Top 247 Investigations Jobs in Virginia

SIU Investigator
Centene —Virginia
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Virginia
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
7d
Investigative Analyst (5889)
GVI, Inc. —Arlington, VA
- $60,000 - $66,500 a year
- Online Application
- Background check
- Microsoft Outlook
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
2d
Cyber Investigations Analyst - OTA / Active Top Secret
Peraton —Arlington, VA
- $80,000 - $128,000 a year
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
- Health savings account
- Paid holidays
Technical Product Compliance Manager
Tate Access Floors Inc —Saint Paul, VA
- $80,000 - $100,000 a year
- Full-time
- Background check
- 5 years
- Engineering
- Health insurance
- Dental insurance
Quick Apply
Supply Chain Purchasing Compliance Specialist (Herndon, VA)
Can-Am Consultants —Reston, VA
- $50 - $70 an hour
- Full-time
- Office
- Analysis skills
- Bachelor's degree
- Health savings account
- Paid holidays
Quick Apply
8d
Compliance Analyst
Davenport & Company —Richmond, VA
- $55,000 - $65,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Profit sharing
- Health savings account
7d
Senior Compliance Specialist - Altavista, VA Plant
Abbott Laboratories —Altavista, VA
- $78,000 - $156,000 a year
- Full-time
- OSHA
- Bachelor's degree
- Children
- Health insurance
- Tuition reimbursement
8d
Trade Compliance Manager USA
Busch Vacuum Solutions —Virginia Beach, VA
- Urgently hiring
- 5 years
- Word processing
- Writing skills
- Work from home
Quick Apply
Auditor/Investigator II
Qlarant —Virginia
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Anti-Money Laundering (AML) Investigator II - AML Fraud Investigations Team
Capital One —Richmond, VA
- Email
- Remote
- Research
- Mid-level
- High school diploma or GED
- Work from home
4h
Healthcare Fraud Investigator
Contact Government Services, LLC —Arlington, VA
- $85,000 - $105,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Mid-level
- 3 years
Quick Apply
Investigator
US Office of the Director of National Intelligence —McLean, VA
- $121,785 - $158,322 a year
- Full-time
- Pass drug screening
- Analysis skills
- Bachelor's degree
Senior Compliance Investigator
Centene —Virginia
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
Investigative Case Specialist
The Tatitlek Corporation —Arlington, VA
- $49.09 an hour
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
Fraud, Waste and Abuse Investigation, Senior Analyst
CVS Health —Virginia
- $46,988 - $112,200 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
Middle School Career Investigations Teacher - 26/27 SY
Spotsylvania County School District —Fredericksburg, VA
- $54,902 - $104,737 a year
- Full-time
- Classroom
- High school
- Mid-level
- Disability insurance
- Health insurance
Senior Internal Security Investigator
GEICO —Fredericksburg, VA
- Full-time
- Hybrid work
- Office
- Analysis skills
- Computer skills
Cyber Crime Investigator
Sphinx LLC —Quantico, VA
- $135,000 a year
- 8 hour shift
- Remote
- Mid-level
- Windows
- 3 years
- Health savings account
- Relocation assistance
Quick Apply
Field Investigator
National Investigative Training Academy —Norfolk, VA
- Leadership
- Entry level

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investigations jobs near virginia

SIU Investigator

Centene -
Virginia

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Job Details

Full-time
$56,200 - $101,000 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Healthcare financial misconduct investigations
Data mining
Health data analysis
Bachelor's degree in business
Certified Fraud Examiner
Mid-level
Suspicious activity investigations
Data summary reports
Criminal Justice
Investigative data analysis
Insurance investigation report preparation
Outlier detection
Healthcare billing investigations
Case referral
1 year
Insurance claims auditing
Business
Healthcare claims compliance audits
Bachelor's degree in criminal justice

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.

Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party
Perform data mining and analysis to detect aberrancies and outliers in claims
Develop new queries and reports to detect potential waste, abuse, and fraud
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
Assist with complex allegations of healthcare fraud
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
Complete various special projects and audits
Performs other duties as assigned
Complies with all policies and standards

Education/Experience:
Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required. 1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation required. Strong Excel skills preferred. CFE (Certified Fraud Examiner) preferred.

Pay Range: $56,200.00 - $101,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

investigations jobs in virginia

SIU Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

Investigative Analyst (5889)

Cyber Investigations Analyst - OTA / Active Top Secret

Technical Product Compliance Manager

Supply Chain Purchasing Compliance Specialist (Herndon, VA)

Compliance Analyst

Senior Compliance Specialist - Altavista, VA Plant

Trade Compliance Manager USA

Auditor/Investigator II

Anti-Money Laundering (AML) Investigator II - AML Fraud Investigations Team

Healthcare Fraud Investigator

Investigator

Senior Compliance Investigator

Investigative Case Specialist

Fraud, Waste and Abuse Investigation, Senior Analyst

Middle School Career Investigations Teacher - 26/27 SY

Senior Internal Security Investigator

Cyber Crime Investigator

Field Investigator

I want to receive the latest job alert for investigations in virginia

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