Special Investigations Unit Investigator CareOregon IncSpecial Investigations Unit InvestigatorWA$74,250–$90,750 / yearStrong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills Effective computer skills, including MS Office Suite Strong interpersonal and motivational skills Ability to think logically and creatively without undue influence from personal biases Ability to operate with a high degree of professionalism and confidentially Ability to plan, organize, manage, and monitor work projects Ability to facilitate learning opportunities in a variety of informal and formal settings Ability to make presentations to small and large groups. Ability to bend and speak clearly for at least 3 hours/day Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read and hear and for at least 6 hours/day Ability to perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to work effectively with diverse individuals and groups.
Special Investigations Unit (SIU) - Field Investigator Ethos Risk ServicesSpecial Investigations Unit (SIU) - Field InvestigatorSeattle, WAPart timeJOB SUMMARY:Our dynamic Ethos team is seeking a Special Unit Investigations (SIU) Field Investigator to conduct field investigations, gather and analyze evidence, and produce detailed reports that support claims decisions. Licenses/Certifications:Active Private Investigator license or willingness to obtain one (where required by state).Active driver's license and valid auto insurance.
Investigator III Premera Blue CrossInvestigator IIIMountlake Terrace, WashingtonDevelop and maintain collaborative and liaison relationships with Blue Cross Blue Shield Association (BCBSA), Blue Cross Blue Shield (BCBS) Plans, HHS OIG, other carriers' anti-fraud professionals, law enforcement and regulatory agencies. May attend webinars and conferences like BCBSA, National Health Care Anti-Fraud Association (NHCAA), and Association of Certified Fraud Examiners (ACFE) to keep apprised of developments in health care fraud.
Medicolegal Death Investigator - Temporary Pierce County WAMedicolegal Death Investigator - TemporaryTacoma, WAIf assigned, examine death scenes and decedents and confer with appropriate parties, which include witnesses, family, friends, co-workers, law enforcement officials, and medical/health care personnel to gather information about deaths and ascertain circumstances, medical history, and probable cause of death. Education and/or training equivalent to two years of college, community college, university, law enforcement, or military in the fields of nursing, natural science, forensic science, paramedical, or criminal justice.
SIU Investigator Centene Corporation GroupSIU InvestigatorWA$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates 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.
Investigator III Blue Cross and Blue Shield AssociationInvestigator IIIMountlake Terrace, WA$80,200–$118,300 / yearDevelop and maintain collaborative and liaison relationships with Blue Cross Blue Shield Association (BCBSA), Blue Cross Blue Shield (BCBS) Plans, HHS OIG, other carriers' anti-fraud professionals, law enforcement and regulatory agencies. May attend webinars and conferences like BCBSA, National Health Care Anti-Fraud Association (NHCAA), and Association of Certified Fraud Examiners (ACFE) to keep apprised of developments in health care fraud.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthWA$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.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Seattle, WARemoteFull 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).
Investigator Ethos Risk ServicesInvestigatorSeattle, WAFull timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorSeattle, WAPart timeNotary license strongly (preferred).Surveillance experience a plus (preferred).Bilingual ability and/or degree in Criminal Justice or related field (preferred).Willingness to travel; flexible schedule (varied/irregular hours).Strong computer and internet skills. Accurately photograph evidence (accident scenes, vehicle damage, etc.).Skills & ExperienceExperience handling complex SIU/Claims cases.
Part-Time Surveillance Investigator The Robison GroupPart-Time Surveillance InvestigatorSeattle, WashingtonIndividuals 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. TRAINING: The Robison Group provides remote and/or in-classroom training to ensure that individuals are set up for success before moving into their roles.
Part Time Surveillance Investigator The Robison GroupPart Time Surveillance InvestigatorSeattle, WAIndividuals 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. TRAINING: The Robison Group provides remote and/or in-classroom training to ensure that individuals are set up for success before moving into their roles.
Fire Investigator Alpine IntelFire InvestigatorSeattle, WashingtonMust have at least 2 years of hands on experience working in the public and/or private sectors performing fire origin and cause investigations on residential and commercial structures. Will work projects that are assigned to them unless sufficient hazards are identified utilizing National Fire Experts' Safety Protocol guidelines and JSA’s.
Regulatory and Special Investigations Agent Muckleshoot Indian TribeRegulatory and Special Investigations AgentAuburn, WashingtonFull timeMAJOR TASKS AND RESPONSIBILITIES: Monitors and observes gambling and related activities at all gaming operations under the Muckleshoot Gaming Ordinance to ensure compliance with local, state, federal law, other applicable controls and the terms of the Tribal-State Compact. Assists with presenting evidence and testimony regarding licensee or gaming operations violations in a courtroom setting at the tribal, state and federal levels as required.
Special Agent U.S. Department of Homeland SecuritySpecial AgentSeattle, WA$48,854–$118,204 / yearYou are minimally qualified for the GL-07 Level starting base salary 48854 if you possess one of the following: A bachelors degree from an accredited college or university with Superior Academic Achievement (S.A.A.), which is based on: Class standing: Applicants must be in the upper third of the graduating class in the college, university, or major subdivision (such as the College of Liberal Arts or the School of Business Administration) based on completed courses. Grade-point average (G.P.A.): Applicants must have a grade-point average of 3.0 or higher out of a possible 4.0 (B or better) as recorded on their official transcript or as computed based on 4 years of education or as computed based on courses completed during the final 2 years of the curriculum.
NewEmployee Relations & Training Coordinator, Housing & Food Services University of WashingtonEmployee Relations & Training Coordinator, Housing & Food ServicesSeattle, WAEnter, reconcile, and validate data in approved tracking systems, spreadsheets, dashboards, Workday reports, learning records, and shared tools; prepare routine operational reports and summaries related to case volume, timeliness, document status, training participation, completion, feedback, and outstanding actions. Maintain approved employee relations, performance management, training, facilitation, and manager-support resources in HFS HR SharePoint sites and shared repositories, including version control, review dates, accessibility, organization, and removal of superseded materials.