Solugenix CorpSIU Clinical Healthcare Fraud Investigator III Solugenix CorpSIU Clinical Healthcare Fraud Investigator IIILos Angeles, CA$45–$55.53 / hourTemporaryContractorFull timeThis position independently manages full-cycle investigations from intake through closure, develops investigative strategies, prepares evidentiary packages for regulatory or law enforcement referral, and provides clinical and operational insight into healthcare billing patterns and provider behaviors. Strong understanding of coding and reimbursement structures (including Current Procedural Terminology (CPT), Healthcare Common Procedure Coding Systems (HCPCS), International Classification of Diseases (ICD-10)), medical billing, and claims review processes.
Solugenix CorpSpecial Investigation Unit Investigator II Solugenix CorpSpecial Investigation Unit Investigator IILos Angeles, CA$43.29–$48.29 / hourTemporaryContractorFull timeAfter making a conditional offer and running a background check, if we are concerned about conviction that is directly related to the job, applicants will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. Minimum of 3 years of experience in healthcare fraud investigation/detection and/or healthcare related specialty including but not limited to; Pharmacy, DME, Mental Health, Behavioral Health, Hospice, Home Health, Dental etc.
Solugenix CorpSpecial Investigation Unit Investigator III Solugenix CorpSpecial Investigation Unit Investigator IIILos Angeles, CA$42.71–$55.53 / hourTemporaryContractorFull timeThe Special Investigation Unit Investigator III performs in-depth evaluation of potential fraud & abuse cases and develops complex investigations that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for fraud, waste & abuse. After making a conditional offer and running a background check, if we are concerned about conviction that is directly related to the job, applicants will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
Frasco IncNewSurveillance Investigator Frasco IncSurveillance InvestigatorSanta Ana, CA$20–$26 / hourCheck out our YouTube channel to learn more about what a day-in-the-life of a surveillance investigator at Frasco looks like: Frasco, Inc | Frasco, Inc | YouTube ChannelYouTube Channel . Minimum Auto Insurance Coverage: $100,000 per person, $300,000 per accident bodily injury, and $50,000 property damage.
CenteneNewSIU Investigator CenteneSIU InvestigatorLa Palma, CA$56,200–$101,000 / yearSee Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.
Hinderliter de Llamas & AssociatesNewBackground Investigator (Hybrid) Hinderliter de Llamas & AssociatesBackground Investigator (Hybrid)Brea, CA$27.16–$33.65 / hourExercise discretion when managing investigative timelines, prioritizing multiple investigations and organizing investigative leads; Interpret data received through FBI, DOJ, DMV and Military agencies; Analyze and interpret State and local laws, regulations and procedures; Interpret criminal history, polygraph, and psychological reports; Analyze court dispositions, writs, judgments, criminal & civil protective orders, domestic violence restraining orders and child custody arrangements; Evaluate, recognize and examine discrepancies in profit & loss statements, bank statements, corporate financial reports and personal financial statements; Search for and Analyze information received through government databases, credit reporting agencies, tax and legal filings, and other resources; Analyze reports to identify discrepancies in order to draw logical conclusions for investigative findings; Schedule and conduct in-person and virtual one-on-one interviews; Maintain written and verbal communications with psychologists, physicians, polygraphers, city executives, and human resource representatives; Organize all investigative material in accordance with established state and individual departmental procedures. Analyze, prepare and negotiate professional service contracts; Assist with the Contract Administrator’s responses to RFP’s; Monitor contract activities and report to supervisor contract balances and service limitations; Maintain personal expense reports and client billing ledgers; Track client contract performance data; Respond to and resolve client complaints; Seek out and develop professional relationships with financial institution, educational institutions, law enforcement and military organizations.
