Lead Financial Crimes Investigator KeyCorpLead Financial Crimes InvestigatorBrooklyn, OH$52,000–$80,000 / yearGeneral Office - Prolonged sitting, ability to communicate face to face in person or on the phone with teammates and clients, frequent use of PC/laptop, occasional lifting/pushing/pulling of backpacks, computer bags up to 10 lbs. The Lead Financial Crimes Investigator conducts and makes decisions on investigations and/or reviews investigations for quality alerts related to suspicious activity or customer transaction and behavior patterns along with identifying potential onboarding and retention risk.
Program Integrity Investigator IV CareSourceProgram Integrity Investigator IVOhio WFH, OH$83,000–$132,800 / yearReview reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques that will reveal intelligence for identification of any associative or causal relationships pertaining to Fraud Waste and Abuse and Error, providing management level summaries that explain key findings and providing documentation for use during Audits. Utilizes a variety of data analytics platforms to mine large volumes of data to identify and mitigate fraudulent claim activity, discover patterns and anomalies in billing behavior and develop metrics around transactional and operational data to report on fraud attempts, losses and trends.
NewSIU Investigator III (Health Plan experience required) CareSourceSIU Investigator III (Health Plan experience required)OH$72,200–$115,500 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Job Summary: The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members.
Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)OH$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.
Diversion Control Investigator Cencora IncDiversion Control InvestigatorOH$43,300–$79,310 / yearExperience and Educational Requirements: Requires broad training in fields such as criminal justice, business administration, accountancy, sales, marketing, computer sciences or similar vocations generally obtained through completion of a four year degree program or equivalent combination of experience and education. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
Surveillance Investigator Allied UniversalSurveillance InvestigatorAkron, Ohio$20–$22 / 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 .
Adjunct Faculty, Criminal Justice Cuyahoga Community CollegeAdjunct Faculty, Criminal JusticeCleveland, OHEvaluates and grades students class work, laboratory work, assignments, papers, and examinations. Teaches a full range of courses in the Associate of Applied Science in Criminal Justice program.
Family Advocate Canopy Child Advocacy CenterFamily AdvocateCleveland, OHFull timeThe Child Advocacy Center Family Advocate assists juvenile victims of child abuse and their families who are referred to the CAC by providing a full range of services including assistance with crisis intervention, court support, case status, community referrals, community awareness, and performs related duties as required. Assist guardians with applications for State Victim Assistance Compensation by obtaining the necessary information and documents, filling out and processing required paperwork, and following case through payment of bills; Coordinate with victim service providers and the Ohio Attorney General's Office.
Detective-Protective Services MetroHealthDetective-Protective ServicesCleveland, OHMinimum of two years of experience as a Police Officer Excellent oral, written, and interpersonal communication skills required to effectively interact with others, prepare comprehensive reports, provide effective testimony and interview individuals to obtain facts. Under the general guidance and discretion of the Director and Chief, Public Safety or Lead Detective responsible for the criminal investigations and for further investigation of all felonies and other such misdemeanors that require extended investigation.
Counselor, Adolescent Forensic Liaison Signature Health IncCounselor, Adolescent Forensic LiaisonPainesville, OHThe Counselor, Adolescent Forensic Liaison will work closely with court personnel, probation, collaterals, community services workers, and other service providers to coordinate care following release from the facility. Reporting to the Supervisor, Behavioral Health, the Counselor, Adolescent Forensic Liaison will provide clinical services to individuals placed in the Youth Detention Facility, including diagnostic evaluation, consultation, linkage/referral, and discharge planning.