Senior Investigator, Fraud & Abuse — Special Investigations
CVS Health
CVS Health is seeking a Fraud Investigator based in Annapolis, Maryland, to conduct detailed analysis on Pharmacy and Prescriber behavior to prevent fraud. The role requires 3-5 years of investigative experience and knowledge of Pharmacy terminology. Key responsibilities include collaborating with Pharmacy Benefit Managers and investigating payments related to fraud. Candidates should possess a Bachelor’s degree in Criminal Justice or equivalent experience. The position offers full-time employment with competitive pay and comprehensive benefits. #J-18808-Ljbffr CVS Health
$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... ...and prosecution of healthcare fraud and abuse matters. Demonstrates high level of...SeniorFraudHourly payFull timeTemporary workLocal area$46.99k - $112.2k
...Conducts high level, complex analysis of Pharmacy and Prescriber behavior to effectively pursue the prevention, investigation and prosecution of Fraud Waste and Abuse. Collaboration with Pharmacy Benefit Manager, providing meaningful evidence of Fraud, Waste and Abuse to...SeniorFraudHourly payFull timeTemporary workWork at officeLocal area- Ruchman and Associates, Inc. is seeking a highly motivated ACE investigator to support civil fraud investigations for the U.S. attorney's office. The role involves conducting independent investigations and analyzing complex datasets related to fraud in government programs...SeniorFraudWork at office
$46.99k - $122.4k
CVS Health in the United States is looking for a dedicated professional to manage complex health care fraud investigations. This full-time role involves preventing fraudulent claims, preparing cases for review, and cooperating with law enforcement. Applicants should have...SeniorFraudFull time- ...currently seeking a highly skilled Senior Financial Investigator (SFI) with white‑collar criminal fraud experience to support... ...priorities involving fraud, waste, and abuse. As an SFI, you will provide... ...of five (5) years in a specialized area of expertise such as Forfeiture...SeniorFraudTemporary workLocal areaRemote workLong distance
- ...experienced affirmative civil enforcement (ACE) investigator to support the U.S. attorney's office in the northern Indiana district in civil fraud investigations and litigation efforts.... ...taxpayer funds lost through fraud and abuse in federal programs and contracts,...FraudFull timeInterim roleWork at office
- ...Overview Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time, Experienced... ...ongoing civil actions involving fraud in areas such as healthcare, contracting... ...and grants, as well as other fraud and abuse of federal public funds and programs. Regularly...FraudFull timeWork at officeLocal areaFlexible hours
- ...Naval Intelligence Activity in Maryland is seeking a Lead/Senior Investigator to manage programs and conduct thorough investigations into... ...management. Applicants should have a minimum of one year of specialized experience at the GG/GS-13 level or equivalent, and possess...Senior
- ...claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills... ...resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to...FraudWork experience placement
- CGS Federal (Contact Government Services) in Maryland seeks a skilled Affirmative Civil Enforcement (ACE) Investigator. You will support fraud investigations involving federal public funds and conduct analyses of data while preparing detailed reports for attorneys. The...Fraud
- Ruchman and Associates, Inc. is looking for a Senior Financial Investigator with extensive experience in white-collar criminal fraud to support investigation tasks at the DCIS. The role requires a Bachelor's degree and a minimum of 10 years of law enforcement experience...SeniorFraud
$110k - $140k
...Annapolis, MD, is seeking a Principal Specialist-Employee Relations to support the centralized Employee Relations function by leading investigations, advising on complex matters, and enhancing service quality. This role requires a JD or Master's degree and 8+ years of...Senior$120k - $260k
Overview We are building a dedicated Digital Fraud & Abuse capability to protect customers across digital experiences. In this individual contributor role we are looking for a Senior Program Lead to lead cross‑functional execution of fraud prevention and abuse prevention...SeniorFraudLocal area- Security Investigator - Entry to Mid Level (Maryland) Security and Counterintelligence is responsible for the protection of NSA/CSS's information... ...daily basis Successfully complete all phases of the NSA/CSS Special Agent's Course/Security Investigator Training Maintain...Local areaWorldwide
- ...improving Asset Protection strategies to senior leadership by compiling reports using... ...and company standard. Achieve targets of investigative performance by identifying and addressing... ...situations. Efficiently complete tasks/special projects as assigned by store leadership...Full timeLocal areaWeekend workAfternoon shift
$103.24k - $133.2k
...As an FBI special agent, you will directly impact national security by conducting high‑stakes investigations and leveraging your expertise in cybersecurity to protect the nation from cyberattacks, terrorism, fraud, and evolving threats. You will use your background to...FraudLocal area$40 - $45 per hour
...Overview Anne Arundel County is seeking an experienced investigator to investigate civil rights complaints related to discrimination in employment, housing, public accommodations, and the provision of County services. This is a full-time, contractual assignment. This...Hourly payFull timeLocal areaAfternoon shift- ...We are seeking a Marine Investigator to support our client in Fort Lauderdale, Reston, Annapolis, or New York. Please see below to find the job description and desired qualifications; Requirements: • Attend on-scene marine casualties and marine incidents as deemed...
