Investigator Ethos Risk ServicesInvestigatorSalt Lake City, UTPart timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
NewProgram Integrity Investigator TriWest Healthcare AllianceProgram Integrity InvestigatorSalt Lake City, UTRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Fraud Investigator - Midvale, UT (In Office) Zions Bancorporation NAFraud Investigator - Midvale, UT (In Office)Midvale, UTRelevant Professional Certification: Association of Certified Anti-Money Laundering Specialists (ACAMS), Associate of Certified Fraud Examiners (ACFE) or Association of Certified Financial Crime Specialists (ACFCS) is a plus. Zions Bancorporation is one of the nation's premier financial services companies operating as a collection of great banks under local brands and management teams in high-growth western markets.
Surveillance Investigator - Part Time Allied UniversalSurveillance Investigator - Part TimeSalt Lake City, UtahThe 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 .
SIU Investigator Allied UniversalSIU InvestigatorProvo, UtahAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Special Investigator II - (Field) Farm Bureau Financial ServicesSpecial Investigator II - (Field)Sandy, UtahEfficiently handle a selection of field and desk investigations within Special Investigators Authority, prioritize activities, allocate resources. We value a culture where integrity, teamwork, passion, service, leadership, and accountability are at the heart of every decision we make and every action we take.
Loss Prevention Investigator 1- Internal Only Maverik IncLoss Prevention Investigator 1- Internal OnlySalt Lake City, UTThis role plays an important part in reducing company loss and protecting Maverik's assets by identifying risks, investigating incidents, and helping prevent future theft and exposure. Bonus points if you also bring: Bachelor's degree in a relevant field such as Legal Studies, Political Science, Public Administration, or Risk Management preferred; an associate degree will also be considered.
Contract Investigator - Salt Lake City, UT OMNIPLEX World Services Corporation, A Constellis CompanyContract Investigator - Salt Lake City, UTSalt Lake, UtahWork 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.
Senior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorUT$70,100–$126,200 / yearLeads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions. Education/Experience: A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.
NewSIU Investigator Centene Corporation GroupSIU InvestigatorUT$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates 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.
Special Investigations Unit (Siu) Investigator II Or III DOE Cambia HealthSpecial Investigations Unit (Siu) Investigator II Or III DOESalt Lake City, UTWhat You Will Do at Cambia: Receives, analyzes and coordinates fraud and abuse complaints from internal sources (customer services, claims processing, underwriting, professional affairs) and external sources (members, providers, state and federal regulatory agencies, law enforcement), then conducts and coordinates moderately complex investigations with expertise across various case types, participating in post-audit exit interviews where appropriate. Maintains continuing education through anti-fraud and legal issue seminars, holds at least one professional credential (CPC, CPC-H or CPC-P), reviews pertinent articles and regulatory requirements, and provides post-audit education to providers to correct discrepancies, and trains new Investigators and other Cambia employees in detection of abusive or fraudulent billing practices.
Cardiovascular Biostatistics Faculty Investigator University of UtahCardiovascular Biostatistics Faculty InvestigatorSalt Lake City, UTFifty-two faculty and forty-three advanced practitioners provide outpatient and inpatient services in multiple locations, including the University of Utah Hospital, Huntsman Cancer Institute, the George E. Wahlen Veterans Affairs Medical Center (VA), and community clinics in South Jordan, Midvale, Sugar House, Park City, Salt Lake City, West Valley, and Farmington. Resources include the VA Informatics, Decision-Enhancement and Analytic Science (IDEAS) Center, an Informatics/Health Services Research & Development-supported center housed at the VA Salt Lake City Health Care System, as well as the University of Utah's Integrating Medicine & Policy to Achieve Healthcare Transformation Health Services Research (IMPACT-HSR) program.
Addiction Investigator Faculty University of UtahAddiction Investigator FacultySalt Lake City, UTThe University of Utah values candidates who have experience working in settings with students, staff, faculty and patients from all backgrounds and possess a strong commitment to improving access to higher education, employment opportunities, and quality healthcare for historically underrepresented groups. Minimum Qualifications: To be considered applicants must possess a doctorate degree in a related discipline, currently have secured independent funding, demonstrate authorship, have 3 years of experience or training in a related discipline, and possess excellent interpersonal and communication skills.
