NewEquity and Civil Rights Investigator University of BaltimoreEquity and Civil Rights InvestigatorBaltimore, MD$70,000–$90,000 / yearThe Investigator supports the development and implementation of training and outreach programs, works collaboratively across campus departments, and helps ensure that university policies and procedures promote a safe, inclusive, and equitable learning and working environment. Work collaboratively with other campus departments to support student programming and events related to Title IX, Title VI, diversity, equity and inclusion, including Sexual Assault Awareness month and student Welcome Week / orientation.
Equity And Civil Rights Investigator University of Baltimore (MD)Equity And Civil Rights InvestigatorBaltimore, MD$70,000–$90,000 / yearThe Investigator supports the development and implementation of training and outreach programs, works collaboratively across campus departments, and helps ensure that university policies and procedures promote a safe, inclusive, and equitable learning and working environment. Work collaboratively with other campus departments to support student programming and events related to Title IX, Title VI, diversity, equity and inclusion, including Sexual Assault Awareness month and student Welcome Week / orientation.
Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICESHealthcare Fraud InvestigatorRockville, MD$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 Blue Cross and Blue Shield of Kansas CityFraud InvestigatorBaltimore, 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).
Fraud Investigator Eagle Bancorp IncFraud InvestigatorSilver Spring, MD$69,844–$108,847 / yearRequires direct and productive interaction with the Fraud Investigations Manager, BSA/AML, clients, and other fraud personnel within financial services organizations entities, and federal/local/state law enforcement agencies. The Fraud Investigator develops and conducts fraud investigations, monitors and dispositions fraud alerts, and mitigates financial losses through asset recovery for EagleBank Corp.
Entry Level Background Investigator (Capital Region) TOP SECRET CLEARANCE REQUIRED CACI International IncEntry Level Background Investigator (Capital Region) TOP SECRET CLEARANCE REQUIREDBaltimore, MDRecognizes or uses correct English grammar, punctuation, and spelling; communicates information (for example, facts, ideas, or messages) in a succinct and organized manner; produces written information, which may include technical material that is appropriate for the intended audience. The pay and benefits provided for this position will meet or exceed the minimum required amounts detailed in the wage determination issued by the Department of Labor and made applicable to this position, as incorporated into CACI's government contract for the work location.
Senior Principal Investigator, Crypto Asset Investigations - Tokenized Securities Markets Financial Industry Regulatory Authority, Inc.Senior Principal Investigator, Crypto Asset Investigations - Tokenized Securities MarketsRockville, MDThe Senior Principal Investigator in Crypto Asset Investigations (CAI) conducts high-complexity investigations into crypto asset activities of FINRA member firms and their associated persons; provides subject matter expertise to Regulatory Operations staff on crypto asset matters and initiatives; assists in the development and delivery of crypto asset training for FINRA staff and the securities industry; and assist in external engagements and intelligence sharing initiatives to raise awareness of emerging and priority threats related to crypto asset and blockchain technology, and highlight related challenges and effective practices. FINRA employees are required to disclose to FINRA all brokerage accounts that they maintain, and those in which they control trading or have a financial interest (including any trust account of which they are a trustee or beneficiary and all accounts of a spouse, domestic partner or minor child who lives with the employee) and to authorize their broker-dealers to provide FINRA with duplicate statements for all of those accounts.
Contract Investigator - Baltimore, MD OMNIPLEX World Services Corporation, A Constellis CompanyContract Investigator - Baltimore, MDBaltimore, MarylandWork 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.
Contract Investigator - Bethesda, MD OMNIPLEX World Services Corporation, A Constellis CompanyContract Investigator - Bethesda, MDBethesda, MarylandWork 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.
Contract Investigator - Hanover, MD OMNIPLEX World Services Corporation, A Constellis CompanyContract Investigator - Hanover, MDHanover, MarylandWork 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.
Principle Employee Relations Investigator RadNetPrinciple Employee Relations InvestigatorMaryland$80,000–$90,000 / yearFull timeWhen you join RadNet as an Principle Employee Relations Investigator , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21 st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. Partner closely with Legal, Compliance, HRBPs, and Operations leadership to ensure investigative practices are aligned with company policy, internal protocols, and applicable federal and state laws.
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.
Asset Protection Investigator Saks OFF 5THAsset Protection InvestigatorHanover, Maryland$19–$22.25 / hourThe pay range for this position at commencement of employment is expected to be between $19 - $22.25 /hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. Achieve targets of investigative performance by identifying and addressing internal and external theft exposures; complete accident investigations and general liability claims reports.
NewInvestigator OIG Auditor - Mid to Expert Level Maryland National Security AgencyInvestigator OIG Auditor - Mid to Expert Level MarylandMD$85,447–$197,200 / yearEXPERT Entry is with a high school diploma or GED plus 13 years of relevant experience, or an Associate's degree plus 11 years of relevant experience, or a Bachelor's degree plus 9 years of relevant experience, or a Master's degree plus 7 years of relevant experience, or a Doctoral degree plus 5 years of relevant experience. SENIOR Entry is with a high school diploma or GED plus 10 years of relevant experience, or an Associate's degree plus 8 years of relevant experience, or a Bachelor's degree plus 6 years of relevant experience, or a Master's degree plus 4 years of relevant experience, or a Doctoral degree plus 2 years of relevant experience.
Sub-Investigator Care AccessSub-InvestigatorBaltimore, Maryland$120,000–$150,000 / yearWith programs like Future of Medicine , which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers , which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Perform trial procedures as per delegation which can include the following but not limited to: Prescreen study candidates by telephone and review exclusionary conditions or medications prior to scheduling screening appointment.
Fraud Investigator EagleBankFraud InvestigatorSilver Spring, Maryland$69,844–$108,847 / yearFull timeRequires direct and productive interaction with the Fraud Investigations Manager, BSA/AML, clients, and other fraud personnel within financial services organizations entities, and federal/local/state law enforcement agencies. Responsibilities: The Fraud Investigator develops and conducts fraud investigations, monitors and dispositions fraud alerts, and mitigates financial losses through asset recovery for EagleBank Corp.
Senior 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.
Investigator (OIG Auditor) - Mid to Expert Level (Maryland) U.S. Department of DefenseInvestigator (OIG Auditor) - Mid to Expert Level (Maryland)Maryland, MD$85,447–$197,200 / yearEntry is with a high school diploma or GED plus 13 years of relevant experience, or an Associates degree plus 11 years of relevant experience, or a Bachelors degree plus 9 years of relevant experience, or a Masters degree plus 7 years of relevant experience, or a Doctoral degree plus 5 years of relevant experience. Entry is with a high school diploma or GED plus 10 years of relevant experience, or an Associates degree plus 8 years of relevant experience, or a Bachelors degree plus 6 years of relevant experience, or a Masters degree plus 4 years of relevant experience, or a Doctoral degree plus 2 years of relevant experience.
NewProgram Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Baltimore, MDRemoteFull 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).