Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICESHealthcare Fraud InvestigatorNew York, NY$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.
Asbestos Inspector/Investigator (NYC) Watts Architecture & EngineeringAsbestos Inspector/Investigator (NYC)Brooklyn, New YorkWatts is a multi-disciplinary architecture and engineering (A/E) firm providing architecture, civil, environmental, transportation, and construction monitoring services with offices in Buffalo, Rochester, Syracuse and New York City. The candidate will be an integral part of a dedicated regulated building materials department team supporting clients involving building renovation and demolition projects throughout the downstate area.
QC Investigator PDIQC InvestigatorOrangeburg, NY$90,000–$100,000 / yearAt PDI, we are also committed to helping our associates maintain a healthy and sustainable work/life balance and are proud to provide associates with paid time off programs including: sick & safe leave, vacation, company & floating holidays, paid parental leave, and depending on the position we also offer summer hours and flex place/flex time options. Strong knowledge and understanding of good manufacturing practices (cGMPs) for FDA regulated industries, ICH, and other regulations applicable to Good Laboratory Practices (GLP), Good Documentation Practices (GDP), Phase I analytical chemistry laboratory investigations and Phase II manufacturing Investigations.
Senior Investigator Lead Validation (Healthcare FWA) Cotiviti Holdings Inc.Senior Investigator Lead Validation (Healthcare FWA)NYRemote$70,000–$90,000 / yearLeverages claims data, dashboards, and predictive models to identify providers exhibiting atypical billing patterns or potential fraud, waste, and abuse. Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required).
Quality Improvement Investigator Special Citizens Futures UnlimitedQuality Improvement InvestigatorYonkers, NY$60,000–$65,000 / yearParticipates in internal audits of each agency program, including visits, writing deficiency notes, conferencing with managers to review deficiencies, reviewing corrective actions and providing support for needed follow up. In this impactful position, you will lead incident investigations, collaborate with agency leadership, support regulatory compliance efforts, and contribute to initiatives that enhance services and outcomes for the individuals we support.
Quality Improvement Investigator Special Citizens Futures Unlimited IncQuality Improvement InvestigatorYonkers, NY$60,000–$65,000 / yearParticipates in internal audits of each agency program, including visits, writing deficiency notes, conferencing with managers to review deficiencies, reviewing corrective actions and providing support for needed follow up. In this impactful position, you will lead incident investigations, collaborate with agency leadership, support regulatory compliance efforts, and contribute to initiatives that enhance services and outcomes for the individuals we support.
Senior Principal Investigator, Crypto Asset Investigations - Tokenized Securities Markets Financial Industry Regulatory Authority, Inc.Senior Principal Investigator, Crypto Asset Investigations - Tokenized Securities MarketsNew York, NYThe Senior Principal Investigator in Crypto Asset Investigations (CAI) conducts high-complexity investigations into crypto asset activities of FINRA member firms and their associated persons; provides subject matter expertise to Regulatory Operations staff on crypto asset matters and initiatives; assists in the development and delivery of crypto asset training for FINRA staff and the securities industry; and assist in external engagements and intelligence sharing initiatives to raise awareness of emerging and priority threats related to crypto asset and blockchain technology, and highlight related challenges and effective practices. FINRA 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.
Entry Level Background Investigator- Northeast Region (TOP SECRET CLEARANCE REQUIRED) CACI International IncEntry Level Background Investigator- Northeast Region (TOP SECRET CLEARANCE REQUIRED)Port Washington, NYResponsibilities: Conduct comprehensive interviews with subjects, employers, associates, references, and other knowledgeable individuals and review appropriate records to obtain facts to resolve all material issues in a case or to establish the background, reputation, character, suitability, or qualifications of the subject under investigation. Recognizes or uses correct English grammar, punctuation, and spelling; communicates information (for example, facts, ideas, or messages) in a succinct and organized manner; produces written information, which may include technical material that is appropriate for the intended audience.
FIELD INVESTIGATOR - PART TIME PREMIER INVESTIGATIONS INCFIELD INVESTIGATOR - PART TIMEWhite Plains, NYFull timeWestchester County, New York Investigative Firm seeks a full-time or part-time field investigator with 1-3 years' experience preferably - ALSO WILL TRAIN. Spanish-speaking a plus.
Senior BSA/AML Investigator Sat - Wed X CorpSenior BSA/AML Investigator Sat - WedNew York, NY$120,000–$145,000 / yearITAR 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. Conduct Enhanced Due Diligence (EDD) on high-risk users and transactions; perform periodic reviews of customer risk profiles and recommend adjustments to risk ratings.
