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).
(DOE-015-26) Planning Associate 2 (Complaint Investigator) (Two positions) New Jersey Department of Education(DOE-015-26) Planning Associate 2 (Complaint Investigator) (Two positions)Trenton, NJ$91,628.18–$134,900.38 / yearAs a NJ State Department, NJDOE offers a comprehensive benefits package including:• Pension• Deferred Compensation• Health (medical, prescription drug, dental & vision care) and Life Insurance• Public Service Loan Forgiveness (PSLF)• Tuition Reimbursement*• Flexible and Health Spending Accounts (FSA/HSA)• 13 paid holidays• Benefit Leave (vacation days, sick days and administrative leave days)• Telework*• Alternate Work Week Program**Pursuant to Department’s policy, procedures, and/or guidelines. The complaint investigator conducts investigations concerning allegations that a local education agency, receiving school, or nonpublic school , has violated the requirements of state and/or federal statute and/or regulation for the provision of special education and related services for a student with a disability.
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.
Senior Investigator EmblemHealth IncSenior InvestigatorNew York, NY$68,040–$118,800 / yearEstablish and maintain relationships with law enforcement (HHS-OIG, FBI), regulatory agencies (i.e DFS, MEDIC, OMIG, MFCU, NYS OAG), and with industry peers. Develop and maintain relationships with law enforcement (HHS-OIG, FBI, DOJ), regulatory agencies (DFS, MEDIC, OMIG, MFCU) and with industry peers.
Associate Investigator The ChemoursAssociate InvestigatorNewark, New Jersey$73,947–$115,542 / yearIn key sectors such as clean energy, advanced electronics, high-performance computing and AI, climate friendly cooling, and high-quality paints and coatings for homes and industrial infrastructure---sustainable solutions and more modern living depend on Chemours chemistry. Pay Range (in local currency): $73,947.00 - $115,542.00 Chemours Level: 23 Annual Bonus Target: 6% The pay range and incentives listed above is a general guideline based on the primary location of this job only and not a guarantee of total compensation.
Registered Nurse – Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare StaffingRegistered Nurse – Nursing Home Surveyor/Complaint InvestigatorNew York, New York$60Minimum 2 years of experience in utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities; OR 3 years of clinical or administrative experience; OR a Bachelor's degree in Nursing and 2 years of clinical or administrative experience. Position Overview: We are seeking a dedicated and experienced Registered Nurse – Nursing Home Surveyor / Complaint Investigator to join our team across New York City (Bronx, Kings, Richmond, Manhattan, and Queens).
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.
Clinical Research Nurse Practitioner / Physician Assistant (Sub-Investigator) - NYC The IMA GroupClinical Research Nurse Practitioner / Physician Assistant (Sub-Investigator) - NYCNew York, New YorkOur Payer Services Division meets the evaluation and screening needs of Carriers, TPAs, Public Entities and Employers and includes behavioral health and physical medicine specialty services, working with a wide range of organizations within the workers' compensation, disability, liability, and auto markets. Our Clinical Research Division performs all types of Phase II-IV clinical trials in multiple therapeutic areas through a flexible nationwide network of site locations and virtual capabilities.
Associate Investigator ChemoursAssociate InvestigatorNewark, NJ$73,947–$115,542 / yearIn key sectors such as clean energy, advanced electronics, high-performance computing and AI, climate friendly cooling, and high-quality paints and coatings for homes and industrial infrastructure---sustainable solutions and more modern living depend on Chemours chemistry. As we create a colorful, capable and cleaner world through chemistry, we invite you to join our team to harness the power of chemistry to shape markets, redefine industries and improve lives for billions of people around the world.
EEO Investigator Atria ConsultingEEO InvestigatorNew York, NY$55–$60 / hourWhen determining a team member's base salary and/or hourly rate, various factors may be taken into account as applicable (such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity). Candidates must be comfortable working in a fast-paced healthcare environment and traveling to various facilities throughout New York City as needed.
Investigative Staff - Special Organized Crime Investigator Nassau County District AttorneyInvestigative Staff - Special Organized Crime InvestigatorMineola, New YorkSeven years of satisfactory experience in criminal investigation work as a sworn police officer in the State of New York as defined by Section 1.20 (34) of New York Criminal Procedure Law or as a law enforcement officer for a federal agency, of which five years must have been exclusively in the specialized field of investigation of organized crimes, such as distribution of firearms and narcotics, sex-trafficking, distribution of forged instruments, telephone and computer scams including monitoring wiretaps and conducting undercover/covert operations. Under general supervision, the duties require the exercise of considerable independent judgment in conducting specialized, multi-layered investigative work collecting evidence of organized criminal activity, including but not limited to gang activity, trafficking, and distribution of firearms and narcotics, distribution of forged instruments, and telephone and computer scams for the Office of the District Attorney.
