NewPrincipal Investigator (Neurology) Professional Case ManagementPrincipal Investigator (Neurology)Chicago, IL$156,600–$266,700Risks to research subjects are minimized by using procedures which are consistent with sound research design and which do not unnecessarily expose the subjects to risk; and, whenever appropriate, by using procedures already being performed on the subjects for diagnostic or treatment purposes; Risks to human research subjects are reasonable in relation to the anticipated benefits (if any) to the individual, and the importance of the knowledge that may be expected to result; Selection of human subjects and patients for research participation is equitable; Individuals are adequately informed of the risks and benefits of research participation and the procedures that will be involved in the research, and that informed consent will be obtained from each prospective human research subject, or his/her legally authorized representative, in accordance with, and to the extent required, by company policies and federal regulations; Informed consent of human research subjects will be obtained in advance of research participation and appropriately documented in accordance with, and to the extent required, by company policies and federal regulations; Where appropriate, there is routine monitoring of the data collected to ensure the safety of human research subjects; The privacy of human research subjects is protected and the confidentiality of data is maintained; Appropriate additional safeguards are included in the study to protect the rights and welfare of human research subjects who are likely to be vulnerable to coercion or undue influence (e.g., children, prisoners, individuals with impaired decision-making capacity, or economically or educationally disadvantaged persons). Maintaining adequate, current, and accurate records of research data, outcomes, and reportable new information to permit an ongoing assessment of the risk/benefit ratio of study participation; Reporting promptly any internal or external adverse event that is considered to be unexpected, serious, and possibly or definitely related to the study; Reporting promptly any significant changes in the risk/benefit of study participation; Ensuring that, in the event a research subject experiences a significant adverse event, every reasonable effort is made to provide the subject with adequate care to correct or alleviate the consequences of the adverse event to the extent possible; Ensuring that human research subjects are kept fully informed of any new information that may affect their willingness to continue to participate in the research study; Ensuring that all listed investigators have the appropriate credentials to conduct the portion of the study in which they are involved and have completed the applicable company required training modules; Ensuring that conduct of the research study adheres to Good Clinical Practice guidelines.
Principal Investigator (Pediatrics) Professional Case ManagementPrincipal Investigator (Pediatrics)Riverdale, GA$156,600–$266,700Risks to research subjects are minimized by using procedures which are consistent with sound research design and which do not unnecessarily expose the subjects to risk; and, whenever appropriate, by using procedures already being performed on the subjects for diagnostic or treatment purposes; Risks to human research subjects are reasonable in relation to the anticipated benefits (if any) to the individual, and the importance of the knowledge that may be expected to result; Selection of human subjects and patients for research participation is equitable; Individuals are adequately informed of the risks and benefits of research participation and the procedures that will be involved in the research, and that informed consent will be obtained from each prospective human research subject, or his/her legally authorized representative, in accordance with, and to the extent required, by company policies and federal regulations; Informed consent of human research subjects will be obtained in advance of research participation and appropriately documented in accordance with, and to the extent required, by company policies and federal regulations; Where appropriate, there is routine monitoring of the data collected to ensure the safety of human research subjects; The privacy of human research subjects is protected and the confidentiality of data is maintained; Appropriate additional safeguards are included in the study to protect the rights and welfare of human research subjects who are likely to be vulnerable to coercion or undue influence (e.g., children, prisoners, individuals with impaired decision-making capacity, or economically or educationally disadvantaged persons). Maintaining adequate, current, and accurate records of research data, outcomes, and reportable new information to permit an ongoing assessment of the risk/benefit ratio of study participation; Reporting promptly any internal or external adverse event that is considered to be unexpected, serious, and possibly or definitely related to the study; Reporting promptly any significant changes in the risk/benefit of study participation; Ensuring that, in the event a research subject experiences a significant adverse event, every reasonable effort is made to provide the subject with adequate care to correct or alleviate the consequences of the adverse event to the extent possible; Ensuring that human research subjects are kept fully informed of any new information that may affect their willingness to continue to participate in the research study; Ensuring that all listed investigators have the appropriate credentials to conduct the portion of the study in which they are involved and have completed the applicable company required training modules; Ensuring that conduct of the research study adheres to Good Clinical Practice guidelines.
