Fraud Investigator II University of Massachusetts Medical SchoolFraud Investigator IIWestborough, Massachusetts5-7 years of related experience in fraud examination, healthcare, business, finance or related field; with at least 2 years of experience conducting data mining in the healthcare insurance industry and claims related experience. The Investigator II collaborates with the Associate Director on more complex case reviews as needed, in addition to performing activities related to data mining, data analysis and recoveries.
Asset Protection Investigator Saks Global Enterprises LLCAsset Protection InvestigatorBoston, MA$24.76–$30.94 / hourYOU WILL BE: Under the direction from the Asset Protection Manager or Assistant General Manager Operations, the Asset Protection Associate monitors shortage results, shortage control, investigations and apprehensions regarding internal and external theft, and implementation of store safety and awareness programs at an individual Saks Fifth Avenue location. Its unique approach combines an emphasis on the digital customer experience with a strong connection to a network of 33 extraordinary locations across North America for seamless, all-channel shopping.
Physician Investigator Opportunities - Multiple Locations Nationwide Headlands ResearchPhysician Investigator Opportunities - Multiple Locations NationwidePlymouth, MAThis general interest posting is designed for physicians who may not see a current opening that perfectly aligns with their location or specialty-but who would like to be considered for future Investigator, Sub-Investigator, or Physician leadership opportunities across our growing network of clinical research sites nationwide. Our physicians play a critical role in advancing innovative therapies, improving patient access to clinical trials, and shaping high-quality, patient-centered research environments.
SIU Investigator Centene Corporation GroupSIU InvestigatorMA$56,200–$101,000 / yearCollaborates 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. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.
Clinical Investigator, Gastrointestinal Oncology UpLevel SourcingClinical Investigator, Gastrointestinal OncologyBoston, MassachusettsThe role offers significant opportunities for leadership in clinical trials and research collaborations, with the potential for meaningful contributions to advancements in the treatment and understanding of gastrointestinal malignancies. The successful candidate will be part of a rapidly expanding multi-disciplinary program focused on providing outstanding clinical care and conducting high-impact research in gastrointestinal malignancies.
Clinician Investigator, Instructor Massachusetts General Physicians OrganizationClinician Investigator, InstructorBoston, MassachusettsThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level.
Fraud Investigator II UMass Chan Medical SchoolFraud Investigator IIWestborough, MAGENERAL SUMMARY OF POSITION: Under the general direction of the Associate Director, or designee, the Fraud Investigator II serves a crucial role in combating fraud, waste and abuse ("FWA") within the Medicaid program. 5-7 years of related experience in fraud examination, healthcare, business, finance or related field; with at least 2 years of experience conducting data mining in the healthcare insurance industry and claims related experience.
Travel Sub-Investigator Care AccessTravel Sub-InvestigatorBoston, MARemote$130,000–$165,000 / 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.
Surveillance Investigator Allied UniversalSurveillance InvestigatorLowell, MassachusettsThe 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 .
Fraud Investigator Berkshire BankFraud InvestigatorBoston, MA$52,000–$90,498 / yearPurpose/Objective: As a member of the Financial Intelligence Unit's Fraud Investigations Team, the incumbent is responsible for handling all aspects of the fraud investigation process - including incident intake, advising on best practices for remediation, case management, and completion of regulatory reports. Key Accountabilities: Investigate fraud referrals/incidents and perform necessary research; efficiently arriving at sound risk-based conclusions in order to minimize fraud losses.
Asset Protection Investigator Saks OFF 5THAsset Protection InvestigatorBoston, MassachusettsAchieve 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.
Revenue Assurance Investigator (Hybrid) EversourceRevenue Assurance Investigator (Hybrid)Dorchester, MA$96,690–$107,430 / yearConducts all phases of revenue recovery investigations including the attainment of depositions and supporting data for both judicial and administrative processing as well as fact-finding from Company and Public records related to theft of service cases. Current guidelines require employees to work at least three days in the office, including Tuesdays and Wednesdays, with the third day set by the employee and supervisor based on department needs.
Part-time Surveillance Investigator The Robison GroupPart-time Surveillance InvestigatorBoston, MassachusettsThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
Senior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorMA$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.
Financial Crime Risk Investigator II - OneTouch (US) The Toronto-Dominion BankFinancial Crime Risk Investigator II - OneTouch (US)Boston, MA$29.75–$47.75 / hourTotal Rewards at TD includes base salary and variable compensation/incentive awards (e.g., eligibility for cash and/or equity incentive awards, generally through participation in an incentive plan) and several other key plans such as health and well-being benefits, savings and retirement programs, paid time off (including Vacation PTO, Flex PTO, and Holiday PTO), banking benefits and discounts, career development, and reward and recognition. Employee/Team Accountabilities: Participates fully as a member of the team, supports a positive work environment that promotes service to the business, quality, innovation and teamwork and ensures timely communication of issues/points of interest.