Fraud Investigator (Administrative Actions) Medicare Peraton IncFraud Investigator (Administrative Actions) Medicare$66,000–$106,000 / yearSafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse. Review and verify evidence supporting an administrative action as it relates to payment suspensions, revocations, overpayments as well as other administrative actions that can be pursued.
Manufacturing Investigator I PCI ServicesManufacturing Investigator ISan Diego, CA$19.54–$21.98 / hourWe envision a PCI community where everyone can belong and grow, and we strive to bring this vision to reality by continuously and intentionally assessing our people practices, policies and programs, marketing approach, and workplace culture. Under direct supervision, this position may investigate, author, coordinate, and revise deviations, corrective and preventative actions, complaints, and other cGMP documents such as Master Production Batch Records.
Manufacturing Investigator I PCI Pharma ServicesManufacturing Investigator ISan Diego, California$19.54–$21.98 / hourWe envision a PCI community where everyone can belong and grow, and we strive to bring this vision to reality by continuously and intentionally assessing our people practices, policies and programs, marketing approach, and workplace culture. Under direct supervision, this position may investigate, author, coordinate, and revise deviations, corrective and preventative actions, complaints, and other cGMP documents such as Master Production Batch Records.
Principle Employee Relations Investigator RadNetPrinciple Employee Relations InvestigatorMaryland$80,000–$90,000 / yearFull timeWhen you join RadNet as an Principle Employee Relations Investigator , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21 st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. Partner closely with Legal, Compliance, HRBPs, and Operations leadership to ensure investigative practices are aligned with company policy, internal protocols, and applicable federal and state laws.
Senior Product Experience Investigator Orthofix Medical IncSenior Product Experience InvestigatorLewisville, TXOur global team of over 1,600 employees brings to market highly innovative, cost-effective, and user-friendly medical technologies that heal musculoskeletal pathologies for patients and the healthcare professionals who treat them. At Orthofix, we want team members who build relationships and share knowledge, challenge the status quo, and deliver results every day to help us achieve our vision to be the unrivaled partner in Med Tech.
ER Investigator U.S. BancorpER InvestigatorMinneapolis, MN$105,400–$124,000 / yearIn addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. As a trusted partner, you will be expected to ensure that appropriate stakeholders are brought to the table to discuss the resolution and outcomes for current cases while proactively addressing conditions or problems that could cause situations to reoccur in the future.
Fraud Investigator I Global Credit UnionFraud Investigator IAnchorage, Alaska$69,557–$112,677 / yearFull timeConduct investigations into fraud claims related to online transactions, pre-authorized drafts, altered checks, forged endorsements, unauthorized third-party transfers, financial exploitation, identity theft, and additional fraudulent activities. Handle high-priority and high-risk cases, such as outgoing wires, recovering funds, consumer complaints, large transactions, and potential Bank Secrecy Act or SDN list violations.
Fraud Investigator - Fully Remote MercorFraud Investigator - Fully RemoteSan Francisco, CaliforniaRemote$60–$70 / hourConstruct enterprise fraud scenarios for large-scale transaction monitoring, multi-stakeholder investigation workflows, and complex regulatory reporting cycles at Fortune 500 institutions. Develop fraud operations scenarios using tools like SAS Fraud Management , Actimize , Feedzai , and enterprise case management/transaction monitoring platforms.
Surveillance Investigator I Aquarius Casino ResortSurveillance Investigator IUtilize approved surveillance equipment to identify, document, and report illegal or unusual activity across all gaming and non-gaming areas of the property, including back-of-house operations. You are responsible for monitoring and identifying unusual or illegal activity across all areas of the casino, helping to protect guests, team members, and company assets.
Senior Product Experience Investigator ORTHOFIX IncSenior Product Experience InvestigatorLewisville, TXOur global team of over 1,600 employees brings to market highly innovative, cost-effective, and user-friendly medical technologies that heal musculoskeletal pathologies for patients and the healthcare professionals who treat them. At Orthofix, we want team members who build relationships and share knowledge, challenge the status quo, and deliver results every day to help us achieve our vision to be the unrivaled partner in Med Tech.
