Top 430 Federal investigator Jobs in Pennsylvania

Corporate Ethics & Compliance Investigator
Centene —Pennsylvania
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Digital Forensic Examiner 1
Commonwealth of PA —Wilkes-Barre, PA
- $69,086 - $104,959 a year
- Full-time
- Computer Science
- Maintenance
- Research
- Paid parental leave
- Health insurance
14d
Investigator
Highmark Inc. —Pennsylvania
- $62,700 - $97,200 a year
- Full-time
- Remote
- Nursing
- Writing skills
- HIPAA
2d
Senior Compliance Investigator
Centene —Pennsylvania
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
2d
Special Investigator 2
Commonwealth of PA —Harrisburg, PA
- $60,538 - $92,010 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- Paid parental leave
- Health insurance
13d
Professional Conduct Investigator 1
Commonwealth of PA —Pittsburgh, PA
- $53,008 - $80,646 a year
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
- Paid parental leave
- Health insurance
2d
Investigations Manager
Allegheny County Pennsylvania —Allegheny County, PA
- $93,000 - $117,000 a year
- Online Application
- Background check
- Management
- Office
Claims Representative
County Commissioners Association of Pennsylvania —Harrisburg, PA
- $58,000 - $61,000 a year
- Full-time
- Hybrid work
- Customer service
- Computer literacy
- Office
- Health savings account
- Health insurance
Quick Apply
Certified Electronic Reporter - Philadelphia
Jamison Professional Services Inc —Philadelphia, PA
- Full-time
- Background check
- Mid-level
- Travel
- Paid holidays
- 401(k)
Quick Apply
Infusion Nurse
START Center for Cancer Research —Pittsburgh, PA
- Monday to Friday
- Microsoft Excel
- Vital signs
- RN License
- Disability insurance
- Health insurance
Quick Apply
Director of Nursing
START Center for Cancer Research —Pittsburgh, PA
- Monday to Friday
- Nursing
- RN License
- Bachelor's degree
- Health savings account
- Paid holidays
Quick Apply
5d
Behavior Specialist
The Communities of Don Guanella and Divine Providence —Norwood, PA
- On call
- Microsoft Word
- Microsoft Outlook
- Writing skills
- Paid parental leave
- Health insurance
Quick Apply
Director, Investigational Drug Section
START Center for Cancer Research —Pittsburgh, PA
- Microsoft Excel
- Quality control
- Travel
- Disability insurance
- Health insurance
Quick Apply
Clinical Research Coordinator, RN
START Center for Cancer Research —Pittsburgh, PA
- Monday to Friday
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Program Coordinator
The Communities of Don Guanella and Divine Providence —Norwood, PA
- $50,000 a year
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid parental leave
- Paid time off
Quick Apply
Senior Clinical Scientist
CSL —King of Prussia, PA
- Full-time
- Hybrid work
- Office
- 3 years
- Master's degree
Vice President, Medical
Larimar Therapeutics —Philadelphia, PA
- Full-time
- Medicine
- 11+ years
- Travel
- Health insurance
- 401(k)
Quick Apply
10d
IDD Program Specialist - Lewisburg - Wellsboro PA Regions
Community Resources for Independence —Lewisburg, PA
- $37,440 a year
- Weekends as needed
- Hybrid work
- 18 years or older
- Experience working with individuals with developmental disabilities
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
14d
Investigator, Environmental Protection Specialist
Commonwealth of PA —Harrisburg, PA
- $60,538 - $92,010 a year
- Weekends as needed
- Research
- Mid-level
- Office
- Paid parental leave
- Health insurance
6h
Senior Financial Investigator
Contact Government Services, LLC —Philadelphia, PA
- $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

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Corporate Ethics & Compliance Investigator

Centene -
Pennsylvania

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

federal investigator jobs in pennsylvania

Corporate Ethics & Compliance Investigator

Digital Forensic Examiner 1

Investigator

Senior Compliance Investigator

Special Investigator 2

Professional Conduct Investigator 1

Investigations Manager

Claims Representative

Certified Electronic Reporter - Philadelphia

Infusion Nurse

Director of Nursing

Behavior Specialist

Director, Investigational Drug Section

Clinical Research Coordinator, RN

Program Coordinator

Senior Clinical Scientist

Vice President, Medical

IDD Program Specialist - Lewisburg - Wellsboro PA Regions

Investigator, Environmental Protection Specialist

Senior Financial Investigator

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