Senior Compliance Investigator
$105.7k - $234.5kUCLA Outpatient Clinics
Description Office of Compliance Services Support a high-impact compliance investigation function focused on integrity, risk mitigation, and regulatory accountability. The Senior Compliance Investigator leads and conducts compliance investigations involving potential regulatory concerns, including fraud, waste, abuse, and violations of federal and state regulations and UC and organizational policies. This role involves gathering and analyzing evidence, conducting interviews, preparing investigative reports, monitoring corrective actions, and partnering with stakeholders to strengthen compliance across the enterprise. In this role, you will: Lead and conduct complex compliance investigations of reported compliance concerns, involving fraud, waste, abuse, and policy violations. Gather, analyze, and evaluate evidence, including documents, data, and records, to support investigative findings. Conduct Interviews with employees, patients, and external parties, exercising professionalism and discretion in sensitive situations. Prepare clear, detailed investigative reports that outline findings, conclusions, and recommended corrective actions. Partner with Legal Affairs, Risk Management, Human Resources, and other stakeholders on investigation outcomes. Monitor and evaluate corrective actions to ensure effective resolution. Stay current with federal and state healthcare regulations, enforcement trends, and compliance best practices. Support the development and delivery of compliance training and education informed by investigation findings. Identify trends and emerging risks based on investigation findings and contribute to broader compliance risk assessments, as well as the enhancement of departmental investigative processes and tools. Maintain thorough, accurate, and confidential investigation records in compliance tracking systems and databases. Salary Range: The full salary range for this position is $105,700 to $234,500, with an anticipated hiring range between $115,000 to $165,000, depending on qualifications and experience. #J-18808-Ljbffr UCLA Outpatient Clinics
$115k - $165k
UCLA Outpatient Clinics is seeking a Senior Compliance Investigator in Los Angeles to lead complex compliance investigations regarding potential regulatory concerns. The role involves gathering and analyzing evidence, conducting interviews, and preparing comprehensive...Senior$115k - $165k
The University of California - Los Angeles Health is seeking a Senior Compliance Investigator to lead compliance investigations involving potential regulatory concerns. This role requires a minimum of seven years of relevant experience, strong analytical skills, and knowledge...Senior$115k - $165k
Direct Jobs is seeking a Senior Compliance Investigator in Los Angeles, California to lead complex investigations into compliance concerns, including fraud and policy violations. The role requires a bachelor's degree, at least seven years of relevant experience, and strong...Senior$105.7k - $234.5k
Description Office of Compliance Services Support a high-impact compliance investigation function focused on integrity, risk mitigation, and regulatory accountability. The Senior Compliance Investigator leads and conducts compliance investigations involving potential regulatory...SeniorWork at officeLocal area- ...associated with fraud impacting the bank and its customers. The investigator collaborates closely with banking, treasury, and operations... ...and/or law enforcement experience in fraud, operations, compliance, or BSA setting is required. Work Environment Standard office...SeniorWork experience placementWork at officeLocal area
- Insight Global is seeking a Senior Healthcare Claims Investigator in Los Angeles, California, to manage a high volume of claims for a leading healthcare... ..., while working closely with legal teams to ensure compliance. You will conduct interviews, gather evidence, and produce...Senior
$8,312 - $10,844 per month
The California Department of Insurance is seeking a Senior Insurance Examiner (Supervisor) to supervise and direct the work of insurance... ...examinations of complex insurance firms, ensuring regulatory compliance, and training field examiners in audit tasks. This permanent,...SeniorPermanent employmentFull time- Insight Global is seeking a Clinical Healthcare Fraud Investigator in Los Angeles to support high volume claims for a top healthcare client. This role involves conducting full-cycle investigations leveraging regulatory and clinical expertise, mentoring fellow investigators...Senior
$8.31k - $10.84k
...Code: JC-520501 Position #: (***) ***-****-007 Working Title: Senior Insurance Examiner (Supervisor) Classification: SENIOR INSURANCE... ...00) within 30 days of appointment and annually thereafter. Non‑compliance may result in voiding of the appointment, financial penalties,...SeniorPermanent employmentFull timeRemote work$33 - $45 per hour
