UNKNOWN

FEED

Appropriately assess risk when business decisions are made, demonstrating particular consideration for the firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying sound ethical judgment regarding personal behavior, conduct and business practices, and escalating, managing and reporting control issues with transparency. This role will utilize sophisticated expertise in investigative interviewing, fraud identification, loss prevention, network security, cyber enabled fraud, to identify fraud activities, schemes, trends and organized rings that create a risk to our firm, its employees, shareholders, systems, assets and clients.

YEAR

Citigroup Inc

CSIS Digital Forensic Investigator

The RFI Manager within the Payment Integrity Center of Excellence (PI COE) leads the team responsible for managing and responding to official requests for information from regulatory agencies, state departments, law enforcement, and internal stakeholders. The manager oversees the full lifecycle of each request, from intake and triage through coordination, review, and final delivery, with a strong focus on meeting turnaround time commitments and maintaining accountability across all RFI-related activities.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Manager, Business Compliance Requests for Information (RFI)

End 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.

Guidehouse Inc

Consumer Transaction Monitoring Investigator

The Cybersecurity Digital Forensics Investigator is responsible for conducting cybersecurity investigations involving company-owned cellphones, computers, tablets, electronic devices, cloud services, applications, and digital records. We specialize in delivering optimized turnkey solutions that bring together speed, quality, and reliability - helping our clients build and operate the mission-critical infrastructure that powers today’s digital world.

Integra

Cybersecurity Digital Forensics Investigator

clearcompany

Guidehouse

ea_via_bold

PART_TIME

REQUIREMENTS:SIU/Claims investigation experience as a private investigator or fraud investigator and live in the San Antonio areaLicensed by the State of Texas as a private investigatorResume and questionnaireExperience handling complex SIU/Claims casesA notary license is strongly preferredBilingual ability is preferredA degree in criminal justice or a related field is preferredA willingness to travelAbility to work a flexible schedule (varied/irregular hours)Strong computer and internet skillsA valid driver's license and reliable vehicleOwn a digital camera and a Windows-based computer with internetAbility to meet deadlines with high-quality workAPPLY WITH PURPOSE:Applying for our Licensed SIU Field Investigator position is fast and easy. Part-time, On-call Licensed SIU Field Investigator wanted at Lemieux & Associates in San Antonio, TX!Why You'll Love This Role:Earn $25-$32 per hourFlexible hoursCompetitive payOpportunities for professional growthYOUR ROLE AS OUR LICENSED SIU FIELD INVESTIGATORSchedule: Part-Time, On-CallAs a Licensed SIU Field Investigator, you'll be on the move conducting investigations that help uncover the facts behind complex claims.

HOUR

Lemieux & Associates LLC

Licensed SIU Field Investigator

Talent Acquisition

Our Integrity organization is built on four product pillars working toward shared outcomes: Safety Products enhances members' perception of safety through healthy engagement, safe-dating awareness, and support when something goes wrong - owning reporting and the Safety Center, verification and suspension flows, Face Check and Selfie Challenge, and our respectfulness and IRL safety experiences. Moderation & Ops keeps Tinder safe, resilient, and compliant through the internal tools, back-end systems, and AI integrations that drive moderation quality, operational efficiency, and data hygiene - including appeals and case tooling, AI moderation, and conversation safety systems.

Match Group

Manager, Analytics (Trust & Safety)

Acquire 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.

Allied Universal provides unparalleled service, systems and solutions to the people and business of our communities, and is North America's leading security services provider. With over 140,000 employees, Allied Universal delivers high-quality, tailored solutions, which allows clients to focus on their core business. For more information: 866.825.5433 or <a href="http://www.aus.com/" target="_blank">www.AUS.com</a>

Allied Universal

SIU Investigator

FULL_TIME

2-5 years of relevant experience in real estate finance, investments, or development, ideally with exposure to office and/or retail asset classes; additional experience across mixed-use, self-storage, and RV park assets is a plus, as the team works across a wide range of product types. Key Responsibilities: Support a wide range of analyses, including acquisitions, dispositions, refinancing analyses, valuations, sell/hold analyses, leasing NPV/NER, sensitivities, promote waterfalls, and other ad hoc analyses.

Provident

Associate, Real Estate Development/Investment

partner JazzHR

In this role, you will own the delivery and implementation of data and AI-enabled products and use cases, acting as the main liaison between Joint Staff Directorates and the technical development POD. Serve as the primary Product Manager for the Joint Staff CDAO development POD, owning the end-to-end implementation and successful delivery of data, analytics, and AI-enabled capabilities.

Parsons is a technology-driven engineering services firm with more than 70 years of experience in the engineering, construction, technical, and professional services industries. The corporation is a leader in many diversified markets with a focus on infrastructure, defense, security, and construction. Parsons delivers design/design-build, program/construction management, systems design/engineering, cyber/converged security, and other professional services packaged in innovative alternative delivery methods to federal, regional, and local government agencies, as well as to private industrial customers worldwide.

Parsons

Product Manager TS/SCI

The MSL will identify and map key centres involved in HDV diagnosis, referral, and treatment; build and advance credible peer-to-peer scientific relationships with healthcare professionals (HCPs), investigators, and key opinion leaders (KOLs); and develop a detailed, evidence-based understanding of patient and referral pathways within the territory. We are excited to announce that currently we are looking for Medical Science Liaison with experience in viral liver disease, hepatology, Infectious Disease/HIV to initiate scientific dialogue within the therapeutic area centers through scientific discussions with clinical physicians, staff and other stakeholders, on behalf of our client.

IQVIA Holdings Inc

Medical Science Liaison - Central Region

Desired Skills:For-profit, Not-For-Profit, Higher Education or Healthcare banking /Revenue Cycle experience a plus3+ years banking experiencePrior Card solution experience a plusB.S. or B.A. in finance, accounting, management, or another undergraduate degreeCertified Treasury Professional Certification (CTP) or equivalentMBA or EquivalentInclusive and Inspiring: Seeking motivating team players who value collaboration, hard work, and celebrating shared successAuthentic and Passionate: Seeking highly engaged teammates whose intensity and intentions align with the work we are doing for our clients and in our communitiesInnovative and Curious: Seeking teammates with out-of-the box ideas and solutions, who embrace change with a future-forward mindset, and are looking to challenge the status quoConfident and Agile: Seeking strong, clear communicators who value giving and receiving feedback, easily build relationships, act decisively while being flexible and continuing to learn in the role. Ensures responsible revenue and balance sheet growth, profitability improvement, client calling and planning, portfolio development, pricing strategy, proposal responses, and leads client facing treasury presentationsPartners with bankers and product specialists across the enterprise to develop customized treasury solutions by identifying solutions based on client-focused cost and benefit analysis and bank-focused profitability analysisLeads pricing and negotiation discussions with the client for treasury management products to optimize relationship profitability and Year over Year (YoY) growthCoaches and mentors Treasury Analysts and works with Servicing and Implementation teams to support client needs and deliver solutions.

Bank of America Corp

Treasury Sales Officer I - Healthcare Not For Profit - Higher Education

Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred. Investigates files by using appropriate field, computer and telephone investigative techniques and provides appropriate documentation of actions in a thorough timely manner.

Kemper at a glance
The Kemper family of companies is one of the nation’s leading insurers. With $8 billion in assets, Kemper is improving the world of insurance by offering personalized solutions for individuals, families and businesses.
Kemper's businesses collectively: 
<ul>
<li> Offer insurance for home, auto, life, health and valuables</li>

<li> Service six million policies</li>

<li> Are represented by more than 20,000 independent agents and brokers</li>

<li> Employ 6,000 associates dedicated to providing exceptional service</li>

<li> Are licensed to sell insurance in 50 states and the District of Columbia </li>
</ul>
Our rated1 underwriting companies:
<ul>
Are rated A- (Excellent) by A.M. Best Company, the leading insurance industry rating authority 
Learn more about <a href="https://www.kemper.com/wps/portal/Kemper/Home/AboutKemper/QuickFacts/?1dmy&#38;current=true&#38;urile=wcm%3apath%3a/kemper/aboutkemper/businessinformation/ourbusinesses" mns_rt="Company" target="_blank" itemprop="url" style="color:#c54c00;">Our Businesses</a>.

1 Alliance United Insurance Company is not rated.

Kemper Corp

Coordinates 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.

Molina Healthcare Inc

Investigator, Special Investigative Unit (Remote)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

<a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> 

Caring. Connecting. Growing together. 

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> 

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> 

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a>

UnitedHealth Group Inc

Senior Investigator

Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required, 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required. 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.

Centene Management Company

Must 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.

Parkland Hospital

Clinical Special Investigations Unit Investigator- Health Plan

Education/Experience: Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required, 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required. Licenses/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.

Centene Corporation Group

As CFO, you will lead financial strategy, planning, and operations within the IT and telecommunications sectors, directly contributing to the company’s growth and strategic goals. • Provide financial insights to the CEO, board, and senior leadership, enabling data-driven decision-making.

Pacifica Continental

CFO - Information Technology (IT) and Telecommunications

Your work will involve a wide range of activities, such as: Research and analyze factors including performing detailed financial analysis affecting litigation damages or valuation, including gaining an understanding of the industry or market at issue. Our Investigations, Compliance & Privacy practice applies accounting, financial and data analysis expertise and experience to assist our clients and address their critical issues.

Fraud Analyst Jobs in Texas

CSIS Digital Forensic Investigator Citigroup Inc

Manager, Business Compliance Requests for Information (RFI) CVS Health Corp

Consumer Transaction Monitoring Investigator Guidehouse Inc

Cybersecurity Digital Forensics Investigator Integra

Consumer Transaction Monitoring Investigator Guidehouse

Licensed SIU Field Investigator Lemieux & Associates LLC

Manager, Analytics (Trust & Safety) Match Group

SIU Investigator Allied Universal

Associate, Real Estate Development/Investment Provident

Product Manager TS/SCI Parsons

Medical Science Liaison - Central Region IQVIA Holdings Inc

Treasury Sales Officer I - Healthcare Not For Profit - Higher Education Bank of America Corp

SIU Investigator Kemper Corp

Investigator, Special Investigative Unit (Remote) Molina Healthcare Inc

Senior Investigator UnitedHealth Group Inc

SIU Investigator Centene Management Company

Clinical Special Investigations Unit Investigator- Health Plan Parkland Hospital

SIU Investigator Centene Corporation Group

CFO - Information Technology (IT) and Telecommunications Pacifica Continental

Investigations, Compliance & Privacy - Vice President, CPA AlixPartners

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