Top 42 Fraud investigator Jobs in North Carolina

Corporate Ethics & Compliance Investigator
Centene —North Carolina
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Auditor/Investigator II
Qlarant —North Carolina
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —North Carolina
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
10d
Senior Compliance Investigator
Centene —North Carolina
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
Fraud, Waste and Abuse Investigation, Senior Analyst
CVS Health —North Carolina
- $46,988 - $112,200 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
Fraud Analyst
Allegacy Federal Credit Union —Winston-Salem, NC
- Research
- Mid-level
- 3 years
5d
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Raleigh, NC
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
3d
Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Raleigh, NC
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
2d
Senior Financial Investigator
Contact Government Services, LLC —Charlotte, NC
- $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
Financial Investigator
State of North Carolina - Justice —Wake County, NC
- $55,823 - $69,000 a year
- Online Application
- Mid-level
- Finance
- Travel
- Paid holidays
- Health insurance
Global Financial Crimes Senior Investigator (Brokerage)
Bank of America —Charlotte, NC
- $90,000 - $115,000 a year
- Full-time
- Writing skills
- Office
- Bachelor's degree
11d
Investigative Analyst - Special Investigations Division
State of North Carolina - Office of the State Auditor —Wake County, NC
- $85,000 - $95,000 a year
- Online Application
- Writing skills
- Research
- Mid-level
- Health insurance
- Paid time off
Senior Trade Compliance Investigator
Honeywell —Charlotte, NC
- $101,000 - $126,000 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Finance
- Health savings account
- Paid holidays
Digital Forensic Specialist
County of Davidson —Lexington, NC
- $29.81 - $38.01 an hour
- Weekends as needed
- Laboratory
- Computer literacy
- Writing skills
Quick Apply
6d
Income Maintenance Investigator II
Johnston County, NC —Johnston County, NC
- $51,977.34 - $88,361.50 a year
- Urgently hiring
- Bilingual
- Background check
- Pass drug screening
- Paid holidays
- Health insurance
Surveillance Investigator
Allied Universal® Compliance and Investigations —Statesville, NC
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
10d
Income Maintenance Investigator II
Johnston County —Smithfield, NC
- $51,977.34 - $88,361.50 a year
- Urgently hiring
- Bilingual
- Mid-level
- 2 years
Investigator
State of North Carolina - Public Safety —Wake County, NC
- $55,221 - $55,244 a year
- Full-time
- Background check
- Microsoft Excel
- Public speaking
- Paid holidays
- Health insurance
Part-Time Surveillance Investigator
The Robison Group —Greensboro, NC
- $25 - $30 an hour
- Part-time
- Background check
- Computer literacy
- Pass drug screening
- Mileage reimbursement
Quick Apply
Affirmative Civil Enforcement (ACE) Investigator
Contact Government Services, LLC —Charlotte, NC
- $51,435.30 - $66,131.10 a year
- Full-time
- Hybrid work
- Microsoft Access
- Microsoft Outlook
- Office
- Health insurance
- Dental insurance
Quick Apply

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Corporate Ethics & Compliance Investigator

Centene -
North Carolina

Apply Now

Job Details

Full-time
$107,700 - $199,300 a year

Benefits

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

Qualifications

Investigations regulatory compliance
State healthcare regulations

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: Responsible for leading and managing the most complex, sensitive, and high-impact internal investigations across the organization. Serves as a strategic advisor and subject matter expert on investigative best practices, regulatory compliance, and risk mitigation. Requires exceptional judgment, discretion, and the ability to influence senior leadership decisions while ensuring adherence to federal and state regulations, internal policies, and ethical standards.

Consults with management, in-house counsel, and/or the Director of Corporate Compliance as needed to resolve difficult, highly sensitive or complex compliance issues.
Independently evaluates and assesses allegations to determine whether domestic laws, regulatory policies, or internal policies, procedures, and standards have been violated.
Plans, scopes, and conducts complex, confidential internal investigations from inception to conclusion. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Conducts, manages, and documents interviews with witnesses, as required for investigatory purposes.
Reviews investigation reports prepared by junior investigators.
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.
Plans, develops, leads, and manages multiple projects, including prioritizing and managing through execution.
Maintains meticulous case files and chronologies in accordance with best practices.
Thoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented.
Prepares clear and concise draft investigation plans and reports.
Provides support and guidance to junior investigation staff as applicable.
Attends, actively participates in, and/or leads meetings with various business area managers.
Communicates directly with Federal or State regulators.
Supports the development and maintenance of Corporate Compliance policies and procedures and workflows.
Participates in and leads special projects (e.g., auditing, training, and HIPAA compliance).
Provides support of and guidance to other associates.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience: Bachelor's Degree Criminal Justice/Criminology, Law, Healthcare Administration/Health Policy, or related field, equivalent experience required. Juris Doctorate highly preferred. 7+ years progressive experience in conducting and managing complex investigations or auditing and risk analysis required. 7+ years experience reading, analyzing and interpreting State and Federal laws, rules and regulations required. Prosecutorial experience preferred. Previous experience as an investigator within a large corporation or Federal Agency preferred.

Licenses/Certifications:
Certified Fraud Investigator preferred

Pay Range: $107,700.00 - $199,300.00 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

fraud investigator jobs in north carolina

Corporate Ethics & Compliance Investigator

Auditor/Investigator II

Senior Investigator, Special Investigations Unit (Aetna SIU)

Senior Compliance Investigator

Fraud, Waste and Abuse Investigation, Senior Analyst

Fraud Analyst

Investigator, Special Investigations Unit (Aetna SIU)

Investigator, Special Investigations Unit (Meritain Health)

Senior Financial Investigator

Financial Investigator

Global Financial Crimes Senior Investigator (Brokerage)

Investigative Analyst - Special Investigations Division

Senior Trade Compliance Investigator

Digital Forensic Specialist

Income Maintenance Investigator II

Surveillance Investigator

Income Maintenance Investigator II

Investigator

Part-Time Surveillance Investigator

Affirmative Civil Enforcement (ACE) Investigator

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