Top 281 Federal investigator Jobs in Maryland

Senior Compliance Investigator
Centene —Maryland
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
2d
Healthcare Fraud Investigator
Contact Government Services, LLC —Rockville, MD
- $85,000 - $105,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Mid-level
- 3 years
Quick Apply
ADMINISTRATOR II (Department Prosecutor / Investigator)
State of Maryland - MSP - Office of the Superintendent —Pikesville, MD
- $71,805 - $113,243 a year
- Online Application
- Bilingual
- High school
- Military
Police Officer - Baltimore Police Department
City of Baltimore, MD —Baltimore, MD
- $68,359 - $124,316 a year
- Weekends as needed
- High school diploma or GED
- Driver's License
- Pre-employment physical examination
Faculty Associate - Headache Specialty- $25,000.00 sign-on bonus
Faculty Physicians Inc. —Columbia, MD
- $260,000 - $300,000 a year
- CPR Certification
- Medicine
- Doctoral degree
Quick Apply
Site Manager
Zimmerman Associates, Inc. —Ammendale, MD
- Contract
- Office
- Analysis skills
- Supervising experience
GD164 Technical Data Curator
ADNET Systems, Inc. —Greenbelt, MD
- Computer Science
- Bachelor's degree
- Quality control
- Paid holidays
- Disability insurance
Quick Apply
Sub-Investigator
Care Access —Baltimore, MD
- $120,000 - $150,000 a year
- Microsoft Word
- Nursing
- 5 years
- Health savings account
- Paid holidays
Large Loss Property Adjuster - Field Estimating - Anne Arundel County, MD
Allstate —Baltimore, MD
- $82,000 - $1,150,000 a year
- Remote
- Background check
- Mid-level
- Driver's License
- Tuition reimbursement
- Work from home
Sr. Clinical Trial Protocol Coordinator - NIH
Kelly Services —Bethesda, MD
- $150,000 - $160,000 a year
- Online Application
- Microsoft Word
- Master's degree
- Bachelor's degree
- Paid holidays
- Disability insurance
Quick Apply
Commercial Clinical Manager - RN
Amergis Healthcare Staffing —Columbia, MD
- $80,000 - $90,000 a year
- RN License
- English
- Supervising experience
- Profit sharing
- Health savings account
Quick Apply
Flow Cytometry Specialist
Axle —Bethesda, MD
- $70,000 - $80,000 a year
- Mid-level
- 3 years
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Bodily Injury Adjuster - Litigation, Moderate/Complex - MD, VA, DC, WV, DE (Remote)
Allstate —Baltimore, MD
- $53,500 - $84,625 a year
- Remote
- Background check
- Mid-level
- US work authorization
- Tuition reimbursement
- Benefits from day one
Financial Crimes Investigator
NASA Federal Credit Union —Upper Marlboro, MD
- $60,000 - $110,000 a year
- Part-time
- Hybrid work
- 7 years
- Writing skills
- Research
- Health savings account
- AD&D insurance
Quick Apply
Equal Employment Opportunity Investigator (ADMINISTRATOR II)
State of Maryland - Department of Public Safety and Correctional Svcs —Baltimore, MD
- $71,805 - $113,243 a year
- Online Application
- Mid-level
- Office
- Master's degree
- Paid parental leave
- Health insurance
2d
Laboratory Technician
Guidehouse —Bethesda, MD
- $56,000 - $94,000 a year
- Full-time
- Microsoft Word
- Mid-level
- Critical & Intensive Care
- Commuter assistance
- Health savings account
Biologist
US National Institutes of Health —Frederick, MD
- $106,437 - $158,322 a year
- Online Application
- Background check
- Pass drug screening
- Mid-level
9d
Senior Financial Investigator
Contact Government Services, LLC —Rockville, MD
- $74,156.16 - $107,114.45 a year
- Full-time
- Hybrid work
- Mid-level
- Driver's License
- Presentation skills
- Health insurance
- Dental insurance
Quick Apply
Retail Crime Investigator
Weis Markets —Elkridge, MD
- $17 - $27 an hour
- Weekends as needed
- Remote
- Bachelor of Science
- Mid-level
- Travel
- AD&D insurance
- Disability insurance
Entry Level Background Investigator
CACI —Baltimore, MD
- $26.07 an hour
- Part-time
- Ability to walk for extended periods
- Writing skills
- English
- Health insurance

