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Sr. Investigator

ACI Group, Inc.

Remote • 6d ago

Easy Apply

Contract

Depends on Experience

Senior KYC Investigator - Ongoing Due Diligence

Mercury

San Francisco, California • 11d ago

Full-time

USD 106,200.00 - 132,800.00 per year

Senior Research Methodologist - Principal Investigator, Multimodal Survey Experiment

ICF International, Inc.

Reston, Virginia • 26d ago

Full-time

USD 119,323.00 - 202,850.00 per year

Sr Research Engineer-Project Principal Investigator

SRI International

Ann Arbor, Michigan • Today

Full-time

USD 130,760.00 - 194,505.00 per year

Sr Research Engineer-Project Principal Investigator - RF

SRI International

Ann Arbor, Michigan • Today

Full-time

USD 130,760.00 - 194,505.00 per year

Senior Digital Forensics and Incident Response Engineer

Humana Inc

Louisville, Kentucky • 8d ago

Full-time

USD 117,600.00 - 161,700.00 per year

Special Investigation Unit Investigator III

Mitchell Martin, Inc.

Remote • 19d ago

Easy Apply

Third Party, Contract

$42.71 - $55.53

SIU Clinical Healthcare Fraud Investigator III

Mitchell Martin, Inc.

Remote • 19d ago

Easy Apply

Contract, Third Party

$45 - $55.53

Senior Engineer - Complaints Technical Investigations

Amgen Inc

Thousand Oaks, California • 5d ago

Full-time

USD 115,494.60 - 156,257.40 per year

Sr. Insider Risk Analyst

Irvine Technology Corporation (ITC)

El Monte, California • Today

Easy Apply

Full-time

USD74,000 - USD86,000

Senior Data Analyst, Quality

Anduril Industries

Ashville, Ohio • Today

Full-time

USD 143,000.00 - 191,000.00 per year

Technical Lead - Biological Systems Modeling Analytics

Battelle Memorial Institute

Columbus, Ohio • Today

Full-time

USD 128,800.00 - 183,600.00 per year

Lead Electrical Engineer

GE Vernova

California • Today

Full-time

USD 98,400.00 - 164,000.00 per year

Senior Mechanical Engineer - Principal Investigator

Torch Technologies Inc.

Huntsville, Alabama • Today

Full-time

Radio Frequency (RF) Engineer

Riverside Research

Dayton, Ohio • Today

Full-time

USD 115,000.00 per year

Electrical Automation Engineer 2 (Fort Worth, TX)

Smith & Nephew

Fort Worth, Texas • Today

Full-time

Senior Data Analyst, Quality

Anduril Industries

Atlanta, Georgia • Today

Full-time

USD 143,000.00 - 191,000.00 per year

Federal Law Enforcement SME

Procentrix

Remote or Hybrid in Washington, District of Columbia • 14d ago

Easy Apply

Full-time

160,000 - 190,000

Fraud, Waste, and Abuse (FWA) Medical Record Reviewer

Elite Technical

Hybrid in Elkridge, Maryland • 30+d ago

Easy Apply

Contract

40 - 50

Electrical Engineer

University of Nebraska - CSN

Melbourne, Florida • Today

Full-time

Compensation information provided in the description

FWA- Medical Record Reviewer- Contrtact2Hire - (USC/ PR Authorize +Candidate from approved states ONLY: DC, MD, VA, PA, DE, WV, & NC) in Elkridge, MD- Remote + Onsite

Elite Technical

Remote • 20d ago

Easy Apply

Contract

40 - 45

Materials Research and Development Engineer

Penn State

State College, Pennsylvania • Today

Full-time

USD 121,704.00 - 265,704.00 per year

Advanced Staff Engineer - Power Electronics

GE Aerospace

Dayton, Ohio • Today

Full-time

Perception Systems Engineer

Anduril Industries

Costa Mesa, California • Today

Full-time

USD 146,000.00 - 220,000.00 per year

Principal Network/ Systems Engineer

Koniag, Inc.

Fort Lee, Virginia • Today

Full-time

Job Details

Skills

Health Care
Medicare
Medicaid
Public Health
Research
Analytical Skill
Regulatory Compliance
Auditing

Summary

Sr. Investigator, Remote

Contract to Hire
Remote
U.S. citizen or authorized to work in the U.S., with at least three years of verifiable U.S. residency in the last five years.
Ability to obtain and maintain a Public Trust Government Clearance.
NO THIRD PARTY RECRUITERS.

We are seeking a Sr. Investigator for our client to examine and assess healthcare providers’ compliance related to healthcare legislation. This position conducts research and analysis, pulls information, cites regulations using regulatory language, reviews provider documents, and generates complete written outcome reports of enforcement investigations a provider’s compliance with the law. This opportunity is especially attractive to someone who likes to research legal and regulatory requirements and has an analytical mind.

