- Elevance Health (Washington, DC)
- **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal ... **Hybrid Workplace Strategy:** 1-2 days in office per week The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may… more
- TEKsystems (Bethesda, MD)
- Description The Fraud Investigator develops and conducts fraud investigations and assists with physical security matters. Monitors and reports on fraud ... Federal and state laws. Requires direct and productive interaction with the Fraud Investigations Manager, BSO, clients, and other fraud /bank security personnel… more
- ASM Research, An Accenture Federal Services Company (Washington, DC)
- As a Tier 1 Fraud Investigator , you will be joining our Converge Operations Team to be on the front lines protecting the retirement accounts of federal employees ... our clients and our firm. Further, as the Technical Investigator , you will be responsible for addressing all ...Investigator , you will be responsible for addressing all fraud related technical matters, including data analytics and communicating… more
- Amazon (Arlington, VA)
- …a data-driven, highly motivated, eager to identify threat actors, and organized Investigator of Corporate Fraud Prevention. The selected individual will support ... investigations within Vendor & Transaction Accuracy's (VITA), Corporate Fraud program. The team is responsible for detecting and preventing fraudulent payments to… more
- Amazon (Arlington, VA)
- …a data-driven, highly motivated, eager to identify threat actors, and organized Investigator of Corporate Fraud Prevention. The selected individual will support ... investigations within Vendor & Transaction Accuracy's (VITA), Corporate Fraud program. The team is responsible for detecting and preventing fraudulent payments to… more
- Allied Universal (Fairfax, VA)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with red… more
- Humana (Washington, DC)
- …experience + CFE (Certified Fraud Examiner) or AHFI (Accredited Healthcare Fraud Investigator ) **Additional Information** + Benefits starting day 1 of ... of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The… more
- Allied Universal (Fairfax, VA)
- …today! Allied Universal(R) is hiring an **_SIU Investigator_** _._ The Investigator 's primary focus is to independently conduct expert investigations, handle complex ... fraud referrals and complete fraud reviews. The...training + Career paths built for advancement for every investigator + Dedicated Field Leadership department for maximum communication,… more
- ManTech (Herndon, VA)
- ManTech is seeking a Senior Investigator to lead investigations of alleged or suspected potential non-compliances with law, regulation, contract, or company ... policies. This role requires a highly experienced investigator who can work independently, plan, lead, and execute investigations, and contribute to control… more
- Office of Inspector General (Washington, DC)
- Summary This office works within DOT to detect and prevent waste, fraud and abuse in departmental programs. The OIG reports to the Secretary and Congress and carries ... for planning, directing and conducting complex investigations of suspected fraud , waste, and abuse, and mismanagement in programs of...have in the past worked as a GS-1811 Criminal Investigator in a federal OIG office must clearly demonstrate… more
- US Coast Guard (Washington, DC)
- Summary This vacancy is for a GS-1811-14, Supervisory Criminal Investigator located in the Department of Homeland Security, US Coast Guard, CGIS OPERATIONS DIVISION ... Responsibilities In this position you will serve as a Supervisory Criminal Investigator (Division Chief of Economic Crimes) conducting and supervising the conduct of… more
- US Agency for International Development (Washington, DC)
- …submit your application package. OIG is responsible for preventing and detecting fraud , waste, abuse, and violations of law, and for promoting economy, efficiency, ... and Millennium Challenge Corporation (MCC). Responsibilities As a GS-13 Criminal Investigator you will: Conduct complex and large-scale criminal, civil, and… more
- US Agency for International Development (Washington, DC)
- Summary OIG is responsible for preventing and detecting fraud , waste, abuse, and violations of law, and for promoting economy, efficiency, and effectiveness of USAID ... appointment. Applicants that have no prior series 1811 criminal investigator experience must meet the maximum age for entry...with 20 years of service as an 1811 criminal investigator . Hiring exceptions may be made for certain eligible… more
- Office of the Director of National Intelligence (Reston, VA)
- …and conduct inquiries into possible violations of laws, rules and regulations, mismanagement, fraud , gross waste of funds, and abuse of authority within the Office ... are designed to prevent and detect violations of laws, rules and regulations and fraud and abuse. Guide the development and presentation of briefings that keep the… more
- Office of the Director of National Intelligence (Reston, VA)
- …and conduct inquiries into possible violations of laws, rules and regulations, mismanagement, fraud , gross waste of funds, and abuse of authority within the Office ... are designed to prevent and detect violations of laws, rules and regulations and fraud and abuse. Guide the development and presentation of briefings that keep the… more
- Elevance Health (Washington, DC)
- ** Investigator Assistant** **Supports the Payment Integrity line of business** _Location:_ Alternate locations may be considered. This position will work in a hybrid ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Assistant** is responsible for providing administrative support to the… more
- EFI Global (Washington, DC)
- …decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global ... **Minimum certification requirement for consideration, Certified Fire & Explosion Investigator (CFEI).** **IAAI Certified Fire Investigator (IAAI-CFI)… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Experience:** 3 + years of related experience **Job Description:** **Marketplace Investigator ** **The Affordable Care Act (ACA) requires every state to establish ... CMS; and recommend referrals to law enforcement if potential fraud and abuse is identified.** **HOW YOU WILL MAKE...as needed.** **Prioritize, evaluate, and analyze information for potential fraud , waste, and abuse (FWA) using data related to… more
- Parsons Corporation (Springfield, VA)
- …**Responsibilities include, but are not limited to** **:** + Investigate complaints of fraud , waste and abuse, data spills, and network penetrations. + Respond to ... incidents or violations involving computers and cyber security. + Evaluate system and program security vulnerabilities; develop procedures and countermeasures that protect operations. + Incorporate all security disciplines; recommend and develop requirements,… more
- V2X (Springfield, VA)
- …upon contract award. Responsibilities + Investigates suspected instances of waste, fraud and abuse; data spills; and, network penetrations of the customer's ... information systems. + Investigates and eradicates computer viruses and malicious code. + Provide computer incident and violation response support, and cyber security awareness and training. + Participates in technical meetings and working groups to address… more