacific Islander-serving institution (AANAPISI), Cal State LA recognizes the transformative power of education and embraces its duty to identify and serve the needs of all its students.
Research investigator - Woodland Hills USA Express Legal & Investigative ServiceResearch investigator - Woodland HillsWoodland Hills, CaliforniaUSA Express Legal & Investigative Services is seeking a motivated and detail-oriented Research Investigator to support legal and insurance-related investigations. The ideal candidate is an effective communicator with strong writing skills, an inquisitive mindset, and the ability to work both independently and as part of a team.
Investigator Senior Military, Veterans and Diverse Job SeekersInvestigator SeniorLos Angeles, CaliforniaExcellent verbal/written and written communication skills required to interact with all levels of Bank personnel and outside contacts. Is the primary person responsible to maintain the records of reported activity as required under the Bank Secrecy Act.
Specialty Investigator Military, Veterans and Diverse Job SeekersSpecialty InvestigatorLos Angeles, CaliforniaDelivers specialized consultation services and quality risk training to customers, claim staff and underwriting including the development of service plans that focus on management controls, loss frequency and/or loss severity issues. Applies the techniques of critical thinking to prioritizes and develop investigations that have complex allegations and/or significantly financial impact to multiple claims and/or organized ring activity spanning across multiple lines of business and potentially across several states.
AFISS Senior Financial Investigator Military, Veterans and Diverse Job SeekersAFISS Senior Financial InvestigatorOrange, CaliforniaExperience must include planning, conducting, and participating in complex financial investigations with specialized experience in the area of forfeiture, organized crime, white collar crime, fraud, drug trafficking, money laundering, and/or similar area of criminal activity. Minimum 8 years of experience in performing open-source intelligence analysis (OSINT) investigations.
Nurse Practitioner or Physician Assistant (Sub Investigator) - Part-time Wake ResearchNurse Practitioner or Physician Assistant (Sub Investigator) - Part-timeLos Angeles, CA$50–$70 / hourAs of today, our board-certified physicians have completed more than 7,000+ successful clinical trials, while consistently exceeding sponsor expectations for integrity, timeliness, subject enrollment, human protection, and expeditious delivery of accurate evaluable data. M3 Wake Research is an integrated network of premier investigational sites meeting the clinical research needs of global biopharmaceutical, biotechnology, medical device, pharmaceutical and clinical research organizations (CROs).
NewSenior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorCA$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.
Pediatric Hematology-Oncology Cellular Therapy & Bone Marrow Transplant Clinical Investigator or Physician Scientist Cedars-Sinai Medical CenterPediatric Hematology-Oncology Cellular Therapy & Bone Marrow Transplant Clinical Investigator or Physician ScientistLos Angeles, CA$213,326–$491,437 / yearFY24 Cedars-Sinai Research Metrics: • #10 in Total NIH Funding among independent hospitals in the U.S. • 612 grants • 638 clinical trials • $300+ Million in research expenses • 540,000 square feet of wet and dry lab space • 2,100+ Research projects • 2,400+ Peer-reviewed faculty publications • 21 research cores, including our Biomanufacturing Center/iPSC core, flow cytometry, and molecular therapeutics. More than 2,000 current research projects explore the full breadth of biomedical research, some of which include investigating genetic therapies for pediatric conditions, organ development and regeneration, connections among diabetes, chronic pancreatitis, and pancreatic cancer, exploiting the potential of stem cells, leveraging nanotechnology, parsing big data, and assessing the developmental origins of disease.
Senior Investigator, Office for Equity, Diversity & Inclusion California State UniversitySenior Investigator, Office for Equity, Diversity & InclusionLos Angeles, CA$5,053–$16,221 / yearThe incumbent identifies and interviews relevant parties and witnesses; gathers directly related evidence from various sources; documents all investigatory meetings; composes and sends appropriate correspondence with parties, advisors, and others regarding investigations and other aspects of the formal and informal resolution processes; documents investigation steps in applicable case management system. As a federally recognized Hispanic-serving (HSI) and Asian American, Native American, and Pacific Islander-serving institution (AANAPISI), Cal State LA recognizes the transformative power of education and embraces its duty to identify and serve the needs of all its students.
Discrimination, Harassment, and Retaliation (DHR)/Title IX Investigator California State UniversityDiscrimination, Harassment, and Retaliation (DHR)/Title IX InvestigatorLos Angeles, CA$4,135–$12,288 / yearThe incumbent identifies and interviews relevant parties and witnesses; gathers directly related evidence from various sources; documents all investigatory meetings; composes and sends appropriate correspondence with parties, advisors, and others regarding investigations and other aspects of the formal and informal resolution processes; documents investigation steps in applicable case management system. As a federally recognized Hispanic-serving (HSI) and Asian American, Native American, and Pacific Islander-serving institution (AANAPISI), Cal State LA recognizes the transformative power of education and embraces its duty to identify and serve the needs of all its students.
Investigator Attorney Jacoby and Meyers Attorneys LLPInvestigator AttorneyLos Angeles, CASpecializing in all types of accident claims, including automobile, motorcycle, bicycle, Uber/Lyft, or trucking accidents, slip and falls, dog bites, construction accidents and other wrongful conduct, the attorneys at Jacoby & Meyers have recovered over a billion dollars for their clients' personal injury and wrongful death claims caused by the negligence of a third party. The position will require traveling and driving to locations and may require being available outside of business hours and on some weekends, depending on investigation and as needed to meet and speak with clients.
Research investigator - Woodland Hills USA Express Legal & Investigative Service Inc.Research investigator - Woodland HillsWoodland Hills, CAFull timeUSA Express Legal & Investigative Services is seeking a motivated and detail-oriented Research Investigator to support legal and insurance-related investigations. The ideal candidate is an effective communicator with strong writing skills, an inquisitive mindset, and the ability to work both independently and as part of a team.
Dermatology Principal Investigator (Contract/1099) Carbon HealthDermatology Principal Investigator (Contract/1099)North Hollywood, CaliforniaThe Dermatology PI will play a key role in advancing clinical research, conducting clinical trials at Carbon Health's research-enabled sites, and supporting our mission to deliver equitable, data-driven advancements in dermatologic care. If you are passionate about dermatology, clinical trials, and working within a fully integrated health system, this is an incredible opportunity to lead dermatologic research that shapes the future of medicine.
Nurse Practitioner or Physician Assistant (Sub Investigator) - Part-time M3 USA CorpNurse Practitioner or Physician Assistant (Sub Investigator) - Part-timeLos Angeles, CA$50–$70 / hourAs of today, our board-certified physicians have completed more than 7,000+ successful clinical trials, while consistently exceeding sponsor expectations for integrity, timeliness, subject enrollment, human protection, and expeditious delivery of accurate evaluable data. M3 Wake Research is an integrated network of premier investigational sites meeting the clinical research needs of global biopharmaceutical, biotechnology, medical device, pharmaceutical and clinical research organizations (CROs).