Principal Investigator (Gastroenterology) Professional Case ManagementPrincipal Investigator (Gastroenterology)Riverdale, GA$156,600–$266,700Risks to research subjects are minimized by using procedures which are consistent with sound research design and which do not unnecessarily expose the subjects to risk; and, whenever appropriate, by using procedures already being performed on the subjects for diagnostic or treatment purposes; Risks to human research subjects are reasonable in relation to the anticipated benefits (if any) to the individual, and the importance of the knowledge that may be expected to result; Selection of human subjects and patients for research participation is equitable; Individuals are adequately informed of the risks and benefits of research participation and the procedures that will be involved in the research, and that informed consent will be obtained from each prospective human research subject, or his/her legally authorized representative, in accordance with, and to the extent required, by company policies and federal regulations; Informed consent of human research subjects will be obtained in advance of research participation and appropriately documented in accordance with, and to the extent required, by company policies and federal regulations; Where appropriate, there is routine monitoring of the data collected to ensure the safety of human research subjects; The privacy of human research subjects is protected and the confidentiality of data is maintained; Appropriate additional safeguards are included in the study to protect the rights and welfare of human research subjects who are likely to be vulnerable to coercion or undue influence (e.g., children, prisoners, individuals with impaired decision-making capacity, or economically or educationally disadvantaged persons). Maintaining adequate, current, and accurate records of research data, outcomes, and reportable new information to permit an ongoing assessment of the risk/benefit ratio of study participation; Reporting promptly any internal or external adverse event that is considered to be unexpected, serious, and possibly or definitely related to the study; Reporting promptly any significant changes in the risk/benefit of study participation; Ensuring that, in the event a research subject experiences a significant adverse event, every reasonable effort is made to provide the subject with adequate care to correct or alleviate the consequences of the adverse event to the extent possible; Ensuring that human research subjects are kept fully informed of any new information that may affect their willingness to continue to participate in the research study; Ensuring that all listed investigators have the appropriate credentials to conduct the portion of the study in which they are involved and have completed the applicable company required training modules; Ensuring that conduct of the research study adheres to Good Clinical Practice guidelines.
Principal Investigator (Psychiatry) Professional Case ManagementPrincipal Investigator (Psychiatry)Chicago, IL$156,600–$266,700Risks to research subjects are minimized by using procedures which are consistent with sound research design and which do not unnecessarily expose the subjects to risk; and, whenever appropriate, by using procedures already being performed on the subjects for diagnostic or treatment purposes; Risks to human research subjects are reasonable in relation to the anticipated benefits (if any) to the individual, and the importance of the knowledge that may be expected to result; Selection of human subjects and patients for research participation is equitable; Individuals are adequately informed of the risks and benefits of research participation and the procedures that will be involved in the research, and that informed consent will be obtained from each prospective human research subject, or his/her legally authorized representative, in accordance with, and to the extent required, by company policies and federal regulations; Informed consent of human research subjects will be obtained in advance of research participation and appropriately documented in accordance with, and to the extent required, by company policies and federal regulations; Where appropriate, there is routine monitoring of the data collected to ensure the safety of human research subjects; The privacy of human research subjects is protected and the confidentiality of data is maintained; Appropriate additional safeguards are included in the study to protect the rights and welfare of human research subjects who are likely to be vulnerable to coercion or undue influence (e.g., children, prisoners, individuals with impaired decision-making capacity, or economically or educationally disadvantaged persons). Maintaining adequate, current, and accurate records of research data, outcomes, and reportable new information to permit an ongoing assessment of the risk/benefit ratio of study participation; Reporting promptly any internal or external adverse event that is considered to be unexpected, serious, and possibly or definitely related to the study; Reporting promptly any significant changes in the risk/benefit of study participation; Ensuring that, in the event a research subject experiences a significant adverse event, every reasonable effort is made to provide the subject with adequate care to correct or alleviate the consequences of the adverse event to the extent possible; Ensuring that human research subjects are kept fully informed of any new information that may affect their willingness to continue to participate in the research study; Ensuring that all listed investigators have the appropriate credentials to conduct the portion of the study in which they are involved and have completed the applicable company required training modules; Ensuring that conduct of the research study adheres to Good Clinical Practice guidelines.