Solugenix CorpSIU Investigative Analyst III Solugenix CorpSIU Investigative Analyst IIILos Angeles, CA$32.30–$41.99 / hourTemporaryContractorFull timeUses knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability, reimbursement methodologies, and relevant laws to find suspicious patterns in claims data, provider enrollment data, and other sources. After making a conditional offer and running a background check, if we are concerned about conviction that is directly related to the job, applicants will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
Solugenix CorpManager of Special Investigations Unit Solugenix CorpManager of Special Investigations UnitLos Angeles, CA$55–$63.86 / hourTemporaryContractorFull timeProvide leadership to investigators and be accountable for tracking KPI’s, metrics, recovery, and savings, etc., provides feedback to staff on performance, resolves problems, provides guidance to team members when needed, and takes necessary steps to address poor performance, including corrective action up to termination. Manage the day-to-day operations of the SIU by leading a team of investigators, driving key initiatives across the team to improve processes and generate incremental Fraud and Abuse (F&A) opportunities, and executing the overall strategic direction of the SIU.
East West BankSenior Fraud Investigator East West BankSenior Fraud InvestigatorEl Monte, CaliforniaOur teams of experienced, multi-cultural professionals help guide businesses and community members on both sides of the Pacific looking to explore new markets and create new opportunities, and our sustained growth and expertise in industries like real estate, entertainment and media, private equity and venture capital, and high-tech help build sustainable businesses and expand our associates’ potential for career advancement. The Senior Fraud Investigator reports directly to the Fraud Investigations Assistant Manager or Fraud Investigations Team Lead.
The Intersect GroupNewSIU Clinical Healthcare Fraud Investigator III (ATL) The Intersect GroupSIU Clinical Healthcare Fraud Investigator III (ATL)Los Angeles, CARemote$45–$55 / hourThe SIU Clinical Healthcare Fraud Investigator III leads complex, high impact investigations into fraud, waste, and abuse across multiple healthcare service lines. The Intersect Group partners with mission focused healthcare organizations dedicated to improving access, quality, and equity of care for large and diverse member populations.
Contact Government Services LLCHealthcare Fraud Investigator Contact Government Services LLCHealthcare Fraud InvestigatorLos Angeles, CA$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.
Mitchell MartinSIU Clinical Healthcare Fraud Investigator III Mitchell MartinSIU Clinical Healthcare Fraud Investigator IIILos Angeles, CARemote$45–$55.53 / hourBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Lead complex investigations into suspected healthcare fraud, waste, and abuse.
Allied UniversalNewSIU Investigator Allied UniversalSIU InvestigatorLos Angeles, California$30–$38 / hour
CoventBridge GroupNewSurveillance Investigator - Full Time CoventBridge GroupSurveillance Investigator - Full TimeSan Bernardino, CA$26–$30 / hourCoventBridge Group is the global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients’ needs and delivers worldwide coverage via its 1000 employees and affiliates worldwide.
The Intersect GroupNewSpecial Investigation Unit Investigator III (ATL) The Intersect GroupSpecial Investigation Unit Investigator III (ATL)Los Angeles, CARemote$42–$55 / hourThe Special Investigation Unit Investigator III plays a critical role in protecting healthcare program integrity through the investigation of complex fraud, waste, and abuse cases. You will analyze data, conduct detailed investigations, and collaborate with internal teams and external agencies to identify suspicious activity and support enforcement actions.
County of Riverside, CaliforniaWelfare Fraud Investigator County of Riverside, CaliforniaWelfare Fraud InvestigatorRiverside, CA$72,189.49–$124,212.73 / yearAbility to: Conduct a variety of welfare fraud and departmental investigations; obtain information and evidence by observation, record examination, interviews and use of electronic and electronic data processing equipment; analyze and evaluate the statements of witnesses or suspected violators and draw logical conclusions; secure and present information and evidence in both verbal and written form; identify, detain and arrest suspects in accordance with sworn peace officer status; deal with citizens and public officials under conditions requiring tact; establish and maintain effective working relationships with the members of the public and other law enforcement personnel; communicate clearly and effectively with diverse populations. ALL OPTIONS Knowledge of: Diverse interviewing techniques; research methods and techniques; investigative techniques and procedures; the principles of identification, preservation and presentation of evidence; the legal rights of citizens; policies and procedures regarding the safety and security of juveniles; ongoing and new rules of evidence and court procedures; methods of collaborative problem solving; ongoing and new state and local laws and regulations governing sworn peace officer legal authority; commercial and property laws and credit transactions; legal procedures; the methods of financial record keeping.
