Senior ACE Investigator - Federal Fraud & Compliance
CGS Federal (Contact Government Services)
A government services provider based in New York is seeking an experienced ACE Investigator to assist with federal fraud investigations. This role requires extensive knowledge of investigative techniques, analytical skills, and proficiency with various databases. The ideal candidate will support the investigation of fraud in healthcare, contracting, and grants. Competitive benefits are offered, including health insurance, retirement plans, and professional development opportunities. #J-18808-Ljbffr CGS Federal (Contact Government Services)
- ...A leading healthcare organization in New York is seeking an experienced Fraud Investigator to conduct complex investigations of reported fraud. The ideal candidate will maintain regulatory agency relationships and provide guidance to the Fraud Investigators. They should...SeniorFraud
- ...Experienced Department: Legal Services CGS is seeking an experienced ACE Investigator with extensive knowledge and skills in investigative techniques and fraud detection to provide assistance for a large Federal agency initiative. CGS brings motivated, highly skilled, and...FraudFull timeWork at officeLocal areaFlexible hours
$84k - $105k
...Fraud Risk Management Analyst At Early Warning, we've powered and protected the U.S. financial system for over thirty years with cutting... ...and affirmative action, in accordance with all applicable federal, state, and municipal laws. The company also prohibits discrimination...SeniorFraudHourly payWork at officeImmediate startVisa sponsorshipWork visaFlexible hours$187k - $253k
...are seeking a brilliant and passionate Senior Staff Analyst for Fraud Policy to be a key player in... ...minimizing fraud losses and maintaining compliance with applicable regulations. Responsibilities Fraud Detection & Investigation Monitor alerts and analyze real-time...SeniorFraudRemote work$46.99k - $122.4k
...provider groups in a prepayment environment Investigates to prevent payment of fraudulent claims... ...recovery of company lost as a result of fraud matters. Assists team in identifying... ...on investigations. Cooperates with federal, state, and local law enforcement agencies...SeniorFraudHourly payFull timeTemporary workLocal area$79.52k
...Worker Protection Unit Position Title: Senior Rackets Investigator Civil Service Title: Senior Rackets... ...Protection Unit (WPU) and its Construction Fraud Task Force. This unit investigates... ...and partners with city, state, and federal agencies to make cases that have industry...SeniorFraudFull timeTemporary workFor contractorsWork at officeMonday to FridayFlexible hoursShift work$90.23k - $110.28k
...with CMS requirements and the Federal Sentencing Guidelines with... ...Perform routine and advanced FWA investigations, utilizing advanced... ...identify and monitor current compliance and trending of all FWA matters... ...year experience focused on fraud, waste, and abuse CPC (Certified...SeniorFraudWork at officeWork from homeFlexible hours$60.2k - $107.4k
Senior Investigator Pharmacy At UnitedHealthcare, we're simplifying the health care experience... ...and prevention of healthcare fraud, waste and abuse. The investigator... ...waste and abuse referrals Ensure compliance with applicable federal/state regulations or contractual...SeniorFraudFull timeTemporary workWork experience placementLocal areaRemote work$94k - $110k
...The Financial Crimes Investigations team protects Robinhood... ...partners closely with Compliance, Legal, Product, Risk,... ...customer trust. As a Senior Crypto AML Investigator... ...financial crime typologies, fraud, sanctions exposure,... ...help us comply with federal and state Equal...SeniorFraudWork at officeFlexible hoursShift work3 days per week$26 - $30 per hour
Overview Investigator - Network Services Manhattan, NY area Immediate... ...processing. Coordinate with state, federal, or local law enforcement... ..., ensuring accuracy and compliance. Must have flexibility to work... ...Claims Investigation, Counter-Fraud Programs, Desktop...FraudHourly payFull timeH1bH2bLocal areaImmediate startWorldwideFlexible hoursNight shift$70k - $90k
...Cotiviti is seeking a Senior Investigator to support the post-pay Fraud Waste & Abuse team. In this role, you will analyze incidents of fraud, manage investigations, and interact with various stakeholders. A Bachelor’s Degree along with 5-8 years of investigative experience...SeniorFraudRemote work$70k - $90k
...A leading healthcare analytics firm is seeking a Senior Investigator to investigate incidents of healthcare fraud, waste, and abuse through data analysis. This remote position requires a Bachelor's degree, 5-8 years of experience in healthcare FWA investigations, and...SeniorFraudRemote work- ...Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government... ...and by assisting in HCF training for federal, state and local agencies, preparing... ...Healthcare Fraud experience including compliance, auditing duties, and other duties in...FraudFull timeWork experience placementWork at officeLocal area
