Top 52 Criminal investigator Jobs in Arizona

Lead SIU Investigator
Centene —Arizona
- $70,100 - $126,200 a year
- Full-time
- Remote
- Master's degree
- High school diploma or GED
- Mentoring
- Paid holidays
- Health insurance
5d
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Arizona
- $46,988 - $112,200 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Phoenix, AZ
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Investigations Specialist
City of Goodyear, AZ —Goodyear, AZ
- $27.55 - $40.90 an hour
- Email
- Basic math
- Research
- Mid-level
- Paid holidays
- Disability insurance
8d
CRIMINAL SPECIAL INVESTIGATOR
State of Arizona —Phoenix, AZ
- $69,926 a year
- Full-time
- Current TB test
- Writing skills
- Pass drug screening
- Wellness program
- Paid parental leave
Safety Investigations Specialist II
Uber —Phoenix, AZ
- $25.90 an hour
- Overnight shift
- Computer literacy
- Mid-level
- Under 1 year
- 401(k)
5d
Criminal Investigator
US Interior, Bureau of Indian Affairs —San Carlos, AZ
- $91,985 - $125,090 a year
- Online Application
- Background check
- Clean driving record
- Writing skills
8d
Investigator
Federal Public Defender's Office —Tucson, AZ
- $76,095 - $108,455 a year
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Life insurance
Quick Apply
NISP Investigator - Tucson, AZ
Raytheon —Tucson, AZ
- $68,900 - $131,100 a year
- Full-time
- Writing skills
- Mid-level
- Experience equivalent to degree accepted
- Paid holidays
- Disability insurance
10d
Criminal Attorney
PINAL COUNTY —Florence, AZ
- $86,656 - $176,231 a year
- Full-time
- Background check
- Doctoral degree
- Writing skills
- Health savings account
- Relocation assistance
Quick Apply
Associate Criminal Defense Attorney - $5K Signing Bonus
Matthew Lopez Law, PLLC —Tempe, AZ
- $140,000 - $160,000 a year
- Full-time
- Mid-level
- Presentation skills
- In-person
- Fuel card
- Health insurance
Quick Apply
Special Agent/Diversion Officer
Graham County —Safford, AZ
- $56,964 a year
- Full-time
- Background check
- Spanish
- Clean driving record
- Health savings account
- Health insurance
Quick Apply
4d
Child in Need of Care (CNC) Caseworker- DHSS Social Services
Colorado River Indian Tribes —Parker, AZ
- Up to $22.42 an hour
- Weekends as needed
- Background check
- Pass drug screening
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
SIU Investigator (Part-Time)
VRC Investigations —Phoenix, AZ
- $30 - $35 an hour
- Part-time
- Customer service
- 5 years
- Military
- Profit sharing
- Paid training
Quick Apply
SPECIAL AGENT
State of Arizona —Phoenix, AZ
- $78,540 a year
- Weekends as needed
- Microsoft Word
- Background check
- Writing skills
- Paid parental leave
- Paid holidays
Mitigation Specialist
Federal Public Defender's Office —Tucson, AZ
- $76,095 - $108,455 a year
- Writing skills
- Research
- Mid-level
- Life insurance
Quick Apply
FINANCIAL INVESTIGATOR
State of Arizona —Phoenix, AZ
- $60,000 - $89,000 a year
- Full-time
- CPA
- Writing skills
- Research
- Paid holidays
- Disability insurance
Criminal Attorney (At-Will) - County Attorney's Office
Pinal County —Florence, AZ
- $86,656 - $176,231 a year
- Full-time
- Background check
- Mid-level
- Driver's License
- Wellness program
- Paid holidays
Criminal Investigator (Special Agent) - SHADOW WOLVES
US Immigration and Customs Enforcement —Sells, AZ
- $66,788 - $86,182 a year
- Overtime
- Hybrid work
- Background check
- Psychiatry
- Pass drug screening
- Paid holidays
- Loan repayment program
Court Investigator Supervisor
Judicial Branch of Arizona in Maricopa County —Phoenix, AZ
- $60,750 - $95,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Experience working with individuals with disabilities
- Wellness program
- Paid holidays
9d

I want to receive the latest job alert for criminal investigator in arizona

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

criminal investigator jobs near arizona

Lead SIU Investigator

Centene -
Arizona

Apply Now

Job Details

Full-time
$70,100 - $126,200 a year
5 days ago

Benefits

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

Qualifications

Healthcare financial misconduct investigations
Investigations regulatory compliance
Medicare
Medical law
Managed care
Managed care organization experience
Health insurance policy knowledge
Regulatory legal research
Medicare regulations
Insurance investigations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid

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.

