UNKNOWN

FEED

Routinely handles cases that are sensitive or high profile, those that are complex cases involving or cases involving multiple perpetrators or intricate healthcare fraud schemes. Demonstrates high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal proceedings.

YEAR

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health Corp

Senior Investigator, Special Investigations Unit (Aetna SIU)

linkup_via_bold

The 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. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.

HOUR

Allied Universal provides unparalleled service, systems and solutions to the people and business of our communities, and is North America's leading security services provider. With over 140,000 employees, Allied Universal delivers high-quality, tailored solutions, which allows clients to focus on their core business. For more information: 866.825.5433 or <a href="http://www.aus.com/" target="_blank">www.AUS.com</a>


Allied Universal

Surveillance Investigator - Part Time

ADAPTED_NOW

Check out our YouTube channel to learn more about what a day-in-the-life of a surveillance investigator at Frasco looks like: Frasco, Inc | YouTube Channel . Minimum Auto Insurance Coverage: $100,000 per person, $300,000 per accident bodily injury, and $50,000 property damage.

Frasco Inc

Surveillance Investigator

J-Vers Cloud

PART_TIME

With a leadership team boasting over 25 years of field experience, we are committed to unlocking the potential of our employees and creating a supportive, tight-knit community. As a national leader in investigative services, Lemieux & Associates is dedicated to delivering professional SIU/DIU, surveillance, and medical canvassing services clients can rely on.

Lemieux & Associates LLC

Licensed Surveillance Field Investigator

Talent Acquisition

Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 2+ years clinical experience with independent license required; 2 years of fraud, waste, and abuse experience required; experience in provider education and managed care organization preferred; coding certification preferred.

Centene Corporation Group

Clinical Investigator (Behavioral Health)

Translate repeatable investigation processes into functional prototypes using AI-assisted development, low-code platforms, and data visualization tools (Power BI, Azure Data Services, Python, or similar). You bring digital forensics expertise to complex incidents and the technical instincts to turn hard-won investigation experience into scalable, AI-powered tools that make the next engagement sharper.

Accenture Plc

Investigator/AI Developer

We deliver around-the-clock incident response services to our expanding portfolio of enterprise customers across the globe, providing expertise to multinational clients and shaping thought leadership inside and outside the firm. We Are: Accenture Security is one of the fastest growing areas of our business, and our global Cyber Investigation and Forensic Response (CIFR) practice is at the heart of how we help clients prepare for, respond to, and recover from the most consequential cyber incidents.

Senior Investigator Digital Forensics, Incident Response (DFIR)

Subject Interaction & Screening: Explain the study details to potential participants, address their questions, and ensure proper informed consent is obtained. At Denali Health, we are committed to accelerating therapeutic innovations by breaking the bottlenecks in research and bridging the gap from bench to market.

Denali Health

Principal Investigator

ea_via_bold

WORKING CONDITIONS: Work is typically based in the investigator’s home office as well as in the investigator’s personal vehicle traveling to various field locations to conduct interviews. Work 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.

OMNIPLEX World Services Corporation, A Constellis Company

Contract Investigator - St. Louis, MO

Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.

Ethos Risk Services

Investigator

Licenses/Certifications: Coding certification from an accredited organization (American Academy of Professional Coders or American Health Information Management Association), RN, LPC, LPN, LCSW, LMHC, PT, OT, or ST or related license. Investigate, analyze, and identify provider billing patterns to recommend payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.

Clinical Investigator I (Special Investigation Unit)

BS or equivalent degree in Chemistry, Biochemistry, or related field, and greater than 15 years of Analytical and/or Bioanalytical Chemistry laboratory experience including study management or, MS in Chemistry, Biochemistry, or related field, and 7 to 10 years of Analytical and/or Bioanalytical Chemistry laboratory experience including study management or, Ph. In-depth knowledge and specific understanding of analytical testing needed in drug discovery as it relates to quantitating, characterizing, and further understanding the metabolic fate of ASO and siRNA-based therapeutics and conjugates thereof.

RPM ReSearch

Sr Scientist/ Principal Investigator- Oligonucleotide Bioanalysis

sourcestack_via_bold

The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. Skills: Analytical Thinking, Clinical Research, Grant Compliance, Interpersonal Communication, Intrapersonal Communication, Leadership, Oral Communications, Phlebotomy, Prioritization, Problem Solving, Written Communication.

Washington University in St Louis

Assistant Manager Clinical Research (Hybrid) - Radiology

The Specialist, Controlled Substances Compliance - Analyst position reviews direct customer orders flagged for review and participates in a multi-level process to evaluate and recommend disposition of the order in accordance with Company policy; reviews customer questionnaires for completeness and accuracy and conducts appropriate follow-up with customers as necessary; audits internal processes to ensure compliance with Company policies and procedures; facilitates activities of the Suspicious Order Monitoring Team (SOMT). Escalation Process Adherence: Understands the scope of his/her decision-making authority; sorts through the facts and personal knowledge level to determine if an issue can be managed effectively or if it needs to be elevated to someone with additional knowledge that would impact the outcome; does not much let time lapse prior to making the decision to let others know; clearly and concisely explains the issue to senior leadership; ensures handoff to the next level has occurred.

Investigator Jobs in Fairview Heights, IL

Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health Corp

Surveillance Investigator - Part Time Allied Universal

Surveillance Investigator Frasco Inc

Licensed Surveillance Field Investigator Lemieux & Associates LLC

Clinical Investigator (Behavioral Health) Centene Corporation Group

Investigator/AI Developer Accenture Plc

Senior Investigator Digital Forensics, Incident Response (DFIR) Accenture Plc

Principal Investigator Denali Health

Contract Investigator - St. Louis, MO OMNIPLEX World Services Corporation, A Constellis Company

Surveillance Investigator Allied Universal

Investigator Ethos Risk Services

Clinical Investigator I (Special Investigation Unit) Centene Corporation Group

Sr Scientist/ Principal Investigator- Oligonucleotide Bioanalysis RPM ReSearch

Assistant Manager Clinical Research (Hybrid) - Radiology Washington University in St Louis

Specialist, Controlled Substances Compliance - Analyst Endo Pharmaceuticals Inc

Similar Job Searches

See More Jobs

Get noticed by top employers!