$92.5k - $120k
...an opportunity has been created for a Senior Associate to join our nationally... ...analytics and controls automation Forensic/investigative/internal review assistance (not to... ...Demonstrated experience with forensic reviews (fraud/waste/abuse) What you can expect from us: Our...SeniorFraudWork experience placementWork at officeLocal areaRemote work$99k - $225k
...access discovery analyst, you will use your specialized technical experience to enable... ...selected will be subject to a security investigation and may need to meet eligibility requirements... ...and protect against identity fraud. You are expected to be on camera during...SeniorFraudFull timeContract workPart timeWork at officeLocal areaRemote work- Southern Arkansas University is hiring a Security Investigator at the entry to mid-level in Maryland. This role involves the protection of NSA/CSS's information through various investigative techniques. The candidate must complete the NSA Security Investigator Training...
$40 - $45 per hour
Anne Arundel County - County Executive Department is seeking an experienced investigator to examine civil rights complaints related to discrimination in employment, housing, and public accommodations. This hybrid role is a full-time contractual assignment with an anticipated...Hourly payFull time- ...Commercial, Public, Transportation, Industrial, and Power markets to tackle the toughest construction challenges. CONCRETE STRUCTURES INVESTIGATOR - Strengthening Division, Columbia, Maryland The Strengthening Division uses advanced construction technologies to enhance or...For contractors
- ...people with the ongoing demands of the workplace by providing high-quality teams and subject matter experts. Job Description: EEO Investigator - Defense Position Title: EEO Investigator — Telehealth Experience Required Medical Professional Encouraged to Apply Location:...Contract workRemote work
$40 - $45 per hour
Anne Arundel County is hiring an experienced investigator for a full-time, hybrid position focused on civil rights complaints, including discrimination in employment and housing. Responsibilities include conducting investigations, preparing reports, and maintaining organized...Hourly payFull time$40 - $45 per hour
The Center for Digital Government in Annapolis, Maryland is seeking an experienced investigator for civil rights complaints related to discrimination in various domains. This full-time contractual role offers hybrid working arrangements with a pay range of $40.00-$45.0...Hourly payFull timeContract work- STRUCTURAL TECHNOLOGIES is seeking a Concrete Structures Investigator for their Strengthening Division located in Columbia, Maryland. The role involves performing field investigations across the United States and Canada to enhance or restore structural capacity, using...
$90.2k - $175.1k
...high-quality clinical trials. In this role, you'll partner with investigative sites and cross-functional teams to ensure studies are... ...hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application...SeniorFraudFull timePart timeImmediate startWorldwide- A management consulting firm is seeking an EEO Investigator responsible for conducting investigations related to discrimination complaints. Applicants should have a Bachelor's degree, telehealth experience, and at least 5 years in EEO investigations. The role includes...Remote job
- ...Position Maryland State Police, Criminal Investigation Division, Technical Investigation... ...operator’s license in the State of Maryland. Special Requirements Subject to a complete criminal... ...for rejection. Subject to substance abuse testing in accordance with Code of...Permanent employmentFull time
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