Rebel Convenience StoresRetail Claims Investigator Rebel Convenience StoresRetail Claims InvestigatorUpland, CA$25–$30We’re looking for a detail-oriented Claims Investigator to support the fair, accurate, and timely resolution of general liability, property damage, and Injury claims across our convenience store and fuel station locations. If you have a background in investigations and enjoy uncovering facts, assessing risk, and supporting sound outcomes, then this may just be the role for you!
The Intersect GroupSpecial Investigation Unit Investigator II (ATL) The Intersect GroupSpecial Investigation Unit Investigator II (ATL)Los Angeles, CARemote$43–$48 / hourThis position plays an important role in identifying risk patterns, supporting enforcement actions, and safeguarding healthcare program integrity through data driven insights and detailed case development. Our client operates one of the largest public health programs in the country, delivering essential services to millions while maintaining a strong focus on compliance, integrity, and accountability.
County of RiversideWelfare Fraud Investigator County of RiversideWelfare Fraud InvestigatorRiverside, CAFull timeAbility to: Conduct a variety of welfare fraud and departmental investigations; obtain information and evidence by observation, record examination, interviews and use of electronic and electronic data processing equipment; analyze and evaluate the statements of witnesses or suspected violators and draw logical conclusions; secure and present information and evidence in both verbal and written form; identify, detain and arrest suspects in accordance with sworn peace officer status; deal with citizens and public officials under conditions requiring tact; establish and maintain effective working relationships with the members of the public and other law enforcement personnel; communicate clearly and effectively with diverse populations. Knowledge of: Diverse interviewing techniques; research methods and techniques; investigative techniques and procedures; the principles of identification, preservation and presentation of evidence; the legal rights of citizens; policies and procedures regarding the safety and security of juveniles; ongoing and new rules of evidence and court procedures; methods of collaborative problem solving; ongoing and new state and local laws and regulations governing sworn peace officer legal authority; commercial and property laws and credit transactions; legal procedures; the methods of financial record keeping.
Kentech Consulting IncPOST CERTIFIED FIELD BACKGROUND INVESTIGATOR:1099 Kentech Consulting IncPOST CERTIFIED FIELD BACKGROUND INVESTIGATOR:1099Los Angeles, CAIn order to achieve our team, exhibit the behaviors and core values aligned with this mission KENTECH Core Values: Customer Focused: We are customer-focused and results-driven. KENTECH Consulting Inc. is hiring experienced California-based Field Background Investigators to support pre-employment background investigations for public safety, security, and sworn personnel.
Alura Workforce SolutionsSpecial Investigations Unit Investigator II Alura Workforce SolutionsSpecial Investigations Unit Investigator IIRancho Cucamonga, CAProven ability to work independently and collaboratively, apply sound judgment with minimal guidance, and interpret complex Medicaid, Medicare, and ACA/Exchange requirements. Preferred experience and credentialsExperience in health care fraud investigation, detection, and/or a related specialty area such as Pharmacy, DEM, Mental Health, Behavioral Health, Hospice, Home Health, Claims, or Claims Processing.
Alura Workforce SolutionsSIU Investigator II – Provider Claims (FWA) Alura Workforce SolutionsSIU Investigator II – Provider Claims (FWA)Rancho Cucamonga, CAProven ability to work independently and collaboratively, apply sound judgment with minimal guidance, and interpret complex Medicaid, Medicare, and ACA/Exchange requirements. Healthcare: Medical plan options through Blue Shield (HMO, PPO, and HDHP) with low monthly premiums and Premium Delta Dental & EyeMed.
Lemieux & Associates LLCSurveillance Investigator Lemieux & Associates LLCSurveillance InvestigatorLos Angeles, CA$25–$35 / hourOur leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment. Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your surveillance expertise.
Mitchell MartinSpecial Investigation Unit Investigator II Mitchell MartinSpecial Investigation Unit Investigator IILos Angeles, CARemote$43.29–$48.29 / hourBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. The role requires proficiency in generic office software and involves collaboration with various departments to ensure compliance and accuracy in investigations.