Corporate Fraud Investigator Mountain West BankCorporate Fraud InvestigatorSpokane, WAFull timeThis role involves handling cases related to electronic banking fraud (including Zelle), new account abuse, deposit fraud, check forgery, elder abuse, debit and credit card fraud, suspected money laundering, check kiting, identity theft, internal fraud, loan fraud, and other complex schemes. Conduct routine investigations into suspected fraud including identity theft, account abuse, check fraud, elder abuse, debit/credit card fraud, loan fraud, electronic banking fraud (e.g., Zelle), internal fraud, loan fraud, and others.
Financial Fraud Investigator - Corporate Security - Vice-President Morgan StanleyFinancial Fraud Investigator - Corporate Security - Vice-PresidentPurchase, New YorkEnsure appropriate actions are taken to mitigate potential losses to clients and Morgan Stanley (e.g., restricting accounts to prevent further fraudulent activity, coordinating the reissue of credit/debit cards, closing accounts, advising account officers and their clients, and investigating cryptocurrency fraud). We are seeking a Corporate Security, Financial Fraud Investigator to conduct time-sensitive, professional, and comprehensive investigations into allegations and business-unit escalations involving wire transfers, debit/credit cards, checks, ACH, Cryptocurrency, and other suspected fraud that may adversely affect the financial integrity of Morgan Stanley and its clients.
NewCorporate Investigator Xerox CorpCorporate InvestigatorWebster, NYResponsibilities: Investigating sensitive and/or complex employee relations matters from start to finish, including leading interviews, note-taking, gathering, and analyzing evidence (electronic/physical, etc.), document findings, and following up with the relevant parties. Position Overview: Xerox Corporation is looking for a skilled and experienced Investigators who can offer support for all operating units to investigate violations of company policy and criminal/civil law that may adversely impact Xerox Corporation.
Corporate Ethics & Compliance Investigator Centene Management CompanyCorporate Ethics & Compliance InvestigatorThoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Lead Corporate Investigator Lumen Technologies IncLead Corporate InvestigatorNYRemote$84,629–$112,838 / yearThis role will report to the Manager of Corporate Investigations and sits at the center of difficult, often ambiguous situations-requiring the ability to assess risk, navigate competing perspectives, and deliver fact-based outcomes that stand up to scrutiny. You'll partner closely with Human Resources, Legal, and senior stakeholders, working through sensitive issues with discretion while maintaining independence and objectivity.
Corporate Fraud Investigator Glacier BankCorporate Fraud InvestigatorHelena, MTThis role involves handling cases related to electronic banking fraud (including Zelle), new account abuse, deposit fraud, check forgery, elder abuse, debit and credit card fraud, suspected money laundering, check kiting, identity theft, internal fraud, loan fraud, and other complex schemes. WA Applicants ONLY range:Spokane $32.65 to $48.97 an hourWenatchee $33.10 to $49.66 an hourDescription- Conduct routine investigations into suspected fraud including identity theft, account abuse, check fraud, elder abuse, debit/credit card fraud, loan fraud, electronic banking fraud (e.g., Zelle), internal fraud, loan fraud, and others.
NewCorporate Investigator Goodwill of North GeorgiaCorporate InvestigatorDecatur, GAKey responsibilities include conducting investigations, performing audits, providing training to team members when necessary, and collaborating with other leaders to protect company assets, foster a positive workplace environment, and minimize financial losses. Develops and implements effective strategies to timely and successfully resolve internal and external investigations related to employee theft, policy violations, and all criminal activities occurring on Goodwill property.
Lead Investigator, Corporate Security & Global Investigations Lennox InternationalLead Investigator, Corporate Security & Global InvestigationsRichardson, Texas$90,000–$118,650 / yearFull timeThe Investigator, Corporate Security & Global Investigations is responsible for conducting investigations involving theft, fraud, cargo theft, inventory loss, workplace violence concerns, workplace misconduct, and other incidents impacting Lennox associates, assets, operations, or reputation. Who We Are: Lennox (NYSE: LII) Driven by 130 years of legacy, HVAC and refrigeration success, Lennox provides our residential and commercial customers with industry-leading climate-control solutions.
