Field Investigator: Fraud & Compliance (Hybrid)
California Department of Health Care Services
California Department of Health Care Services is seeking an Investigator to conduct comprehensive investigations into fraud affecting Medi-Cal and related programs. The role emphasizes field-based work across California, with peace officer responsibilities during investigations and compliance with departmental policies. Responsibilities include collecting evidence, analyzing facts, and delivering actionable recommendations. #J-18808-Ljbffr California Department of Health Care Services
$91.2k - $160.45k
...on fighting various forms of fraud and abuse within the TikTok Shop... ...you will be responsible for investigating, analyzing, and deep diving... ...policies to ensure accuracy and compliance. Dive into the business and... ...company is shifting from a hybrid work model to a fully in‑person...FraudTemporary workLocal areaShift work- Investigator (Hybrid) California Department of Health Care Services (DHCS) seeks an Investigator to... ...criminal and civil investigations into fraud and misconduct against the California Medical... ...Section 830.3(h) and typically work field‑based assignments, spending at least 90...FraudWork at officeRemote work
- ...California. In this role, you will litigate complex securities fraud matters aimed at achieving market transparency and corporate governance... ...experience in securities litigation. This position offers a hybrid work environment and the opportunity to work on high-profile...Fraud
- ...Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support... ..., project management, or other related field. Minimum three (3) years of... ...Healthcare Fraud experience including compliance, auditing duties, and other duties in Section...FraudFull timeWork experience placementWork at officeLocal area
$135k - $145k
...regulatory requirements. In this hybrid role, you’ll split your time... ...Operations, Finance, and Compliance to align enrollment with program... ...disciplines and levels. You are field-ready when needed: You have a... ...employment. Beware of Scams and Fraud Please beware of scams that...FraudTemporary workPart timeWork at officeLocal areaRemote workMonday to FridayFlexible hours- ...part of The Allstate Corporation, is seeking an experienced SIU Field Investigator to join our Special Investigations Unit in New York. This... ...Brooklyn, Queens, or surrounding areas, and involves complex fraud investigations and extensive data collection. You will conduct...Fraud
- National General Holdings Corp. is seeking a Field SIU Investigator to lead complex fraud investigations across Los Angeles County and the Southern California region. You will conduct surveillance, witness interviews, analyze evidence, and determine fraud exposure, shaping...FraudRemote job
- A leading insurance claims investigative firm is seeking an Experienced Field Investigator to conduct surveillance and investigative activities. Responsibilities include performing both stationary and mobile surveillance, obtaining photographic evidence, and preparing...FraudNight shift
$102.18k - $163.49k
L.A. Care Health Plan is seeking a Manager for the Special Investigations Unit. This role involves overseeing fraud investigations and managing a team to ensure operational efficiency and compliance. The ideal candidate will have at least 5 years of experience in fraud...FraudFull timeContract work- ...seeking a Workers' Compensation Claims Examiner III for a hybrid role based in Glendale, CA or Orange, CA. The position... ...with medical case managers, and pursue subrogation and fraud referrals while ensuring compliance with state statutes and client contracts. #J-18808-...Fraud
- Ethos Risk Services is seeking entry-level field investigators in Los Angeles to launch a career in fraud investigation and covert surveillance. You will participate in a fully paid training program followed by on-the-job instruction, earning while you learn and gaining...FraudFull timeTraineeship
- ...Description This job is responsible for investigating and analyzing complex, multi-discipline... ...investigation unit (SIU) for potential fraud. This role typically handles a combination... ...is currently seeking an experienced SIU Field Investigator to join our Special Investigations...Fraud
- TikTok USDS Joint Venture LLC is seeking an Anti-Fraud Analyst to investigate fraudulent activity on the TikTok Shop platform and to build automated detection rules. You will work cross-functionally to strengthen policies and product defenses and track key fraud metrics...Fraud
- Argo Group in Los Angeles is seeking a qualified SIU Analyst to support our investigative teams across Argo and Farm Family. This 100% in-office role reports to the Director, SIU & Compliance in Richmond, VA and can be filled in multiple offices including Los Angeles. Key...FraudWork at office
$29 - $35 per hour
