Investigative Counsel New York State Thruway AuthorityInvestigative CounselLong Island, NY$93,659–$118,388 / yearThe Investigative Counsel's perspectives would assist with the analysis of the witness statements, physical evidence, documents, videos, etc., to ensure that OSI's assessment and weighing of the evidence are rigorous and evidence supports both administrative and criminal charges to hold offenders accountable and provide information to help improve the Department's operations. All OSI investigative staff must possess, at a minimum, knowledge of the applicable laws, the highest levels of behavior including personal integrity and ethics; fairness; character; judgment; attitude; and respect for and ability to work with others inside and outside OSI.
Manufacturing Engineer BWXTManufacturing EngineerMt Vernon, IN$79,000–$119,000 / yearBWX Technologies, Inc. and its affiliates and subsidiaries (BWXT) is not responsible for and does not accept any liability for fees or other costs associated with resumes or candidates presented by recruiters or employment agencies, unless a binding, written recruitment agreement between BWXT and the recruiter or agency exists prior to the presentation of candidates or resumes to BWXT and includes the specific services, job openings, and fees to be paid (“Agreement”). Your experience will be beneficial as you interface with both Design and Manufacturing Engineering teams to effectively manage changes to component designs and support quotes for new work by reviewing technical requirements and preparing precise person-hour estimates.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheNew York, NY$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
Clinical Investigator Oscar HealthClinical InvestigatorNew York, NYRemote$75,348–$98,894 / yearBachelor of Science in Nursing (BSN), Associate Degree in Nursing (ADN) with a Bachelor of Science in Health Administration, Clinical Informatics, or a related Medical Science field, or Associate Degree in Nursing (ADN) with 5+ years of specialized clinical audit experience. Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia.
Deputy Title IX Coordinator for Employee Investigations Fordham UniversityDeputy Title IX Coordinator for Employee InvestigationsBronx, NYSitting Often Repetitive Hand Motion (such as typing) Often Hearing, Listening, Talking Nearly Continuously Standing Seldom Walking Seldom Running Not Required Bending, Stooping, Kneeling, squatting, Crouching, Crawling Not Required Climbing stairs Not Required Climbing ladders Not Required Reaching overhead Not Required Pulling, pushing Not Required Shoveling Not Required Lifting - up to 20 pounds Not Required Lifting - up to 50 pounds Not Required Lifting - over 50 pounds Not Required. Coordinates with Human Resources, Academic Affairs, Public Safety, Student Affairs, General Counsel, and other campus stakeholders to manage Title IX matters, including intake and assessment of reports, implementation and monitoring of supportive measures, investigative coordination, threat and risk assessment, interim actions, compliance with institutional and regulatory response obligations and communication regarding processes and outcomes.
Clinical Investigator Oscar Health IncClinical InvestigatorNew York, NYRemote$75,348–$98,894 / yearBonus points: Bachelor of Science in Nursing (BSN), Associate Degree in Nursing (ADN) with a Bachelor of Science in Health Administration, Clinical Informatics, or a related Medical Science field, or Associate Degree in Nursing (ADN) with 5+ years of specialized clinical audit experience. Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia.
Vice President, Government and Commercial Programs Allied UniversalVice President, Government and Commercial ProgramsNYRemote$130,000–$160,000 / yearThe Vice President, Government and Commercial Programs is responsible for all government and commercial healthcare operations in addition to managing interactions with government entities while concurrently developing and executing strategies to drive commercial growth and Profit & Loss (P&L) responsibility across both public and private sectors. Responsible for the day-to-day oversight of the operational efficiency and effectiveness of the clinical auditing, compliance and special investigations unit organization, to include special programs such as Physician, Managed Care, Pharmacy, PACE, and Special Needs.
Pharmacy Auditor Capital Rx, Inc.Pharmacy AuditorNew York, NY$64,000–$80,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. This position collaborates closely with Compliance, Legal, Finance, Provider Relations, Clinical, and Fraud, Waste, and Abuse (FWA) teams to support corrective actions, recoveries, regulatory requirements, and education initiatives.
Medical Claims Auditor Clover Health Investments CorpMedical Claims AuditorNYRemote$90,000–$100,000 / yearAs a Medical Claims Auditor within our Special Investigations Unit, you will play a critical role in ensuring that Clover is able to continue to build and scale a compliant, effective FWA audit program. Success in this role looks like: By the end of your initial 90 day period, you will have demonstrated a strong understanding of our review process and are able to effectively navigate through the various Clover systems.
Sales Manager - Multifamily (Philadelphia, PA) HD Supply Holdings IncSales Manager - Multifamily (Philadelphia, PA)New Jersey, NJ$92,500–$140,300 / yearAs a Sales Manager with our Multi-Family vertical, you will lead a team of 7 field account representatives focused on selling MRO (maintenance, repair, and operations) supplies along with other products to our customers in the apartment industry. Defines the sales process and develops efficient and creative sales strategies that drives desired sales outcomes and identify improvements where and when applicable.
Insurance Defense Attorney Resourceful Talent GroupInsurance Defense AttorneyWantagh, New YorkOur client is known for its sharp legal team, fast-paced growth, and strong focus on SIU (Special Investigations Unit) fraud cases. This is more than just another associate role, it’s a real opportunity to make your mark and grow into leadership at a firm that rewards impact and initiative.