Mitchell MartinSpecial Investigation Unit Investigator III Mitchell MartinSpecial Investigation Unit Investigator IIILos Angeles, CARemote$42.71–$55.53 / hourBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. The role requires strong analytical skills and expertise in investigative techniques, utilizing various data analysis tools.
The Intersect GroupSpecial Investigation Unit Investigator III (PHX AND DALLAS) The Intersect GroupSpecial Investigation Unit Investigator III (PHX AND DALLAS)Los Angeles, CARemote$40–$50 / hourThis senior SIU role handles high?impact cases and serves as a subject matter expert, mentor, and audit lead. Join the nations largest publicly operated health plan to lead complex healthcare fraud, waste, and abuse investigations across Medi?
USA Express Legal & Investigative Service Inc.Private investigator USA Express Legal & Investigative Service Inc.Private investigatorSanta Ana, CALooking for private investigator or anyone is in training to become an investigator to handle field assignments for personal injury cases. We pay hourly rate plus IRS applicable mileage.
State Of CaliforniaSPECIAL INVESTIGATOR State Of CaliforniaSPECIAL INVESTIGATORSan Bernardino, CA$5,528–$9,037Special Investigators within the Investigation Division are designated under California Penal Code §830.11 as officers of the state authorized to exercise limited peace officer powers, such as arrests and the execution of search warrants, upon completion of a Penal Code §832-Arrest course. Under general direction of the Supervising Special Investigator I - Non-Peace Officer (Supervising Investigator) or designee, incumbents perform insurance invetigations relating to regulatory compliance and/or criminal investigations including the enforecement of California and Federal laws related to the transaction of insurance.
CoventBridge GroupClaims Investigator - Full Time CoventBridge GroupClaims Investigator - Full TimeLos Angeles, California$28–$31 / hourThe company provides top tier data privacy and security practices, deploys robust case management technology customized to clients’ needs and delivers worldwide coverage via its 700+ employees and affiliates worldwide. CoventBridge Group is a global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs.
A.N. Investigations Inc.Surveillance Investigator A.N. Investigations Inc.Surveillance InvestigatorAnaheim, California$24–$30Position Overview:The Surveillance Investigator is responsible for conducting covert surveillance, documenting claimant activities, obtaining video evidence, and preparing detailed reports for workers’ compensation and insurance-related investigations. Equipment Requirements:Candidates must possess and maintain the following: Registered and reliable vehicle suitable for surveillance operations.
VMD CorpNewBackground Investigator - TS ( Residing in VA, CO, GA, WA, UT) VMD CorpBackground Investigator - TS ( Residing in VA, CO, GA, WA, UT)Los Angeles, CALocation:Northern Virginia, Denver, Atlanta, Seattle, Salt Lake City, LAClearance: Top Secret Responsibilities:Review completed background interview documentation checking for inconsistencies, errors, omissions, falsifications and minimum requirements to ensure accuracy and completion before beginning initial candidate interview. This strong commitment to our employees has been recognized by our inclusion on the Washington Business Journal’s “50 Best Places to Work” list as well as being a “Great Place to Work” certified company with a 4.6 star, and a 99% CEO approval Glassdoor rating.
County of San BernardinoBackground Investigator (Recurrent) County of San BernardinoBackground Investigator (Recurrent)San Bernardino, CA$56,305.60–$77,417.60 / yearThe San Bernardino County Sheriff's Department is recruiting for recurrent Background Investigators who are responsible for conducting thorough investigations on potential employees to determine their suitability for safety and general positions within a law enforcement environment. Note: If you apply the filters and still do not receive emails from San Bernardino County Human Resources you can check your www.governmentjobs.com (Neogov) account inbox.
Kentech Consulting IncPOST CERTIFIED BACKGROUND INVESTIGATOR, REMOTE (1099) Kentech Consulting IncPOST CERTIFIED BACKGROUND INVESTIGATOR, REMOTE (1099)Los Angeles, CARemoteIn order to achieve our team, exhibit the behaviors and core values aligned with this mission KENTECH Core Values: Customer Focused: We are customer-focused and results-driven. As a small, agile company, we seek high performers who relish in the idea that their effort will directly impact our customers and help shape the next evolution of background investigations.