Investigative Staff - Special Investigator I - Index Crime, Bilingual (Spanish Speaking) Nassau County District AttorneyInvestigative Staff - Special Investigator I - Index Crime, Bilingual (Spanish Speaking)Mineola, New YorkTen years of satisfactory experience in criminal investigation work as a sworn police officer in the State of New York as defined by Section 1.20 (34) of New York Criminal Procedure Law, of which five years must have been exclusively in the specialized field of investigation of index crime(s). Under general supervision, performs investigative work collecting and assisting in the preparation of evidence for the orderly presentation by the District Attorney to the Grand Jury.
Investigative Staff - Special Investigator I - Index Crime Nassau County District AttorneyInvestigative Staff - Special Investigator I - Index CrimeMineola, New YorkTen years of satisfactory experience in criminal investigation work as a sworn police officer in the State of New York as defined by Section 1.20 (34) of New York Criminal Procedure Law, of which five years must have been exclusively in the specialized field of investigation of index crime(s). Under general supervision, performs investigative work collecting and assisting in the preparation of evidence for the orderly presentation by the District Attorney to the Grand Jury.
Security Project Manager Allied UniversalSecurity Project ManagerNew York, NYThis role requires strong project management skills combined with a working knowledge of access control systems, CCTV/video surveillance, and basic IP networking principles to effectively coordinate vendors, internal stakeholders, and technical teams. Allied Universal SkillBridge Program Allied Universal® partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits.
Fire Life Safety Director - Hotel Allied UniversalFire Life Safety Director - HotelJamaica, NY$34.02–$35.02 / hourAllied Universal SkillBridge Program Allied Universal partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services' fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administration's (TSA) Third-Party Canine (3PK9) Program.
Janitor Allied UniversalJanitorWest Freehold, NJAllied Universal SkillBridge Program Allied Universal® partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administrations (TSA) Third-Party Canine (3PK9) Program.
Sales Executive Allied UniversalSales ExecutiveNY$70,000–$85,000 / yearAllied Universal SkillBridge Program Allied Universal partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services' fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administration's (TSA) Third-Party Canine (3PK9) Program.
Clearance Administrator City of New YorkClearance AdministratorNew York, NYA four-year high school diploma or its educational equivalent and two years of satisfactory, full-time experience as an investigator evaluating credit worthiness, searching for assets, verifying information concerning education, experience, and other personal qualifications bearing upon character and fitness for employment; or performing investigations involving the research, compilation and/or location of evidence or information in order to build a case or uncover activities of a criminal, corrupt, unlawful or unethical nature; or. Division/Program Summary: The Bureau of Childcare ensures that childcare services in New York City operate in compliance with the New York City Health Code and New York State Social Service regulations and are licensed or permitted as required by law.
Clearance Supervisor City of New YorkClearance SupervisorNew York, NYA four-year high school diploma or its educational equivalent and five years of satisfactory, full-time experience as an investigator evaluating credit worthiness, searching for assets, verifying information concerning education, experience, and other personal qualifications bearing upon character and fitness for employment, or performing investigations involving the research, compilation and/or location of evidence or information in order to build a case or uncover activities of a criminal, corrupt, unlawful or unethical nature; or. With a staff of 1,000, the Division covers a broad range of subject matter, including oversight of environmental investigations, lead poisoning, injury prevention, occupational health, food safety, childcare, radiation control, recreational and drinking water quality, air quality, climate health, vector control, veterinary public health and pest control.
Vice President, Government and Commercial Programs Allied UniversalVice President, Government and Commercial ProgramsNYRemote$130,000–$160,000 / yearThe Vice President, Government and Commercial Programs is responsible for all government and commercial healthcare operations in addition to managing interactions with government entities while concurrently developing and executing strategies to drive commercial growth and Profit & Loss (P&L) responsibility across both public and private sectors. Responsible for the day-to-day oversight of the operational efficiency and effectiveness of the clinical auditing, compliance and special investigations unit organization, to include special programs such as Physician, Managed Care, Pharmacy, PACE, and Special Needs.