Healthcare Fraud Investigator/Case Developer SGI Global, LLCHealthcare Fraud Investigator/Case DeveloperMuskogee, OKThe Investigator/Case Developer will support the Criminal Division's Healthcare Fraud and Abuse Control Program by conducting investigations involving healthcare fraud, fraud and abuse affecting federal healthcare programs, opioid diversion, and other criminal fraud matters within the jurisdiction of the USAO. SGI Global is seeking a Healthcare Fraud Investigator/Case Developer to provide investigative support services to the United States Attorney's Office (USAO) for the Eastern District of Oklahoma (EDOK).
Fraud Investigtor III BECUFraud Investigtor IIISeattle, WAFull timeAdvanced Fraud Investigations: You'll analyze, monitor, and investigate complex fraud activity, including highdollar transactions, account takeovers, identity theft, fraud rings, and elder abuse cases across multiple products and services. Collaboration & Knowledge Sharing: You'll actively participate in-and often lead-knowledgesharing sessions, working closely with peers, strategy partners, and leadership to improve fraud detection and investigations.
Regional Fraud Investigator Burke & Herbert BankRegional Fraud InvestigatorAlexandria, VA$27–$37 / hourInvestigate and manage external fraud investigations, such as check fraud, new account fraud, elder exploitation, wire fraud, online take over and other, ensuring cases are handled timely, and documented accurately with a concise case summary, following existing procedures. This position is responsible for conducting comprehensive external fraud investigations on check fraud, wire fraud, account take over, identity theft, new account fraud, elderly exploitation, and other types of fraud, to detect and prevent fraud losses to the bank and the customer.
Fraud Investigator 3MFraud InvestigatorMaplewood, MN$145,676–$178,049 / yearThe specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate’s relevant knowledge, training, skills, work location, and/or experience. Applicable to US Applicants Only:The expected compensation range for this position is $145,676 - $178,049, which includes base pay plus variable incentive pay, if eligible.
NewSenior Investigator (Full-time, Remote) Integrity Management Services, Inc.Senior Investigator (Full-time, Remote)Alexandria, VARemoteIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. In this role, the Senior Investigator will conduct investigations that support healthcare program integrity initiatives by identifying potential fraud, waste, and abuse (FWA), analyzing complex information, and developing investigative findings.
FWA Special Investigations Unit SIU Investigator SummaCare IncFWA Special Investigations Unit SIU InvestigatorAkron, OH$28.10–$42.15 / hour3) Maintains working knowledge of relative enterprise and local information systems, databases, data schemas, software packages, and business operations to facilitate precise, reliable and accurate fulfillment of information needs related to corporate operations. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2026 by the Centers for Medicare and Medicaid Services (CMS).
Clinical Special Investigations Unit Investigator- Health Plan Parkland HealthClinical Special Investigations Unit Investigator- Health PlanMust be currently certified and in good standing or obtain certification within twelve (12) months of hire with one of the following: Health Care Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Investigator (AHFI), Association of Certified Fraud Examiners (CFE), or National Health Care Anti-Fraud Association (NHCAA). Responds to Requests for Information (RFIs) from National Benefit Integrity MEDIC, U.S. Office of Personnel Management Office of the Inspector General (OPM OIG), State Departments of Insurance (DOI), and other law enforcement agencies, as appropriate.
Sr Fraud, Waste and Abuse Investigator (Investigator Sr) CalOptimaSr Fraud, Waste and Abuse Investigator (Investigator Sr)Orange, CA$72,096–$115,353 / yearWe are hoping you will join us as a Sr Fraud, Waste and Abuse Investigator (Investigator Sr) and help shape the future of healthcare where you'll be an integral part of our OOC - Fraud & Waste team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Clinical Special Investigations Unit Investigator- Health Plan Parkland HospitalClinical Special Investigations Unit Investigator- Health PlanTXMust be currently certified and in good standing or obtain certification within twelve (12) months of hire with one of the following: Health Care Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Investigator (AHFI), Association of Certified Fraud Examiners (CFE), or National Health Care Anti-Fraud Association (NHCAA). Responds to Requests for Information (RFIs) from National Benefit Integrity MEDIC, U.S. Office of Personnel Management Office of the Inspector General (OPM OIG), State Departments of Insurance (DOI), and other law enforcement agencies, as appropriate.