Sr. Human Resources Investigator Space Exploration Technologies CorpSr. Human Resources InvestigatorRedmond, WA$120,000–$175,000 / yearRESPONSIBILITIES: Investigate sensitive and/or complex employee relations matters from start to finish, including conducting intake, leading interviews, note-taking, gathering and analyzing evidence (electronic, physical, etc.), documenting findings, and following up with the relevant parties. ITAR REQUIREMENTS: To conform to U.S. Government export regulations, applicant must be a (i) U.S. citizen or national, (ii) U.S. lawful, permanent resident (aka green card holder), (iii) Refugee under 8 U.S.C. § 1157, or (iv) Asylee under 8 U.S.C. § 1158, or be eligible to obtain the required authorizations from the U.S. Department of State.
NewSenior Investigator The Kemtah Group, Inc.Senior InvestigatorAtlanta, GA$39.20–$51.84 / hourWorkplace Investigations: · Manage all stages of workplace investigations objectively, impartial and thoroughly in compliance with internal protocols, from initial intake and allegation framing to identifying witnesses, conducting interviews, and gathering evidence. · Draft objective, comprehensive, and clear investigative documentation, such as detailed summary reports outlining the specific allegations, scope of the inquiry, evidence analyzed, credibility assessments, relevant company policies, and ultimate findings.
NewClinical Fraud Investigator II Elevance HealthClinical Fraud Investigator IIAtlanta, GeorgiaRequires 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. Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
Fraud Investigator State of MaineFraud InvestigatorAugusta, Maine$22.91–$31.97 / hourThe Department provides health and social services to approximately a third of the State's population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders. The Office for Family Independence (OFI) is responsible for administration of eligibility determination for a number of programs, including MaineCare, Temporary Assistance for Needy Families (TANF), Food Supplement and Child Support.
Fraud Investigator II University of Massachusetts Medical SchoolFraud Investigator IIWestborough, Massachusetts5-7 years of related experience in fraud examination, healthcare, business, finance or related field; with at least 2 years of experience conducting data mining in the healthcare insurance industry and claims related experience. The Investigator II collaborates with the Associate Director on more complex case reviews as needed, in addition to performing activities related to data mining, data analysis and recoveries.
NewHealthcare Fraud Investigator at Integrity Advantage (Remote) HireAlignedHealthcare Fraud Investigator at Integrity Advantage (Remote)Remote, OREGONRemoteUtilize clients fraud detection solution to identify post-payment or pre-payment opportunities for investigation as well as other applications to perform data mining or track investigative results. Integrity Advantage is a small woman owned business serving health payers and other entities challenged with the detection, investigation and prevention of healthcare fraud, waste and abuse (FWA).
NewFraud Investigator TEN Credit UnionFraud InvestigatorNashville, TNFull timeWhat You'll BringRequired QualificationsHigh school diploma or equivalentMinimum two years of customer service or support operations experienceStrong investigative and analytical skillsExcellent verbal and written communication abilitiesExceptional attention to detail and organizational skillsAbility to handle sensitive and confidential informationStrong computer proficiency and ability to learn fraud detection systemsExperience working in a bank, credit union, or financial institutionKnowledge of fraud prevention and loss mitigation practicesFamiliarity with debit card disputes and fraud investigationsUnderstanding of financial regulations, including Regulations CC, E, D, J, and ZWhy Join TENCU?At TENCU, you'll be part of a team dedicated to protecting our members and building stronger financial futures. Key Skills for SuccessInvestigative mindsetFraud detection and prevention expertiseAttention to detailMember service excellenceAccurate documentation and reportingRegulatory compliance knowledgeTechnology proficiencyReady to Protect Our Members and Make a Difference?
SIU Desk Investigator - Tampa TWAY Trustway ServicesSIU Desk Investigator - TampaTampa, FloridaA commitment to continuous learning, whether through professional development courses, industry certifications, or networking opportunities, is essential for career growth and staying ahead of industry trends. A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial role in assisting the SIU and claims departments with fraudulent activities related to insurance claims.
SIU Desk Investigator - Miami TWAY Trustway ServicesSIU Desk Investigator - MiamiA commitment to continuous learning, whether through professional development courses, industry certifications, or networking opportunities, is essential for career growth and staying ahead of industry trends. A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial role in assisting the SIU and claims departments with fraudulent activities related to insurance claims.
NewSenior Investigator - Consumer Protection Unit State of IndianaSenior Investigator - Consumer Protection UnitIndianapolis, INA robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers. Exempt employees may work more than 75 hours in a pay period without additional compensation and must report a minimum of 75 hours per pay period of work hours and/or paid leave taken to receive their base biweekly salary.