County of RiversideSenior District Attorney Investigator A/B County of RiversideSenior District Attorney Investigator A/BRiverside, CAFull timeInvestigates actual and suspected law violations, including cases of a difficult and complex nature; gathers, preserves, analyzes, and reports evidence; conducts field investigations and searches crime scenes; interviews and interrogates complainants, suspects, witnesses, and other persons to obtain information; recommends to attorneys the filing of criminal complaints; writes reports, and assists attorneys in the preparation of cases for trial; investigates the personal background of complainants, suspects, and witnesses; testifies in court regarding evidence and investigations; arrests suspected criminals. • Assigned periodically as Bureau Officer of the Day; may be assigned to investigate police officer-involved incidents, consumer and insurance fraud, hazardous materials violations, child abduction and criminal/grand jury investigations involving public officials; may be assigned to drug and other law enforcement multi-agency task forces, criminal intelligence and organized crime, and other specialized units within the Bureau of Investigation.
Velocity Clinical Research, Inc.Sub Investigator Velocity Clinical Research, Inc.Sub InvestigatorLos Angeles, California$140,000–$160,000 / yearImplement and coordinate assigned clinical trials including start up, vendor management, subject recruitment, source development review, scheduling subjects, protocol training, collection of regulatory documents, conducting visits, ensuring data is entered in a timely manner and all queries are resolved, managing and reporting adverse events, serious adverse events, and deviations, implementing new protocol amendments, providing all close out reports. The Sub Investigator has responsibility for the clinical safety of the patients partaking in the clinical trial, collecting, and recording accurate clinical data while also ensuring that the well-being and interests of the subjects enrolled in the studies are being met.
Saks OFF 5THAsset Protection Investigator Saks OFF 5THAsset Protection InvestigatorCosta Mesa, CAAchieve targets of investigative performance by identifying and addressing internal and external theft exposures; complete accident investigations and general liability claims reports. Drive Asset Protection excellence by facilitating selling process through consistent adherence to policies and procedures that safeguard customers, associates and company assets.
RimkusFire Investigator RimkusFire InvestigatorLos Angeles, CASearches for, identifies, collects, and labels any potential evidence/items from the fire scene, including devices used to set, start, or further the progress of fire; protects the chain of custody of potential evidence/items. Employee must be sharp, focused, and alert when conducting site inspections interacting with clients, preparing written reports of findings, and testifying in deposition or trial.
Aladdin Bail BondsInvestigator- CA - 09007-San Bernardino, CA (San Bernardino, CA) Aladdin Bail BondsInvestigator- CA - 09007-San Bernardino, CA (San Bernardino, CA)San Bernardino, CAPrepares, evaluates, summarizes, and documents investigative findings into case notes within company-wide internal computer database. May interact and establish working relationships with various Municipals, State, Federal and private organizations.
Allied UniversalNewSurveillance Investigator Allied UniversalSurveillance InvestigatorLos Angeles, California$20–$24 / hour
Los Angeles CountyNewINVESTIGATOR II Los Angeles CountyINVESTIGATOR IILos Angeles, CA$97,793.52–$131,789.52 / yearIndependently conducts internal investigations in the field by devising, organizing, and executing effective strategies related to interviewing complainants, subjects/ suspects, and various types of witnesses, and obtaining, documenting, and reviewing other factual evidence and records (i.e., body worn cameras, personnel records and files, incident reports, use-of-force review documents etc.) in order to reach supportable findings and conclusions. Veteran's Credit: Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions.
The Intersect GroupSIU Investigative Analyst III (ATL) The Intersect GroupSIU Investigative Analyst III (ATL)Los Angeles, CARemote$32–$41.99 / hourYou will act as a subject matter expert, overseeing reporting processes, analyzing fraud patterns, and collaborating with internal teams and regulatory agencies to strengthen program integrity. Our client supports large scale public healthcare programs and emphasizes compliance, accountability, and innovation to protect critical resources.