Health Plan Special Investigative Unit Investigator - Health Alliance Plan Henry Ford HospitalHealth Plan Special Investigative Unit Investigator - Health Alliance PlanTroy, MICollaborative Skills: Demonstrates strong teamwork and collaboration abilities, effectively working with other investigators to achieve common goals and take responsibility for team outcomes while contributing to the overall success of the team. Proficiency using excel including ability to analyze large data sets to identify trends, anomalies, and opportunities for improvement, using data visualization techniques to present findings effectively.
Member Account Protection Investigator StratAcuity Staffing Partners IncMember Account Protection InvestigatorAnaheim, CA$43–$54 / hourIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorCovina, CaliforniaVRC 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.
Surveillance Investigator (Part-Time) VRC InvestigationsSurveillance Investigator (Part-Time)Phoenix, ArizonaVRC 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 (Part-Time) SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud.
NewPart-Time Surveillance Investigator VRC InvestigationsPart-Time Surveillance InvestigatorColumbia, South CarolinaVRC 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.
INVESTIGATOR III State of ArkansasINVESTIGATOR IIILittle Rock, AR$52,137–$77,163 / yearThrough a cultivation of world-class educators, partnering with communities, and an influx of social supports, Arkansas Department of Education provides multi-level supports that help ensure students will receive a personalized education and develop a life-long love of learning. Three years of experience in the area of investigations, fact finding, mediation, or law enforcement methodologies and/or current Arkansas teaching licenseVersatile in conducting thorough, unbiased investigations across a range of subjects including educator misconduct, fraud, and other irregular activities.
Fraud Investigator Synovus Financial CorpFraud InvestigatorBirmingham, ALPrepares and submits case narratives for Suspicious Activity Reports (SAR) to the AML/BSA department for review and FinCEN filing, ensuring narrative and SAR form are completed accurately and within procedural and regulatory deadlines while maintaining detailed records of narratives to provide supporting documentation for audits and regulatory reviews. Required Knowledge, Skills, & Abilities: Knowledge of applicable federal and state laws related to financial crimes including the Uniform Commercial Code (UCC), Regulation E, Regulation CC, and the Law Enforcement Criminal Code.
Ethics and Compliance Manager & Investigator Albertsons Companies IncEthics and Compliance Manager & InvestigatorBoise, IDLocally great and nationally strong, Albertsons Companies (NYSE: ACI) is a leading food and drug retailer in the U.S. We operate over 2,200 stores, 1,732 pharmacies, 405 fuel centers, 22 distribution facilities, and 19 manufacturing plants across 34 states and the District of Columbia. The Ethics & Compliance - Manager & Investigator supports the Company's Ethics & Compliance program by assisting with business ethics investigations and policies, supporting oversight of the Anti‑Money Laundering (AML) compliance program, and administering third‑party due diligence processes.
Consumer Transaction Monitoring Investigator Guidehouse IncConsumer Transaction Monitoring InvestigatorSan Antonio, TXEnd to end understanding of Transaction Monitoring/ KYC/ Screening/ Fraud Operations/Jurisdiction specific SAR filing/Narrative from documentary and non-documentary verification and as per relevant policy, nature of business, source of wealth/funds, and customer screening against the watchlist of Sanctions, PEP, and adverse media. Ability to conduct detailed investigations using vendors and open sources to remediate compliance alerts and to independently research, analyze, and recommend solutions to close open items and discrepancies.
SIU Investigator Allied UniversalSIU InvestigatorGeneva, NY$27–$32 / hourAllied Universal SkillBridge Program Allied Universal partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services' fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administration's (TSA) Third-Party Canine (3PK9) Program.
NewAGO Senior Investigator/Analyst | Medicaid Fraud & Abuse Division | Seattle State of WashingtonAGO Senior Investigator/Analyst | Medicaid Fraud & Abuse Division | SeattleSeattle, WA$6,870–$9,246The incumbent develops sources of information relating to Medicaid fraud and abuse and neglect in residential facilities; executes search warrants; collects, preserves and handles evidence in accordance with established rules of evidence; conducts surveillance; conducts criminal and civil interviews; prepares written reports, affidavits and other investigative documents; serves as a subject matter expert in civil and criminal healthcare fraud investigations. With the goal of employee health and wellness, we also offer: Flexible schedules and part-time/hybrid telework options; A Wellness Program, an Infants in the Workplace Program, and the Employee Assistance Program, which provides counseling, webinar, and other cost-free support resources; Numerous employee-driven affinity groups to foster community and connection, including Bereavement, Elder Care, Parenting, POC, LGBTQ+, Veterans and more.