Investigator - Equity / Title IX Utah Valley UniversityInvestigator - Equity / Title IXOrem, UT$63,793–$75,050 / yearUVU is pleased to offer a competitive and comprehensive benefits package that supports employees and their family's overall physical and mental health, protects their income in case of unforeseen illness and life events, and assists in building financial security for retirement and the future. Stays abreast of current requirements, changes and best practices related to Title IX, University policy, Violence Against Women Act (VAWA), Campus Sexual Violence Elimination Act (SaVE), the Clery Act, and other related job duties.
Nephrology Investigator University of UtahNephrology InvestigatorSalt Lake City, UTThe University of Utah values candidates who have experience working in settings with students, staff, faculty and patients from all backgrounds and possess a strong commitment to improving access to higher education, employment opportunities, and quality healthcare for historically underrepresented groups. Core facilities ( https://cores.utah.edu ) provide access to state-of-the-art instrumentation and expert consultation, across a broad range of scientific techniques, including microscopy, flow cytometry, genomics, metabolomics, proteomics, genetic engineering, drug discovery, and others.
Translational Clinical Investigator in Diabetes and Metabolism University of UtahTranslational Clinical Investigator in Diabetes and MetabolismSalt Lake City, UTThe University of Utah values candidates who have experience working in settings with students, staff, faculty and patients from all backgrounds and possess a strong commitment to improving access to higher education, employment opportunities, and quality healthcare for historically underrepresented groups. Successful applicants will have access to a wide range of resources, including the Utah Population Database and the Center for Clinical & Translational Science, as well as clinical data from the University of Utah Comprehensive Weight Management Program and the Utah Diabetes and Endocrinology Center.
Population Science/Cancer Control Investigator University of UtahPopulation Science/Cancer Control InvestigatorSalt Lake City, UTOur integrated health system and HCI's participation in the ORIEN network of leading cancer centers provide opportunities for multidisciplinary collaborations in basic and translational laboratory-based cancer research, epidemiology and cancer biostatistics, as well as population-based studies of childhood, adolescent, and young adult cancers and outcomes. The University of Utah values candidates who have experience working in settings with students, staff, faculty and patients from all backgrounds and possess a strong commitment to improving access to higher education, employment opportunities, and quality healthcare for historically underrepresented groups.
Basic Science Investigator in Pediatric Cancer University of UtahBasic Science Investigator in Pediatric CancerSalt Lake City, UTOur integrated health system and HCI's participation in the ORIEN network of leading cancer centers provide opportunities for multidisciplinary collaborations in basic and translational laboratory-based cancer research, epidemiology and cancer biostatistics, as well as population-based studies of childhood cancers and outcomes. Qualified candidates at the Assistant Professor level should have a track record of innovative research, a demonstrated ability to attract sustained research funding, and peer-reviewed publications of impact in the areas of cell therapy, cancer genetics, epigenetics, tumor modeling, and/or experimental therapeutics.
Clinician Investigator - General Internal Medicine University of UtahClinician Investigator - General Internal MedicineSalt Lake City, UTThe University of Utah values candidates who have experience working in settings with students, staff, faculty and patients from all backgrounds and possess a strong commitment to improving access to higher education, employment opportunities, and quality healthcare for historically underrepresented groups. More than a third of Utah's ethnic/racial minorities are children or youth under the age of 18 years, and the Salt Lake City School District is now a majority-minority district, with one in five Salt Lake County residents speaking a language besides English at home.
Compliance Investigator U.S. Department of AgricultureCompliance InvestigatorSalt Lake City, UT$43,106–$82,938 / yearGrade-Point Average (G.P.A.) - Applicants must have a grade-point average of either (a) 3.0 or higher out of a possible 4.0 ("B" or better) as recorded on your official transcript, or as computed based on 4 years of education, or as computed based on courses completed during the final 2 years of the curriculum; or (b) 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum. Specialized experience is defined as independently performing the full range of program compliance or investigative functions for assigned agricultural, insurance or reinsurance program reviews or portions of reviews, from planning through fact-finding to reporting the results of investigations, where assignments involve clear cut instructions and operating guidelines, seeking advice when encountering situations that require significant deviation from instructions and operating procedures.