Full-Time Senior Investigator jobs

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SENIOR INVESTIGATOR

Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for independently iden...

CompanyElevance Health
AddressNew York, NY
CategoryInformation Technology
Job typeFull-Time
Date Posted a week ago See detail

Senior Investigator

Elevance Health

New York, NY

Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for independently iden...

Senior Investigator

Unitedhealth Group

Austin, TX

Investigatemedium to highly complex cases of fraud, waste and abuse. Detect fraudulent activity by members, providers, employees and other parties against the Company. Develop and deploy the most effective and efficient investiga...

Senior Investigator, Title IX and Student Conduct

College Of The Canyons

Valencia, CA

As a leader, demonstrates a commitment to student success that is mission-aligned with the Districts vision, values and priorities. Establishes an ethical and collegial work environment, promoting a collaborative, accountable and...

Senior Investigator - Remote in North Carolina - Now Hiring

Unitedhealthcare

Charlotte, NC

Investigate medium to highly complex cases of fraud, waste, and abuse. Detect fraudulent activity by members, providers, employees and other parties against the Company. Develop and deploy the most effective and efficient investig...

Senior Investigator

Unitedhealthcare

Lansing, MI

$53.1K - $67.2K a year

Investigate medium to highly complex cases of fraud, waste, and abuse. Detect fraudulent activity by members, providers, employees and other parties against the Company. Develop and deploy the most effective and efficient investig...

Financial Crimes Senior Investigator (US)

Td Bank

Connecticut, United States

$33 - $54 an hour

Investigates criminal cases ranging from simple to complex in nature. Sound knowledge of Bank products, systems, policies and procedures Strong knowledge of criminal investigative techniques, related laws governing collection of e...

Senior Investigator and Employee Concerns Program Manager

Pacific Northwest National Laboratory

United States

$129K - $163K a year

Research Associates excluded. Manage, execute, and maintain the requirements, processes, procedures, tools and resources to assure a compliant ECP. Apply knowledge of DOE ECP requirements, as well as PNNL company policies and proc...

Senior Investigator

Unitedhealthcare

Baton Rouge, LA

$60.7K - $76.9K a year

Investigate medium to highly complex cases of fraud, waste and abuse. Detect fraudulent activity by members, providers, employees and other parties against the Company. Develop and deploy the most effective and efficient investiga...

Senior Manager Major Financial Crime Investigations

Hsbc

Washington, United States

Coordinate and manage several complex projects Support and embed change initiatives, identifying and developing new or improved delivery mechanisms Independently perform assignments to achieve stated objective. Determine and devel...

Senior Risk Investigator - KYC

Mercury

United States

Partner cross-functionally with Compliance, Legal, Product, Risk Strategy and additional groups to enhance Mercurys ongoing due diligence program and drive efficiency using data and technology. Contribute to the development of Qu...

Senior Family Services Specialist - CPS Investigations

Chesterfield County

Chesterfield, VA

Excellent oral and written communication skills to include the ability to interact with a diverse population. Outstanding public speaking and presentation skills, especially for court interventions. Assertive and confident - espec...

Investigator – Forensic Accountant Specialist/Senior Associate

Inter-American Development Bank

United States

Supporting OIIs preventive function by providing expert advice and forensic assistance in response to consultations and other integrity risk management efforts to units across the IDB Group, including its regional offices. This i...

Investigator – Forensic Accountant Specialist/Senior Associate

Inter-American Development Bank

Washington, United States

Supporting OIIs investigations function by providing forensic expertise, including forensic audits, in connection with investigations of potential prohibited practices in projects financed by the IDB Group.. Supporting OIIs prev...

Senior Consultant - Fire & Explosion Investigator

Engle Martin

Fremont, CA

Is Passionate. You have a genuine passion to problem solve. Is motivated and cultivates innovation. You're driven to be the very best. You challenge yourself to grow and learn every day and are encouraged by other team members. Is...