Forensic Accountant Investigator Montana GovernmentForensic Accountant InvestigatorHelena, MTThe functions within the office include defense of Montana's laws as passed by the Legislature, constitutional challenges, determining legal sufficiency of ballot initiatives, prosecution of criminals, handling all phases of litigation from district court proceedings through appeal, and complex litigation of antitrust matters. The incumbent analyze complex transactions to detect embezzlement, trace hidden assets, and provide expert testimony, often working with law enforcement or legal counsel to support litigation and investigations.
Program Integrity Investigator IV CareSourceProgram Integrity Investigator IVOhio WFH, OH$83,000–$132,800 / yearReview reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques that will reveal intelligence for identification of any associative or causal relationships pertaining to Fraud Waste and Abuse and Error, providing management level summaries that explain key findings and providing documentation for use during Audits. Utilizes a variety of data analytics platforms to mine large volumes of data to identify and mitigate fraudulent claim activity, discover patterns and anomalies in billing behavior and develop metrics around transactional and operational data to report on fraud attempts, losses and trends.
Transaction Monitoring Investigator Guidehouse IncTransaction Monitoring InvestigatorSan Antonio, TXEnd to end understanding of Transaction Monitoring/ KYC/ Screening/ Fraud Operations/Jurisdiction specific SAR filing/Narrative from documentary and non-documentary verification and as per relevant policy, nature of business, source of wealth/funds, and customer screening against the watchlist of Sanctions, PEP, and adverse media. Job Family: Investigator Travel Required: None Clearance Required: None What You Will Do: The responsibilities of the Analyst will include, but are not limited to: Performing AML alert/case reviews, seeking to mitigate risks associated to financial crimes and suspicious activity.
Desktop Investigator VRCDesktop InvestigatorDenton, TexasCompensation: *]:pointer-events-auto [content-visibility:auto] supports-[content-visibility:auto]:[contain-intrinsic-size:auto_100lvh] R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto"> Accepted candidates will be paid a competitive hourly rate of $18–$20 per hour, commensurate with relevant experience. The desktop investigator will complete tasks with other team members under management supervision, and when needed, will have the opportunity to cross train in other departments/divisions.
NewINVESTIGATOR State Of CaliforniaINVESTIGATORSan Diego, CA$6,339–$10,609 / yearFingerprinting: Chapter 2, section 154.3 California Business Professions Code (a) pursuant to subdivision (u) of Section 11105 of the Penal Code, the department shall submit to the Department of Justice fingerprint images and related information required by the Department of Justice for an employee, prospective employee, contractor, subcontractor, or volunteer. Under the direction of the Supervising Investigator I, the Health Quality Investigation Unit (HQIU), the Division of Investigation (DOI), the incumbent works at the training, entry, and journey level conducting the most sensitive, complex, and diverse administrative, criminal, and civil investigations of physician and surgeons and certain allied healthcare professionals.
Investigator, Special Investigative Unit-Nebraska Molina Healthcare IncInvestigator, Special Investigative Unit-NebraskaLincoln, NECoordinates with various internal customers (e.g., provider services, contracting and credentialing, healthcare services, member services, claims, etc.), to gather documentation pertinent to investigations. Responsible for reviewing and analyzing information to draw conclusions on allegations of FWA and/or may determine appropriateness of care, and recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence.
Investigator, Special Investigative Unit Molina Healthcare IncInvestigator, Special Investigative UnitFLCoordinates with various internal customers (e.g., provider services, contracting and credentialing, healthcare services, member services, claims, etc.), to gather documentation pertinent to investigations. Responsible for reviewing and analyzing information to draw conclusions on allegations of FWA and/or may determine appropriateness of care, and recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence.
Investigator, Medicaid Fraud Control Unit DHRMInvestigator, Medicaid Fraud Control UnitVirginia Beach, VirginiaTo be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Reviews voluminous records, participates and/or assists in search warrants, interviews witnesses and targets of investigations, drafts overpayment schedules, participates and/or assists in undercover operations.