Responsibilities

Conducts and oversees comprehensive investigations into potential violations to determine provider compliance with contractual obligations and regulatory requirements.
Drafts and reviews detailed, substantive investigative reports, complaint summaries, and findings documents for internal and client use.
Performs in-depth analysis of provider operations and documentation to identify trends, compliance gaps, and process inefficiencies.
Leads the development, review, and maintenance of project artifacts—including User Guides, Standard Operating Procedures (SOPs), workflows, and templates—based on evolving project and client requirements.
Mentors and supports junior investigators, providing guidance on best practices in investigative techniques, documentation, and client communication.
Identifies and implements process improvements to enhance team efficiency, accuracy, and overall project performance.
Facilitates and leads virtual meetings with providers and stakeholders to present findings, clarify documentation requests, and support compliance initiatives.
Collaborates with cross-functional teams, project leadership, and external agencies to ensure consistent application of compliance standards and regulatory interpretations.
Maintains clear, organized, and detailed records of investigative actions, findings, and follow-up efforts to ensure transparency and audit readiness.

Qualifications

Minimum of four (4) years post-education work experience in a corporate environment with at least 3 of those years performing investigations directly; Master’s degree in a business or applicable technical field to substitute for 2 years’ experience.
Bachelor’s degree in public policy, public health, health administration, business, or a related field, from an accredited college/university.
Possess a working knowledge of compliance laws, regulations, and healthcare industry practices.
Possess a working knowledge of health insurance cost sharing requirements for Medicare, Medicaid, and private insurance and/or the ability to quickly learn complex information and apply the information to conducting investigations.
Detail-oriented and strong writing skills.
Self-directed and deadline-driven.
Flexible and proactive team player.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: aci
Position Id: 9079948
Posted 6 days ago

Fitment

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Contact the job poster

Bryan Raino

Recruiter @ ACI Group, Inc.

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FWA- Medical Record Reviewer- Contrtact2Hire - (USC/ PR Authorize +Candidate from approved states ONLY: DC, MD, VA, PA, DE, WV, & NC) in Elkridge, MD- Remote + Onsite

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SIU Clinical Healthcare Fraud Investigator III

Remote

•

19d ago

Title: SIU Clinical Healthcare Fraud Investigator Location:Remote Position Type: Contract Compensation Pay Range:$45.00-$55.53 Per Hr Description Lead complex investigations into suspected healthcare fraud, waste, and abuse. Independently manage investigations from intake through closure. Develop strategies and prepare evidentiary packages for referrals. Collaborate cross-functionally to safeguard organizational integrity. Provide clinical and operational insight into billing patterns. Act a

Easy Apply

Contract, Third Party

$45 - $55.53

Job Details

Skills

Health Care
Medicare
Medicaid
Public Health
Research
Analytical Skill
Regulatory Compliance
Auditing

Summary

Sr. Investigator, Remote

Contract to Hire
Remote
U.S. citizen or authorized to work in the U.S., with at least three years of verifiable U.S. residency in the last five years.
Ability to obtain and maintain a Public Trust Government Clearance.
NO THIRD PARTY RECRUITERS.

Responsibilities

Conducts and oversees comprehensive investigations into potential violations to determine provider compliance with contractual obligations and regulatory requirements.
Drafts and reviews detailed, substantive investigative reports, complaint summaries, and findings documents for internal and client use.
Performs in-depth analysis of provider operations and documentation to identify trends, compliance gaps, and process inefficiencies.
Leads the development, review, and maintenance of project artifacts—including User Guides, Standard Operating Procedures (SOPs), workflows, and templates—based on evolving project and client requirements.
Mentors and supports junior investigators, providing guidance on best practices in investigative techniques, documentation, and client communication.
Identifies and implements process improvements to enhance team efficiency, accuracy, and overall project performance.
Facilitates and leads virtual meetings with providers and stakeholders to present findings, clarify documentation requests, and support compliance initiatives.
Collaborates with cross-functional teams, project leadership, and external agencies to ensure consistent application of compliance standards and regulatory interpretations.
Maintains clear, organized, and detailed records of investigative actions, findings, and follow-up efforts to ensure transparency and audit readiness.

Qualifications

Minimum of four (4) years post-education work experience in a corporate environment with at least 3 of those years performing investigations directly; Master’s degree in a business or applicable technical field to substitute for 2 years’ experience.
Bachelor’s degree in public policy, public health, health administration, business, or a related field, from an accredited college/university.
Possess a working knowledge of compliance laws, regulations, and healthcare industry practices.
Possess a working knowledge of health insurance cost sharing requirements for Medicare, Medicaid, and private insurance and/or the ability to quickly learn complex information and apply the information to conducting investigations.
Detail-oriented and strong writing skills.
Self-directed and deadline-driven.
Flexible and proactive team player.

Dice Id: aci
Position Id: 9079948
Posted 6 days ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Contact the job poster

Bryan Raino

Recruiter @ ACI Group, Inc.

View Profile

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

Similar Jobs

Technical (Case) Analyst

Remote

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6d ago

Easy Apply

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Depends on Experience

Government Healthcare CMS Technical Writer & Reporting Support Analyst

Remote

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2d ago

Easy Apply

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80000 - 115000

FWA- Medical Record Reviewer- Contrtact2Hire - (USC/ PR Authorize +Candidate from approved states ONLY: DC, MD, VA, PA, DE, WV, & NC) in Elkridge, MD- Remote + Onsite

Remote

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20d ago

Easy Apply

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40 - 45

SIU Clinical Healthcare Fraud Investigator III

Remote

•

19d ago

Easy Apply

Contract, Third Party

$45 - $55.53