*This is a remote role anywhere within the continental US.*

Position Purpose: Position acts as a subject matter expert in the field of Special Investigations Unit (SIU) investigations. Provides direction and guidance to staff who investigate and remediate compliance and fraud, waste, and abuse related matters; while maintaining an investigative workload of moderate to high complexity. Assists manager on monitoring team caseload and report on metrics.

Provides guidance to team members who investigate and remediate compliance and fraud, waste, and abuse related matters.
Assists manager on monitoring team caseload and report on metrics.
Identifies training needs and develop training aids and step actions.
Provides training and mentoring to team on casework and other SIU activities.
Evaluates and assesses allegations to determine those criteria, including federal and state regulations, Centers for Medicare & Medicaid Services (“CMS”) guidelines, and internal policies, procedures, and standards that are alleged to have been violated.
Conducts and documents interviews investigatory purposes.
Reviews investigative interviews prepared by junior investigators.
Manages caseloads of moderate to high complexity, develops investigative plans for multiple investigations, prioritizing and managing through execution.
Thoroughly documents actions, organizes, and reviews case files.
Consults with management, in-house counsel, and/or senior leadership to resolve difficult or complex issues.
Identifies risks and recommends and communicates remedial actions to mitigate future potential risks.
Performs follow up to ensure remedial and disciplinary measures are implemented appropriately and timely.
Prepares clear and concise investigative plans and reports.
Provides support and guidance to junior investigative staff.
Identifies trends and aberrant activity to generate proactive leads for investigations and analyzes data to detect potentially fraudulent activity.
Attends, actively participates in, and/or leads meetings with various business area managers.
Communicates directly with Federal or State regulators.
Prepares cases for referral to management, government agencies, and law enforcement.
Develops and maintains strong working relationships with associates and regulators.
Testifies in criminal and civil matters.
Participates in and lead special projects as needed.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

Bachelor's Degree in related field; or Associate's degree with 6 years related experience; or High School Diploma/GED with 7 years related experience. required.
Master's Degree preferred.
5+ years Healthcare fraud-related investigations with audit and risk analysis required.
1+ years Managed care or working with health insurance company required.
In-depth knowledge of government programs, the managed care industry, Medicare, Medicate laws and requirements, federal, state, civil and criminal statutes required.
Reading, analyzing and interpreting State and Federal laws, rules and regulations. Knowledge of community, state and federal laws and resources required.
Knowledge and understanding of managed care claims processing systems and medical claims coding preferred preferred.

Licenses/Certifications:

Accredited Health Care Fraud Investigator (AHFI), Certified Fraud Examiner (CFE) or other industry related certification preferred.

Pay Range: $70,100.00 - $126,200.00 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

criminal investigator jobs in arizona

Lead SIU Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

Investigator, Special Investigations Unit (Aetna SIU)

Investigations Specialist

CRIMINAL SPECIAL INVESTIGATOR

Safety Investigations Specialist II

Criminal Investigator

Investigator

NISP Investigator - Tucson, AZ

Criminal Attorney

Associate Criminal Defense Attorney - $5K Signing Bonus

Special Agent/Diversion Officer

Child in Need of Care (CNC) Caseworker- DHSS Social Services

SIU Investigator (Part-Time)

SPECIAL AGENT

Mitigation Specialist

FINANCIAL INVESTIGATOR

Criminal Attorney (At-Will) - County Attorney's Office

Criminal Investigator (Special Agent) - SHADOW WOLVES

Court Investigator Supervisor

I want to receive the latest job alert for criminal investigator in arizona

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected