Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Charlotte, NCRemoteFull 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).
Sub-Contract Surveillance Investigator GII-PII LLCSub-Contract Surveillance InvestigatorCharlotte, NCBasic computer knowledge, knowledge of the internet, strong organization, and good communication skills. Testify to the collected facts obtained in any hearing or court of law as needed.
Senior Financial Investigator CONTACT GOVERNMENT SERVICESSenior Financial InvestigatorCharlotte, NC$74,156.16–$107,114.45 / yearEstablishes and verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
Financial Investigator CONTACT GOVERNMENT SERVICESFinancial InvestigatorCharlotte, NC$57,677.01–$78,275.94 / yearEstablishes and verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
Financial Investigator Contact Government Services LLCFinancial InvestigatorCharlotte, NCEstablishes and verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
Surveillance Investigator Allied UniversalSurveillance InvestigatorRaleigh, NCQUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Minimum of one (1) year of verifiable work experience, preferably involving investigations or other protective service-related field Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment. 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.
Surveillance Investigator Lemieux & Associates LLCSurveillance InvestigatorAsheville, NCPart timeBilingual skills (preferred).Degree in Criminal Justice or related field (preferred).Skilled in taking written and recorded statements (preferred).Ability to photograph evidence accurately (e.g., accident scenes, vehicle damage).Strong organizational and time-management skills. Our leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorCharlotte, NC$25–$32 / hourPart timeNotary license strongly (preferred).Bilingual ability and/or degree in Criminal Justice or related field (preferred).Willingness to travel; flexible schedule (varied/irregular hours).Strong computer and internet skills. Accurately photograph evidence (accident scenes, vehicle damage, etc.).Skills & ExperienceExperience handling complex SIU/Claims cases.
QC Investigator Integrated Resources, IncQC InvestigatorDurham, NCThe role ensures investigations are performed in alignment with regulatory requirements (FDA, MHRA, EU GMP) and internal SOPs to determine root causes, assess impact, and implement effective CAPA. The QC Investigator is responsible for conducting thorough, scientific, and compliant investigations of laboratory-related deviations, including OOS (Out of Specification), OOT (Out of Trend), atypical results, and laboratory incidents.
Threat Intelligence Investigator - Global Security & Executive Protection (Remote) 20010019 Cisco Systems IncThreat Intelligence Investigator - Global Security & Executive Protection (Remote) 20010019NCRemote$158,100–$200,400 / yearYou will proactively hunt for Insider Threats, evaluate threats directed at ELT, analyze complex datasets across multiple systems, and partner closely with security, Legal, HR, and compliance partners throughout the Security & Trust Organization to drive risk-based outcomes. The Global Security & Executive Protection (GS&EP) team is seeking a technical Threat Hunting Investigator to identify, investigate, and mitigate risks largely posed by internal actors - whether malicious, negligent, or compromised.
NewInvestigator Ethos Risk Services LLCInvestigatorDurham, NCREQUIREMENTS: 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.
AML Consumer Investigator KPMG International CooperativeAML Consumer InvestigatorCharlotte, NCThese include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness, and safeguard business operations and company reputation. Additionally, applicants may be required to apply and become employed by a service provider utilized by KPMG, and final pay rate(s) and/or eligibility for additional benefits may be determined by such provider.
Loss Prevention Investigator Six Flags Entertainment CorporationLoss Prevention InvestigatorCharlotte, North CarolinaTemporaryThis role involves identifying, investigating, and resolving suspicious activity, as well as apprehending individuals involved in theft or policy violations. · Investigate cases involving monitoring cash acceptance, credit card fraud, other cash accepting apps, and methods.
Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICESHealthcare Fraud InvestigatorCharlotte, NC$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.
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorCharlotte, NC$51,435.30–$66,131.10 / yearPerforms sophisticated analyses of large-scale hard-copy and electronic data, such as health care claims data, financial transaction data, accounting records, or bank records to develop investigative leads and to determine their potential relevance to the allegations at issue. Skills and attributes for success: The investigator will generate new investigations, and to continue with ongoing investigation and civil actions involving fraud in areas such as healthcare, contracting, and grants, as well as other fraud and abuse of federal public funds and programs.
Pharmaceutical Manufacturing Investigator Glenmark Pharmaceuticals LtdPharmaceutical Manufacturing InvestigatorMonroe, NCGlenmark Pharmaceuticals Inc., USA, is a subsidiary of Glenmark Pharmaceuticals Ltd., a leading player in the discovery of new moleculesboth New Chemical Entities (NCEs) and New Biological Entities (NBEs). They will routinely report on quality system and business process performance, proactively identifying, providing guidance, and implementing process and system improvements to resolve complex issues promptly, ensuring a smooth and efficient work process.
Principal Investigator, NIEHS Literature Review (Proposal) Abt Associates IncPrincipal Investigator, NIEHS Literature Review (Proposal)Durham, NC$169,000–$200,000 / yearExperience applying advanced informatics and AI-enabled approaches, including machine learning, natural language processing, literature review automation tools, and data visualization technologies to support evidence-based decision-making. Lead the development, review, and approval of Technical Reports, Toxicity Reports, DART Reports, Immunotoxicity Reports, Research Reports, and other scientific publications.
Investigator Union County Public SchoolsInvestigatorMonroe, NCPOSITION TITLE: Human Resources - Investigator TERM OF EMPLOYMENT: 12 months DATE: 1/22/2024 DATE OF PREVIOUS REVISION: 10/04/2022 FLSA EXEMPTION STATUS: Exempt PAY GRADE: JOB SUMMARY: Under limited supervision, an Investigator will perform data collection, interviews and data analysis with regard to formal allegations and incidents involving staff and/or students in a professional and confidential manner. Environmental Conditions: Varies from indoor exposure to outside weather conditions Hazards: Uneven walking/working surfaces, communicable diseases, cleaning chemicals, lifting/carrying of materials, and power/hand-operated equipment and machinery (as related to specific assignment).
Investigator 2, Manufacturing FUJIFILM Biotechnologies USA IncInvestigator 2, ManufacturingNCSituated at the cross-section of Morrisville and Research Triangle Park (RTP), North Carolina, our site is at the heart of a booming biotech hub surrounded by top universities, vibrant communities, and various outdoor opportunities. All resumes submitted by search firms/employment agencies to any employee at FUJIFILM via-email, the internet or in any form and/or method will be deemed the sole property of FUJIFILM, unless such search firms/employment agencies were engaged by FUJIFILM for this requisition and a valid agreement with FUJIFILM is in place.
Criminal Investigator (Deputy U.S. Marshal) U.S. Department of JusticeCriminal Investigator (Deputy U.S. Marshal)Charlotte, NC$54,485–$70,307 / yearThe mission of the USMS includes protection of the judiciary, court security, witness security, asset forfeiture, apprehending fugitives and violent offenders, apprehending and prosecuting unregistered sex offenders, prisoner transportation, management, and custody, and providing assistance in matters of Federal emergencies and other critical incidents. This specialized experience must be gained in a full time certified law enforcement officer position(s) which includes: Independently execute and enforce the civil and/or criminal process; Plan the execution of warrants of arrest; Plan and carry out investigations; Execute warrants of arrest; Lead security assignments for court proceedings in criminal and/or civil trials; or.