Accident Investigator Metropolitan Transportation AuthorityAccident InvestigatorNew York, NYProvide timely notifications to the Federal Railroad Administration (FRA), Public Transportation Safety Board (PTSB), National Transportation Safety Board (NTSB), Occupational Safety and Health Administration (OSHA) and other required agencies and ensure accurate recordkeeping and reporting in collaboration with other Office of System Safety (OSS) teams to maintain compliance with all regulatory and MTA/MNR requirements. Minimum 5 years of experience in the transportation industry related to the responsibilities of the position, at least two (2) years of which entail experience in one or more of the following: Transportation (train operations), Maintenance of Equipment, Maintenance of Way (Track, Structures, Communications & Signals, Power) and/or conducting safety-related investigations.
NewEmployee Relations Investigator Lee Hecht HarrisonEmployee Relations InvestigatorQueens, NY$25–$35 / hourIn addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs.
Contract Investigator - Newark, DE OMNIPLEX World Services Corporation, A Constellis CompanyContract Investigator - Newark, DENewark, New JerseyWork hours vary depending on availability of leads and do not always fall within normal business hours, to include potential weekend hours or third-shift appointments. We are a trusted provider of high quality background investigations programs to Department of Homeland Security (DHS) and the intelligence community at locations throughout the United States.
NewEEO Investigator HirePower Personnel Inc.EEO InvestigatorNew York, NY$61–$72 / hourOur client provides top-ranked care, dozens of inpatient and outpatient specialties, and mental health services with a team of highly trained and caring medical professionals who are compassionate, culturally competent and patient centered. Many of their roles are temp-to-hire, giving our client and our candidates the opportunity to ensure they are the right fit for a full-time position, as this comes with career advancement opportunities and excellent benefits.
NewGlobal Financial Crimes Investigator - Consumer AML Bank of America CorpGlobal Financial Crimes Investigator - Consumer AMLNew York, NY$68,500–$102,000 / yearResponsibilities:Completes investigations while overseeing cases meet or exceed closure and quality metricsCompletes Suspicious Activity Reports (SAR) in a timely and accurate manner for submission to regulators and/or law enforcementReports facts of the investigation to senior stakeholders, assisting in identifying potential operational or compliance risks and partners with Global Financial Crimes (GFC) Management and/or Front Line Units (FLU) to resolve investigationsPerforms quality control functions, training, communications, guidance, monitoring scenario development/enhancement input and testing, or law enforcement liaison responsibilities in an investigative support roleManaging a significant case inventory while prioritizing cases based upon risk and/or management direction while adhering to department Service Level Agreements (SLAs)The Investigator will perform research and analysis of transaction information, customer data, public records, social media platforms or other external research tools to aide in the investigation to determine whether the activity appears to be normal for the client type. Bachelor's Degree in related fieldExperience in financial services and/or a related government entityCertified Anti-Money Laundering Specialist (CAMS)Skills:Critical ThinkingFraud ManagementRegulatory ComplianceWritten CommunicationsInvestigation ManagementPolicies, Procedures, and Guidelines ManagementReportingRisk ManagementCoachingIssue ManagementTalent DevelopmentShift:1st shift (United States of America)Hours Per Week: 40 Learn more about this role Apply × To proceed with your application, you must be at least 18 years of age.
NewAsset Protection Investigator Saks Global Enterprises LLCAsset Protection InvestigatorNew York, NY$19.61–$29.41 / hourYOU WILL BE: Under the direction from the Asset Protection Manager or Assistant General Manager Operations, the Asset Protection Associate monitors shortage results, shortage control, investigations and apprehensions regarding internal and external theft, and implementation of store safety and awareness programs at an individual Saks Fifth Avenue location. Its unique approach combines an emphasis on the digital customer experience with a strong connection to a network of 33 extraordinary locations across North America for seamless, all-channel shopping.
Asbestos Investigator (Nyc) Environmental & OccupationalAsbestos Investigator (Nyc)Newark, NJ$80,500–$95,000 / yearLiving by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. We are a global partner for 86,000 companies and organizations in over 193 countries, offering development, auditing, certification, and training services, including innovative software solutions and cyber security expertise for all industries: from aerospace and automotive to food, construction, energy, healthcare, IT and trade sectors.
NewSIU Investigator Centene Corporation GroupSIU InvestigatorNY$56,200–$101,000 / yearCollaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.
NewCPC Investigator Blue Cross and Blue Shield AssociationCPC InvestigatorNewark, NJ$70,500–$94,395 / yearThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. The incumbent will also be responsible for handling low level investigative activities (external) related to claims, enrollment, accounting, receive and review suspected fraud and to complete cases with all information and analysis for resolution, as the manager and prior approved guidelines may direct.
Global Financial Crimes Senior Investigator (Brokerage) Bank of America CorpGlobal Financial Crimes Senior Investigator (Brokerage)Jersey City, NJ$90,000–$115,000 / yearBack to search results Global Financial Crimes Senior Investigator (Brokerage) Charlotte, North Carolina; Jersey City, New Jersey; Pennington, New Jersey; Plano, Texas; Phoenix, Arizona; Dallas, Texas Additional locations Apply × To proceed with your application, you must be at least 18 years of age. This includes our commitment to being an inclusive workplace, attracting and developing exceptional talent, supporting our teammates' physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve.