- USAA (Atlanta, GA)
- …makes us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a "Desk" position. Besides the normal SIU Investigator ... potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies… more
- PDS Defense (Berkeley, MO)
- **Other Professional** ** Corporate Investigator 4** Berkeley, MO Posted: 12/7/2025 Job Description Job ID#: 214271 Job Category: Other Professional Position ... 52 Shift: 1 **PDS Defense, Inc. is seeking a Corporate Investigator 4, in Berkeley, MO. Job...This position is part of the Law and Global Compliance organization, and works with a shared purpose and… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …applicable laws, rules, regulations, policies and procedures. Adheres to the agency's corporate compliance program, including the code of business conduct, the ... Incident Management Investigator Specialist II Type of Position Full time...false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training at least annually. Fully… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …applicable laws, rules, regulations, policies and procedures. Adheres to the agency's corporate compliance program, including the code of business conduct, the ... Incident Management Investigator Specialist I Type of Position Full time...false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training at least annually. Fully… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …applicable laws, rules, regulations, policies and procedures. Adheres to the agency's corporate compliance program, including the code of business conduct, the ... Incident Management Investigator Type of Position Full time Search Location(s)...false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training at least annually. Fully… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case ... including, but not limited to provider contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding, inter-plan… more
- Dollar Tree (Los Angeles, CA)
- **Market Investigator ** **(Greater** **Los Angeles)** Your excellent investigating and problem-solving skills, along with your ability to support a designated market ... to help reduce shrink, make you a great fit for our Market Investigator position. Join our dynamic team today and _find a rewarding career with a company that values… more
- AIG (Atlanta, GA)
- …the way we help customers to manage risk. Join us as a Principal Claims Investigator to play your part in that transformation. It's an opportunity to grow your ... empathy and efficiency. How you will create an impact The Principal Claims Investigator is responsible for all aspects of the investigation process to include… more
- MVP Health Care (Tarrytown, NY)
- …investigation and reporting requirements including HIPAA, CMS, Medicare, Medicaid, and any corporate compliance initiatives or policies. + Minimal travel may be ... thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have… more
- Humana (Oklahoma City, OK)
- …first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of Investigators conducts ... line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity Officer,...and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities… more
- USAA (Dallas, TX)
- …us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). **This is a "Desk" position.** **Besides solid experience as an SIU ... Investigator within P&C, you will have strong underwriting skillset...fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and… more
- Micron Technology, Inc. (Manassas, VA)
- …Micron and RBA Code of Conduct compliance matters and audits, HR compliance , government required reports, corporate activities, and other duties as assigned. ... a globally minded professional to fill the Staff Employee Relations Advisor and Investigator role. The Staff Employee Relations Advisor and Investigator are… more
- Humana (Santa Fe, NM)
- …help us put health first** Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit. Do you enjoy ... an in-depth evaluation of variable factors. The Fraud and Waste Investigator collaborates in investigations with law enforcement authorities. Assembles evidence and… more
- AmeriHealth Caritas (Columbia, SC)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... AmeriHealth Caritas Family of Companies (ACFC). **Major Accountabilities:** + Ensures compliance with all requirements related to Special Investigation Units and… more
- Magellan Health Services (Boise, ID)
- …tasks with a high degree of autonomy. This individual serves as a corporate resource on fraud, waste and abuse issues and recommends cost containment projects ... or medical healthcare insurance experience in claims, clinical, auditing, compliance , provider networks, management, or project planning. Demonstrated abilities in… more
- Centene Corporation (Frankfort, KY)
- …Kentucky. Provides direction and guidance to staff who investigate and remediate compliance and fraud, waste, and abuse related matters; while maintaining an ... all assigned inquiries and complaints while meeting all regulatory, CMS, and WellCare Corporate guidelines in which special care is required to protect and enhance… more
- TruGreen (Nashville, TN)
- …various corporate projects and teams related to ethics and compliance initiatives. **Competencies** + **Accountability** - holding self and others accountable to ... of choice and "a great place to work!" **Position Overview** The Ethics Investigator supports a broad range of activities to enhance the Company's policies,… more
- Family Dollar (Fort Worth, TX)
- The Market Investigator is responsible for confirming that the market's stores operations and daily functions comply with Company programs and policies. Monitor and ... Loss Prevention and will interface frequently with Field Managers and Corporate Business Partners. Principal Duties & Responsibilities: + Conduct Monthly Stores… more
- Citizens (Pittsburgh, PA)
- Description Corporate Security and Resilience Investigator II position will lead investigations, including Internal investigations of a sensitive nature. ... laws. + Ensure clear knowledge and understanding of SAR Program compliance . Qualifications, Education, Certifications and/or Other Professional Credentials + Five… more
- SCI Shared Resources, LLC (Houston, TX)
- …quickly to new work structures, processes, requirements or cultures. Ensures compliance with local, state, and federal regulations. + Recommends efficiencies to ... felony criminal cases + At least three (3) years' corporate fraud and criminal investigations collaborating with local, state,...Logistics Job Location: US-TX - Houston Job Profile ID: C01015 Time Type: Full time Location Name: SCI Corporate … more
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