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Senior Compliance Investigator

Centene -
Maryland

Apply Now

Job Details

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

Benefits

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

Qualifications

Investigations regulatory compliance
Medical law
State healthcare regulations
Investigating compliance violations
Risk & issue management

Full Job Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Under the general direction of the VP of Compliance Investigations this position assists with the development, implementation, and continuous monitoring of an enterprise-wide Compliance Investigations Program and leads the Company's Compliance Investigations for all Business Units, Health Plans, and Corporate functions. Leads and oversees compliance and ethics investigations, facilitates and leads meetings with business management and cross-functional stakeholders, and prepares, reviews, and analyzes internal and external reporting. Supports the Director, Ethics & Investigations in the day-to-day operations of the Compliance Investigations Unit (CIU).

Leads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions.
Independently evaluates and assesses allegations to determine applicable criteria, including federal and state regulations, the Centene Code of Conduct, and internal policies, procedures, and standards that are alleged to have been violated.
Adheres to Compliance Investigation workplans and protocols and conducts investigations in compliance with established protocols and timelines.
Provides weekly case summaries and adheres to established minimum case review quotas to ensure timely progression and resolution of the investigative caseload.
Ensures all investigative findings are clearly tied to applicable company policies (e.g., Code of Conduct), federal and state regulations, and to maintain regulatory defensibility and support appropriate remediation.
Provides timely reports, both orally and in writing, to the Director of Ethics & Investigations and/or senior management regarding the status and outcomes of investigations.
Thoroughly documents, organizes, and reviews case files within centralized case management systems (e.g., Archer) in accordance with Company policy and CIU protocols.
Collaborates cross-functionally with other departments, including Legal, People Relations, SIU, Privacy, Finance, and Business Operations on investigations and the investigative process.
Prepares and analyzes departmental metrics, including investigation KPIs, case aging, and trending data, and makes recommendations accordingly.
Prepares presentations and presents findings to departmental and business management, executive leadership, and other stakeholders as needed.
Identifies risks, interprets investigation results, and recommends and communicates remedial actions to mitigate future potential risks.
Performs follow-up to ensure remedial/disciplinary measures are implemented appropriately and timely, including tracking remediation activities through case management systems.
Assists with various projects as assigned by the Director of Ethics & Investigations or the VP of Compliance Investigations.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.
4+ years of experience in investigations, auditing and risk analysis required.
1+ year of experience in reading, analyzing and interpreting State and Federal laws, rules and regulations required.

Preferred Qualifications:

Managed care or health insurance company experience preferred.
Experience with compliance case management systems (e.g., Archer, Navex) preferred.
Demonstrated experience conducting ethics and compliance investigations in a regulated healthcare environment preferred.
Experience collaborating with cross-functional teams including Legal, People Relations, SIU, and Privacy preferred.

Licenses and Certifications:

Certified Fraud Examiner (CFE) preferred.
Certified Compliance & Ethics Professional (CCEP) or Certified Healthcare Compliance (CHC) 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

federal investigator jobs in maryland

Senior Compliance Investigator

Healthcare Fraud Investigator

ADMINISTRATOR II (Department Prosecutor / Investigator)

Police Officer - Baltimore Police Department

Faculty Associate - Headache Specialty- $25,000.00 sign-on bonus

Site Manager

GD164 Technical Data Curator

Sub-Investigator

Large Loss Property Adjuster - Field Estimating - Anne Arundel County, MD

Sr. Clinical Trial Protocol Coordinator - NIH

Commercial Clinical Manager - RN

Flow Cytometry Specialist

Bodily Injury Adjuster - Litigation, Moderate/Complex - MD, VA, DC, WV, DE (Remote)

Financial Crimes Investigator

Equal Employment Opportunity Investigator (ADMINISTRATOR II)

Laboratory Technician

Biologist

Senior Financial Investigator

Retail Crime Investigator

Entry Level Background Investigator

I want to receive the latest job alert for federal investigator in maryland

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