Risk Officer Morgan StanleyRisk OfficerNew York, New YorkOur values - putting clients first, doing the right thing, leading with exceptional ideas, committing to diversity and inclusion, and giving back - aren’t just beliefs, they guide the decisions we make every day to do what's best for our clients, communities and more than 80,000 employees in 1,200 offices across 42 countries. In conjunction with the Senior Risk Officer, the Risk Officer has accountability for maintaining a consistent controlled environment through adherence of business ethics and practices and adherence to all applicable Federal, State and Local laws, Morgan Stanley Wealth Management policies, and other regulations.
Data Analytic Manager Department of the Treasury, USData Analytic ManagerNew York, NY$125,776–$192,694 / yearPlease note that if you do not provide all required information, as specified in this announcement, you may not be considered for this position (or may not receive the special consideration for which you may be eligible).Please ensure all required documents, including any required work samples, narratives, or other materials as stated in this announcement, are attached to your application package. If you are a displaced or surplus Federal employee (eligible for the Career Transition Assistance Plan(CTAP)/Interagency Career Transition Assistance Plan (ICTAP)) you must meet the following Well Qualified Statement to receive priority consideration; - Having a solid and comprehensive understanding of the position.
Supervisory General Attorney - Deputy Area Counsel Criminal Tax Department of the Treasury, USSupervisory General Attorney - Deputy Area Counsel Criminal TaxNewark, NJ$147,945–$197,200 / yearAssist the Area Counsel (Criminal Tax) in working with the Cl Director, Field Operations and Special Agents in Charge to ensure national consistency, yet retain local expertise, in maintaining close coordination with such offices, or as appropriate, with the United States Attorneys, officials of the Department of Justice and other law enforcement agencies, to provide day-to-day legal advice and timely, quality support through field advice, training, and other initiatives. Establish and monitor performance measures and program goals for providing legal services within the Criminal Tax organization; manage field operations and staff, including Senior Counsels and Criminal Tax attorneys within the assigned area and resolve problems in the operation of field offices, elevate appropriate issues as necessary to assure Internal Revenue Service (IRS) -wide consistency of resolution; and implement the Criminal Tax business unit strategy and goals that enhance compliance with the tax laws.
Liability & Litigation Adjuster Hippo Holdings IncLiability & Litigation AdjusterMorristown, NJ$110,000–$133,000 / yearHippo treats its team members with the same level of dedication and care as we do our customers, which is why we're fortunate to provide all of our Hippos with: Healthy Hippos Benefits - Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families. This role is responsible for investigating losses, evaluating coverage, and negotiating settlements while maintaining close collaboration with policyholders, vendors, and outside counsel to achieve fair, accurate, and timely claim resolution.
Liability & Litigation Adjuster Hippo InsuranceLiability & Litigation AdjusterMorristown, NJ$110,000–$133,000 / yearHippo treats its team members with the same level of dedication and care as we do our customers, which is why we're fortunate to provide all of our Hippos with: Healthy Hippos Benefits- Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families. This role is responsible for investigating losses, evaluating coverage, and negotiating settlements while maintaining close collaboration with policyholders, vendors, and outside counsel to achieve fair, accurate, and timely claim resolution.
Outside Property Claim Representative TravelersOutside Property Claim RepresentativeNew York City, New YorkDetermines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies.
NewData Analytics Manager (POD SPOC) ExlService Holdings IncData Analytics Manager (POD SPOC)NY$93,900–$154,200 / yearThis is a hands-on delivery role that converts client and program priorities into executable analytics workplans, manages project cadence across teams, governs POD and program health through KPIs, and ensures the analytics portfolio contributes to monthly, quarterly, and annual revenue goals. POD and Program Health KPI Governance: Maintain a single view of POD health using KPIs such as delivery timeliness, backlog aging, production quality, rework, issue closure, automation adoption, revenue realization, client priority execution, and operational throughput.
Deputy Director of Pharmacy Operations Metroplus Health Plan IncDeputy Director of Pharmacy OperationsNew York, NY$175,000–$183,909 / yearAdditionally, this position is responsible for ensuring fraud, waste and abuse risks are identified and addressed through internal monitoring and partnering with the PBM, MPH Special Investigation Unit (SIU) and oversight of the Restricted Recipient Program (RRP). This position engages with senior leaders and key stakeholders to ensure the optimal utilization of technology and resources, to support the implementation of enterprise-wide pharmacy systems and processes, including large-scale operational projects.
Clearance Supervisor City of New YorkClearance SupervisorNew York, NYA four-year high school diploma or its educational equivalent and five years of satisfactory, full-time experience as an investigator evaluating credit worthiness, searching for assets, verifying information concerning education, experience, and other personal qualifications bearing upon character and fitness for employment, or performing investigations involving the research, compilation and/or location of evidence or information in order to build a case or uncover activities of a criminal, corrupt, unlawful or unethical nature; or. With a staff of 1,000, the Division covers a broad range of subject matter, including oversight of environmental investigations, lead poisoning, injury prevention, occupational health, food safety, childcare, radiation control, recreational and drinking water quality, air quality, climate health, vector control, veterinary public health and pest control.