...Manager is responsible for monitoring transactions, detecting, investigating, and mitigating suspicious activity typically focusing on... ...cases, investigations, and resolution steps in accordance with compliance and organizational protocols. Communicate with members regarding...SeniorHourly payFull timeLocal areaFlexible hoursF&A Credit Union
Monterey Park, CA2 days ago$85k - $100k
A mid-sized personal injury law firm in Los Angeles is seeking an experienced Private Investigator to conduct thorough investigations and support legal teams. This role requires an active PI License, strong attention to detail, and two years of investigative experience...Senior- TransPerfect in Los Angeles is seeking a Senior Digital Forensic Examiner responsible for forensic preservation of digital media and cloud systems. The role includes managing electronic evidence, utilizing standards forensic software, and mentoring junior practitioners...Senior
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- ...the Bank Secrecy Act. Develops, implements, and manages the investigation of SARWs and related fraudulent activity. Prioritize focus toward... ...levels of risk to the company. Analyzes and evaluates compliance risks and recommends changes to policies and procedures. Makes...Senior
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- Overview The Senior Digital Forensic Examiner is responsible for the forensic preservation of digital media devices and cloud-based... ...detail‑oriented client deliverables Excellent analytical and investigative skills Excellent written and oral communication skills Highly...SeniorWork at office
$89.24k - $123.59k
A municipal agency in Los Angeles seeks an Environmental Compliance Inspector to monitor and investigate environmental compliance. Key responsibilities include field tests of harmful materials, inspecting construction and commercial facilities, and enforcing regulations...- ...Job Description Job Description Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support... ...: - Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3. - Relevant...Full timeWork experience placementWork at officeLocal area
Contact Government Services, LLC
Los Angeles, CAa month ago - Fraud Investigator - Responsibilities A fraud investigator is responsible for detecting fraudulent activities, gathering evidence, and... ...Advice: If needed, consult a legal expert for contract review and compliance guidance. Assessing Effectiveness Once a fraud investigator...Contract workLocal area
- Job Description We’re looking for a Clinical Healthcare Fraud Investigator to support a high volume of claims for a leading healthcare... ...unbundling, billing fraud) Experience working within regulatory and compliance frameworks (CMS, Medi-Cal/Medicare) Proficiency in Excel and...
- Forensic Accountant - Senior Forensic Accountant Forensic Accountant - Forensic Senior Accountant Family Law Job Description Seeking... ...family law accounting professional. Responsibilities: Perform investigative accounting and discovery tasks Document and prepare basic...Senior
- ...Manufacturing Assurance Specialist in Los Angeles, CA, to ensure compliance and effective resolution of operational deviations. This role involves collaborating with various departments, conducting investigations, and adhering to FDA regulations. The ideal candidate...
$168k - $240k
...impactful work and the evolution of Slalom. The Role: M&A Principal/Senior Principal The Role: M&A Principal/Senior Principal What You’ll... ...at any time. We are committed to pay transparency and compliance with applicable laws. If you have questions or concerns about the...SeniorTemporary workWork at officeLocal area$95k - $125k
UCLA Outpatient Clinics is seeking a Compliance Analyst to support their comprehensive compliance program. You will conduct and support compliance investigations, review documents to identify risks, and provide guidance on regulatory matters. This role includes preparing...$95k - $125k
The University of California - Los Angeles Health seeks a Compliance Analyst to support its compliance program. This role involves conducting compliance investigations, preparing reports, and advising on regulatory matters. Qualifications include a Bachelor's degree, CHC...- A specialized investigative organization is seeking a remote SIU Investigator to conduct detailed investigations of insurance claims in... ...regulatory agencies, preparing necessary reports, and ensuring compliance with state laws. Candidates should possess a college degree...Remote jobWork at office
- An established nonprofit organization is seeking a skilled SR. Payroll Processor to manage payroll systems and ensure compliance with wage laws. This role offers the opportunity to work closely with departmental and executive personnel, providing guidance on labor compliance...Senior
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- ...About the job Senior Manager Regulatory Affairs Senior Manager Regulatory Affairs A well-known large consumer products... ...during the development life cycle and launch Ensure compliances with policies and product regulations Ensure compliances with...Senior
Workforce Solutions Virens Global
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