Brand Protection Investigator Stellantis NVBrand Protection InvestigatorAuburn Hills, MIThis role plays a critical part in safeguarding our company's intellectual property, reputation, and consumer trust by identifying, investigating, and mitigating threats such as counterfeit parts, trademark infringements, illicit online sales, and gray-market distribution. You will conduct investigations across the supply chain, collaborate with cross-functional partners, and work closely with law enforcement and legal teams to protect our brands worldwide.
Field Investigator Burlington Stores IncField InvestigatorWauwatosa, WI$65,000–$80,000 / yearThe role collaborates closely with store and field asset protection teams and operational business partners to identify, analyze, and mitigate shortage risk through investigations as well as proactive measures to minimize opportunity for dishonest behaviors. Work cross-functionally with Asset Protection, Shortage Control, Safety, Store Operations, HR, Legal, and the Training and Development team in coordinating investigations, training efforts, and shortage and safety program compliance.
Asset Protection Investigator Saks Global Enterprises LLCAsset Protection InvestigatorPA$20.19–$22.60 / 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.
Asset Protection Intelligence Investigator Home DepotAsset Protection Intelligence InvestigatorAtlanta, GeorgiaSuccess requires strong data and technology capability—comfort working with large amounts of information from sources like sales activity, online orders, other research tools, and store video—then using analytics tools (such as Google BigQuery, dashboards, and spreadsheets) to spot patterns, confirm linkages, and quantify trends. Key skills include clear communication and organized documentation, paired with the ability to use investigative technologies to produce practical work products—lead summaries, investigative packages, and trend updates—that are easy to understand and easy to hand off to the right owners.
Asset Protection Investigator SaksAsset Protection InvestigatorAustin, TexasBy 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.
SIU Investigator Lead (Must live in OH or surrounding states) CareSource Management Services LLCSIU Investigator Lead (Must live in OH or surrounding states)Charleston, WVThis role is also responsible for the identification and monitoring of emerging FWA trends and conducting research and interactions on claims, industry and other sources (internal and external) of data and information to identify potential FWA and support ongoing fraud investigations. Act as the Program Integrity liaison and ensure collaboration with state and federal agencies and facilitate accurate deployment and ongoing monitoring of state-specific regulations and ongoing partnership with state regulators in managing Medicaid and Medicare programs.
Affirmative Civil Enforcement (ACE) Investigator/Case Developer SGI Global, LLCAffirmative Civil Enforcement (ACE) Investigator/Case DeveloperMuskogee, OKThe Investigator/Case Developer will support the USAO's Affirmative Civil Enforcement (ACE) program by conducting investigations involving fraud, waste, and abuse affecting federal programs, including healthcare fraud, federal benefits fraud, prescription drug fraud/diversion, misappropriation of federal funds, and other civil fraud matters. SGI Global is seeking an Affirmative Civil Enforcement (ACE) Investigator/Case Developer to provide investigative support services to the United States Attorney's Office (USAO) for the Eastern District of Oklahoma (EDOK).
Investigator CBRE Group IncInvestigatorCACBRE serves clients through four business segments: Advisory (leasing, sales, debt origination, mortgage serving, valuations); Building Operations & Experience (facilities management, property management, flex space & experience); Project Management (program management, project management, cost consulting); Real Estate Investments (investment management, development). CBRE Group, Inc. (NYSE:CBRE), a Fortune 500 and S&P 500 company headquartered in Dallas, is the world's largest commercial real estate services and investment firm (based on 2024 revenue).
SUPERVISING FRAUD INVESTIGATOR I, DEPARTMENT OF INSURANCE State Of CaliforniaSUPERVISING FRAUD INVESTIGATOR I, DEPARTMENT OF INSURANCESan Diego, CA$8,733–$11,933 / yearMust be able to work in a law enforcement environment that includes the presence of firearms; Must qualify and carry a firearm; A valid California driver license is required; Must be able to work both indoors and outdoors, depending on the situation in which investigations are involved, at any given time; There is a reasonable expectation of contact with dangerous suspects; Frequent sitting, standing, walking, and carrying is required; and. Under the direction of the Supervising Fraud Investigator II, Regional Office Captain, the Supervising Fraud Investigator I (Detective Sergeant) directly supervises a team of Investigators and oversees the activities of other support staff assigned to the Regional Office.