Senior Hospital Care Investigator

Nyc Health And Hospitals/At Home

New York, NY

Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Work Shifts To...

Senior Rackets Investigator

Nyc Careers

New York, United States

$79,519 - $83,382 a year

Agency: DISTRICT ATTORNEY-MANHATTAN Job type: Full-time Title Classification: No exam required Developing cases based on tips and leads referred to WPU by other agencies, community groups, and hotline complaints. Contact and inter...

Senior Global Financial Crimes Investigator

Bank Of America

Chicago, IL

At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teamm...

Senior Human Performance Investigator, GS-1801-14 (Direct Hire)

Us National Transportation Safety Board

Washington, DC

$139,395 - $181,216 a year

U.S. Citizenship. Males born after 12/31/59 must be registered for Selective Service. Resume and supporting documents (see "How to Apply" section.). Suitability for Federal employment. Financial Interest in transportation enterpri...

Senior Corporate Investigator

Equifax

Missouri, United States

$77.1K - $97.7K a year

Complete detailed, concise written reporting through case management system Preparation and analysis of monthly metrics for leadership In-person and remote interviews with persons of interest and witnesses Mentor and develop other...

Senior Field Security Investigator

Geico

Florida, United States

Must be able to obtain and maintain a valid drivers license, certifications and permits in accordance with state and federal regulations, and company and departmental standards Must be able to lift and carry materials and equipme...

Senior Program Consultant (Background Investigations)

Mayvin Inc

Arlington, VA

$128,000 - $138,000 a year

Conduct internal reviews to detect case-level and systemic problems within the personnel vetting program. Review policy and recommend operational decision-making using performance data, trend analysis, and continuous improvement....

Senior Criminal Investigator (Polygraph Examiner)

Justice, Office Of The Inspector General

New York, NY

You must be a graduate of the National Center for Credibility Assessment's (NCAA) Psychophysiological Detection of Deception Program or one of its predecessors (e.g., Department of Defense Polygraph Institute, U.S. Army Military P...

Senior Manager - Sanctions Investigations

Mercury

United States

Lead a team of talented sanctions investigators, responsible for creating operational procedures, refining hits and conducting accounts and transactions investigations for sanctions, PEP and adverse media.. Mentor, coach and su...

Senior Field Security Investigator

Geico

Washington, DC

Must be able to obtain and maintain a valid drivers license, certifications and permits in accordance with state and federal regulations, and company and departmental standards Must be able to lift and carry materials and equipme...

Senior Special Investigations Retail Auditor

Bmw

United States

$91,490 - $134,544 a year

Complete audits from data development/analysis to audit settlement. Conduct fair, ethical, transparent, and comprehensible audits/reviews. A Retail Auditor believes high ethical standards are the basis to support dealers in conduc...

Special Investigation Unit, Senior Investigator (Pharmacy)

Cvs Health

Hartford, CT

We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordab...

Associate Director/Senior Research Investigator/Research Investigator, PBPK

Bristol-Myers Squibb

Sacramento, CA

in appropriate field with significantly more experience may be consideredExcellent understanding of the theory and principles in pharmacokinetics and pharmacodynamics, drug metabolism and transportersUnderstanding of the theory, p...

Senior Aviation Accident Investigator

U.s. Army Aviation And Missile Command

Corpus Christi, TX

Career transition (CTAP, ICTAP, RPL)Federal employees who meet the definition of a "surplus" or "displaced" employee. Federal employees - Competitive serviceCurrent or former competitive service federal employees. Land & base mana...

Senior AML Analyst, Investigations

Circle

Chicago, IL

Conducting comprehensive investigations of potentially suspicious activities such as money laundering, terrorist financing, fraud, sanctions violations, etc. and determining required action. Drafting and filing SARs to enforcement...

Senior AML Analyst, Investigations

Circle

Phoenix, AZ

Conducting comprehensive investigations of potentially suspicious activities such as money laundering, terrorist financing, fraud, sanctions violations, etc. and determining required action. Drafting and filing SARs to enforcement...