NewPolice Officer (Traffic Investigator) United States ArmyPolice Officer (Traffic Investigator)Washington, DC$55,882–$72,644 / yearSpecialized Experience: One year of specialized experience which includes (1) Applying basic laws, regulations, and law enforcement techniques to protect life and property; (2) Assisting in conducting traffic investigations or collisions by taking statements, gathering evidence, or apprehending suspects; (3) Preparing reports on case information investigative findings. Time-in-grade documentation: If you are applying for a higher grade and your SF-50 has an effective date within the past year, it may not clearly demonstrate you meet the one year time-in-grade requirement so you will need to provide an SF-50 which clearly demonstrates you meet the time-in-grade requirements (examples of appropriate SF-50s include Promotions, Within-grade Grade/Range Increases, and SF-50s with an effective date more than one year old).
Employee Relations Investigator Lead Booz Allen Hamilton IncEmployee Relations Investigator LeadMcLean, VA$86,800–$198,000 / yearOnsite: If this position is listed as onsite, work will primarily be performed at a Booz Allen office or customer facility, where employees will collaborate directly with colleagues and customers as required by the role. This individual must exercise exceptional independent judgement, operate with high discretion, and possess the ability to spot issues promptly, identify legal risks, and offer practical, risk-balanced solutions.
NewSenior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorMD$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.
Supervisory Employee Benefits Investigator U.S. Department of LaborSupervisory Employee Benefits InvestigatorWashington, DC$127,829–$197,200 / yearThe Supervisory Employee Benefits Investigator initiates, plans, coordinates, and manages extremely broad, difficult civil and criminal investigations focusing on the analysis of employee pension, health, and other welfare benefit plan operations and the business, financial, and accounting practices of a variety of related entities (e.g., major service providers, trust departments, investment managers, insurance companies, etc.). 3) Experience overseeing use of investigative tools and enforcement actions such as subpoenas; initiating corrective actions (settlement and/or referral to the Office of the Solicitor); making determinations regarding ERISA civil penalties (e.g., Sections 502(l) and 502(i)); and referring prohibited transactions/excise tax matters to the IRS or other appropriate entities.
NewEmployee Relations Investigator Booz Allen HamiltonEmployee Relations InvestigatorMcLean, VirginiaOnsite : If this position is listed as onsite, work will primarily be performed at a Booz Allen office or customer facility, where employees will collaborate directly with colleagues and customers as required by the role. Salary at Booz Allen is determined by various factors, including but not limited to location, the individual’s particular combination of education, knowledge, skills, competencies, and experience, as well as contract-specific affordability and organizational requirements.
Healthcare Fraud Investigator Contact Government Services LLCHealthcare Fraud InvestigatorArlington, VA$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) InvestigatorRockville, MD$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.
Fraud Investigator-Kansas City, MO area Blue Cross and Blue Shield of Kansas CityFraud Investigator-Kansas City, MO areaBaltimore, Missouri3 years' experience conducting healthcare FWA investigations at a health insurer; experience analyzing claims data to identify FWA trends and patterns using tools such as Excel and business intelligence platforms (e.g., Power BI, Business Objects). Knowledge of major BCBSKC business systems (e.g., Facets, ITS Host and Home) and operational processes (e.g., Claims Processing, Pharmacy, Provider Contracting/Relations, Member Services, Customer Service).
SIU Senior Analyst, Lead Investigator (Must Reside in Maryland) CVS Health CorpSIU Senior Analyst, Lead Investigator (Must Reside in Maryland)MD$46,988–$112,200 / yearThe lead reviewer is accountable for the validation of existing Fraud, Waste and Abuse business rules/leads designed to detect aberrant billing patterns as reviewing incoming referrals. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Criminal Investigator - Desk Officer - 90413566 - Washington (Washington, DC, US, 20002) AmtrakCriminal Investigator - Desk Officer - 90413566 - Washington (Washington, DC, US, 20002)Washington, DC$136,721–$184,573 / yearServes as the primary contact and liaison between the Office of Investigations field offices and headquarters, providing technical advice; coordinating and reviewing field office operations and investigative work; and advising leadership on significant investigative developments, field office performance, operational and policy issues, and matters requiring leadership review. The position supports investigative quality and consistency by monitoring complex and sensitive casework, assessing trends and deficiencies, coordinating headquarters actions, reviewing reports and case management data, and recommending improvements to policies, procedures, internal controls, and investigative practices.
Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICESHealthcare Fraud InvestigatorWashington, DC$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.
Background Investigator Military, Veterans and Diverse Job SeekersBackground InvestigatorMarylandDiploma or equivalent; Minimum of One (1) year within the last ten (10) years of investigations experience at the federal, state, or local level of government; Experience conducting one-on-one subject interviews is required; Reliable personal vehicle, valid driver's license, and satisfactory driving record; Willing to travel on temporary duty assignments as needed (by car or plane); Successfully pass background checks and all required training; Current (within the last 2 years) Single Scope Background Investigation (SSBI) or active Secret level security clearance based on an SSBI and able to obtain the required security clearance. Work cases throughout the geographic area of responsibility and travel to various places of employment, residence and education institutions.
Retail Crime Investigator Weis MarketsRetail Crime InvestigatorElkridge, MarylandThe requirements listed below are representative of the knowledge, skills, and/or abilities required: Bachelor's degree (BA/BS) Criminal Justice, Criminology, Business, or related field preferred, plus one (1) year retail loss prevention experience in a retail store environment. The associate is responsible for the functions below, in addition to other duties as assigned: Investigate and resolve external theft (Shoplifting, Organized Retail Crime, etc.).
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar Health Research InstituteCompliance Audit/Investigator - CCS / CPC / or CCADC$65,062–$117,291 / yearPerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Smoking Enforcement Investigator Macpower Digital Assets Edge Private LimitedSmoking Enforcement InvestigatorWashington, DC$90,000–$110,000 / yearKey Responsibilities: Conduct routine and complaint-driven inspections of workplaces, public places, and establishments for compliance with smoke-free and tobacco-control laws. Issue notices of infractions for smoking, signage, or tobacco control violations.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthMD$56,200–$101,000 / yearPosition 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. 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals.
Supervisory Wage and Hour Investigator (ADD) U.S. Department of LaborSupervisory Wage and Hour Investigator (ADD)Washington, DC$106,955–$139,043 / yearYou must meet the following Individual Occupational Requirements (IOR) and the Specialized Experience to qualify for Supervisory Wage and Hour Investigator (Assistant District Director): Applicants must meet at least two of the following three specialized criteria requirements: General knowledge of Federal wage and hour labor laws, industrial occupations, wage scales, employment practices, or salary and wage administration practices. Our mission is to protect rights related to minimum wage, overtime, child labor, family and medical leave, employment conditions for migrant workers, lie detector tests, garnishments, prevailing wages on government-funded contracts, labor provisions of several guest worker programs, and more.
QA Technical Writer/Investigator Workforce GeneticsQA Technical Writer/InvestigatorBaltimore, MarylandIn this role you will draft comprehensive deviation investigation reports, which includes conducting detailed root-cause investigations, manufacturing staff interviews, and interfacing with floor teams to clear the tactical backlog. Education: A formal academic degree is not strictly required; technical mastery, an ability to write cleanly under tight compliance timelines, and a strong history on the manufacturing floor are the primary drivers for selection.
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar HealthCompliance Audit/Investigator - CCS / CPC / or CCAWashington, DC$65,062–$117,291 / yearPerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Supervisory Wage and Hour Investigator U.S. Department of LaborSupervisory Wage and Hour InvestigatorWashington, DC$107,446–$139,684 / yearSupervisory/Managerial Qualities - Candidates must also demonstrate in their work experience that they possess at least three of the qualities listed below to successfully supervise/manage: Supervising/managing employees which includes evaluating performance, providing feedback, creating and managing workflow, and providing technical and administrative direction. Skill in analyzing written/verbal information and numerical data and making decisions on issues based on interviews, records review, reconstruction of missing or fraudulent records and applying legal or regulatory provisions, precedents, and principles to specific investigative matters.