- ...Summary of Job Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare products. Develop and maintain relationships with law enforcement (HHS-OIG, FBI, DOJ), regulatory agencies (DFS, MEDIC, OMIG, MFCU) and with industry peers...SeniorFraudWork experience placementRemote work
- ...Senior Investigator The NYS DOCCS Office of Special Investigations (OSI) is seeking qualified candidates for consideration to serve as a Senior... ...; various forms of harassment or other misconduct; theft and fraud; and escape plots. The Criminal Investigations Division (CID)...SeniorFraudWork at office
- The Office of the NYS Comptroller Thomas P. DiNapoli is seeking an Investigator to direct and conduct confidential investigations regarding fraud, waste, and abuse. Candidates should possess at least 8 years of experience as a Police or Peace Officer and significant experience...SeniorFraudWork at officeRemote work
$60.2k - $107.4k
A leading health care organization is looking for a Senior Investigator Pharmacy to tackle healthcare fraud, waste, and abuse. The role includes investigating complex cases and preparing detailed reports based on findings. Candidates must have a Bachelor's or Associate'...SeniorFraud$70k - $90k
...Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with... ...Forensic Interviewer (CFI) Certified in Healthcare Compliance (CHC) Job Demands This is a work-at-home...SeniorFraudWork experience placementWork at officeWork from home$84k - $105k
...role is accountable for analyzing, creating, and deploying rules, scores, and decision‑making logic from both internal and external fraud‑risk models and applications, and for ensuring an optimal balance of risk, expense, and customer experience across the payment network...SeniorFraudWork at officeVisa sponsorshipWork visaFlexible hours$79.52k
A government law enforcement agency in New York seeks a Senior Rackets Investigator for its Worker Protection Unit. The role involves conducting investigations into worker exploitation, collaborating with community groups, and preparing reports. Candidates must have relevant...SeniorFraud$46.99k - $122.4k
CVS Health is seeking an experienced professional for a full-time role in health care fraud investigations in United States, Kentucky. The position requires a minimum of 3 years of experience in related fields and knowledge of health care coding systems. This role offers...SeniorFraudFull time- CVS Health in Pennsylvania is seeking a skilled professional to manage complex cases involving health care fraud. The candidate will investigate claims, collaborate with law enforcement, and ensure adherence to health care regulations. Interested individuals must hold a...SeniorFraudFull timeWork at office
- ...Summary: The KYC Operations Senior Analyst (BSA/AML) plays a... ...requirements and internal compliance standards. The ideal... ...steps. Partner with AML Investigations, Fraud, and Compliance teams to ensure... ...) About Community Federal Savings Bank (CFSB) Community...SeniorFraudRemote work2 days per week
- A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...SeniorFraud
- CVS Health is seeking a qualified professional to manage health care fraud investigations. This role requires expertise in CPT/HCPCS/ICD coding and 3 years of experience in fraud investigations. You will investigate cases, document findings, and participate in legal proceedings...SeniorFraudFull time
- HRA/DEPT OF SOCIAL SERVICES in New York is seeking a Fraud Investigator II to conduct detailed investigations of IDNYC applicants' documents. This role requires a four-year high school diploma and three years of experience in investigations involving criminal activities...SeniorFraudFlexible hoursAfternoon shift
- ...RELX INC is seeking a Senior Fraud Analyst responsible for providing investigative and analytical support to clients. This role involves analyzing data, developing methodologies to assess risk, and utilizing SQL and programming skills. A Bachelor's degree and 5+ years...SeniorFraudRemote work
$74.44k
...Queens County District Attorney (QDA) is seeking candidates for Senior Rackets Investigator positions within QDA's Detective Investigator Squad, which... ..., domestic violence, gangs, public integrity, governmental fraud, revenue crimes, cyber crimes, white collar crimes,...SeniorFraudFull timeWork at office$155k - $185k
...verifying 100% of good identities in real time and stopping fraud before it starts. The mission is big, the problems... ...for itself — keep reading. About The Role The Senior Solution Consultant, Public Sector - Federal is the primary technical point‑of‑contact throughout...SeniorFraudWork experience placementRemote work- Responsibilities Conducts investigations into allegations of fraud, waste, or abuse, including preliminary assessments and full end-to-end case work. Reviews and analyzes medical records, claims data, enrollment data, and other documentation to evaluate potential FWA...SeniorFraudWork at office
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