First Entertainment Credit Union is seeking a Fraud Prevention Associate to support day-to-day fraud... ..., and escalating concerns per procedures. This hybrid role sits in Hollywood, CA, reporting to the Fraud & Investigations Manager, with a target pay of $29-$35/hour in California...Fraud- OneAZ Credit Union is seeking a Fraud Analyst to join our Corporate Office team in Phoenix. The role focuses on identifying... ...include case file maintenance, collaboration with Investigators and Compliance, and training teammates on fraud prevention best practices...FraudWork at office
$29 - $35 per hour
First Entertainment Credit Union is seeking a Fraud Prevention Associate to support daily fraud prevention tasks, review alerts, examine... ...comfortable using multiple fraud monitoring platforms, with a hybrid work arrangement based in Hollywood, CA. The targeted pay ranges...FraudHourly pay$105.7k - $234.5k
Description Office of Compliance Services Support a high-impact compliance investigation function focused on integrity, risk mitigation, and regulatory accountability... ...potential regulatory concerns, including fraud, waste, abuse, and violations of federal and state...FraudWork at office- RGP is seeking an experienced SIU Clinical Investigator / Healthcare Compliance Professional to support a growing Special Investigations Unit. You will... ...reviews of medical records to identify potential fraud, waste, abuse, and billing irregularities, serving as a...Fraud
- ...Angeles is seeking an Information Security Analyst for a 12+ month hybrid contract. In this hands-on role, you will work within the... ...and experience along with strong analytical skills, especially in risk management and compliance frameworks. #J-18808-Ljbffr iSpace, Inc.Contract work
$56.82k - $71.03k
...Peak Rd, Phoenix, AZ 85027 The Fraud Analyst is responsible for... ...fraud and transaction risk, and investigating cases of external fraud... ...meetings, assists Investigators, Compliance and Risk Management team with... ...justice, business or a related field. Preferred 3 to 5 years of...FraudWork at office$105.7k - $234.5k
Description Office of Compliance Services Support a high-impact compliance investigation function focused on integrity, risk mitigation, and regulatory accountability... ...potential regulatory concerns, including fraud, waste, abuse, and violations of federal and state...FraudWork at officeLocal area$74k - $86k
...Information Security team where you'll investigate insider threats, analyze security events... ...questions, contact ****@*****.***.Hybrid (4 days onsite / 1 day remote) - Temple... ...involving unauthorized access, data loss, fraud, or other insider risk activities while...FraudLocal areaRemote workVisa sponsorship$72k - $141k
...position enjoys a flexible, hybrid work schedule from one of the... ...policy coverage, conduct investigations, develop and employ resolution... ...opportunities or potential fraud occurrences by evaluating the... ...matter expertise and ensures compliance with state/local regulatory...FraudFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work$22.5 - $26 per hour
...posted here as they become available. Area Investigator Asset Protection Reports To: District... .... The compensation range provided is in compliance with state-specific laws. Factors that may... ...to shrink, policy violations, fraud, internal/external investigations and asset...FraudHourly payLocal areaFlexible hoursShift workNight shiftWeekend work$30 - $38 per hour
...Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation... ...knowledge of Insurance policies and the components of fraud to determine if claims warrant reporting to the appropriate...Fraud- ...The Fraud Analyst is responsible for identifying, investigating, preventing, and mitigating fraudulent activity affecting the... ...-related issues while ensuring compliance with applicable regulations and... ..., Risk Management, or a related field preferred. One to two years of...FraudFull timeWork at officeLocal area
- ...operational information, and compliance with regulatory... ...effort, inefficiencies, fraud or non- compliance... ...Engineering, or a related field.Professional Engineer... ...’s work mode is hybrid. The employee will report... ...Assessment (PRA) or Background Investigation. Once hired, the...FraudRemote work
$157.5k - $283.5k
...this position is Pasadena, California, with hybrid work flexibility. Alternate California... ...Civil Engineering, Geography, or a related field.20+ years of progressively responsible... ...practices. To learn more about recruitment fraud and how to report it, please refer to ....FraudFull timeWork at officeLocal areaRemote workFlexible hours$134.1k - $241.4k
...is Pasadena, California, with hybrid work flexibility. Alternate California... ..., Geography, or a related field.15+ years of progressively... ..., quality, risk, and contract compliance.Support business development activities... ...learn more about recruitment fraud and how to report it, please...FraudFull timeContract workWork at officeLocal areaRemote workFlexible hours
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