Investigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)IL$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. 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.
Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)IL$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)IL$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
(Remote) Sr. Special Investigator Efinancial LLC(Remote) Sr. Special InvestigatorDes Plaines, ILRemote$91,545–$118,470 / yearProven ability to independently plan and conduct structured investigative interviews, including complex or adversarial interviews, with strong written communication skills and a demonstrated track record of producing investigative reports and case summaries used in regulatory or legal proceedings. Draft clear, concise, and well-supported fraud case summaries and investigative reports for SIU leadership, legal counsel, and compliance teams as well as reports to state departments of insurance and national fraud databases within required timeframes.
Scaling Ethos Co-Investigator Loyola University ChicagoScaling Ethos Co-InvestigatorChicago, ILRemoteWith 15 schools, colleges, and institutesincluding Business, Law, Medicine, Nursing, and Health SciencesLoyola operates three primary campuses in the greater Chicago area and one in Rome, Italy, that provide students a transformative, globally connected learning experience. A Carnegie R1 research institution, Loyola leverages its status as one of an elite group of universities with the highest level of research activity to advance knowledge that serves communities and creates global impact.
SIU Investigator Allied UniversalSIU InvestigatorChicago, IL$27–$32 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance. High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud.
Asset Protection Investigator Saks Global Enterprises LLCAsset Protection InvestigatorOak Brook, IL$22.61–$28.26 / hourBy leveraging the most comprehensive luxury customer data platform in North America, cutting-edge technology, and strong partnerships with the world's most esteemed brands, Saks Global is shaping the future of luxury retail. Saks Global is the largest multi-brand luxury retailer in the world, comprising Saks Fifth Avenue, Neiman Marcus, Bergdorf Goodman, and Saks OFF 5TH.
Complaint Investigator (Principal Consultant #1627) Illinois Association of School AdministratorsComplaint Investigator (Principal Consultant #1627)Springfield, IL$64,322–$81,284 / yearRequired Qualifications: Master''s degree or higher in Special Education, Pupil Personnel Services (School Counselor, School Psychologist, School Social Worker), or related services, or, a Bachelor''s degree in one of these areas plus two years of relevant professional experience. Participates in the departments regulatory functions of general supervision and serves as an Agency representative and provides technical assistance regarding collection and reporting of data including the development and implementation of activities associated with the State Performance Plan and Board goals.
Defense Investigator Will CountyDefense InvestigatorWill County, ILSalary Range$40,000 (Starting Compensation) - $89,600 (Maximum Compensation) Collective Bargaining Agreement -Will County Circuit Court/Office of The Chief Judge 12th Judicial Circuit Court and AFSCME Council 31, Local #1028 AFL-CIO https://willcountyillinois.sharepoint.com/sites/WillWeb/SitePages/HR-Collective-Bargaining-Agreements.aspx Minimum QualificationsFour (4) year College Degree, or two (2) year associate degree in law enforcement or related field, or three years investigative experience in related fields, or any combination of education, training and experience which provides the required knowledge, skill, and abilities to perform the functions of the job.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorChicago, IllinoisVRC provides their investigators with necessary equipment and comparable pay, to include drive time, above normal commute mileage reimbursement, company paid licensing fees in most states and allowance for non-reimbursed business expenses. We currently have career opportunities for experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud.
Special Investigation Unit (SIU) Manager CVS Health CorpSpecial Investigation Unit (SIU) ManagerIL$54,300–$159,120 / yearThe Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state regulators.
NewManager Special Investigations Health Care Service CorpManager Special InvestigationsChicago, IL$92,700–$167,500 / yearJOB REQUIREMENTS: Bachelor's Degree in Criminal Justice, Finance or Accounting or related field and 5 years of direct law enforcement/investigation experience, including supervision of cases and investigators OR 9 years of direct professional work experience in the detection, investigation and/or prosecution of complex health care fraud schemes with the following professional certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Professional Coder (CPC), and/or Certified Fraud Examiner (CFE). This position will be responsible for managing healthcare fraud and internal fraud investigations initially focusing on IL Medicaid; managing and training investigators as well as support staff; establishing and maintaining liaison with healthcare providers and law enforcement; and coordinating anti-fraud activities with other departments at HCSC.
Special Agent U.S. Department of Homeland SecuritySpecial AgentIL$48,854–$118,204 / yearOR Have at least 1 year of specialized experience equivalent to the GL-9 level (such as experience in or related to planning and conducting complex criminal investigations to determine violations of Federal laws and regulations; collecting and assembling facts to identify logical conclusions; gathering, analyzing, and evaluating evidence or data; conducting interviews and interrogations; making arrests; conducting searches and seizures; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; partnering with or leveraging networks or relationships from outside the organization; experience managing complex projects including setting priorities and determining resource requirements). OR Have at least 1 year of specialized experience equivalent to the GL-7 level (such as experience applying law enforcement, protective, or investigative techniques in the performance of job duties; identifying problem areas and proposing and implementing solutions; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; leading meetings or seminars on behalf of a professional or academic group; setting work priorities and allocating resources; partnering with other individuals from within and outside the organization).