- Molina Healthcare (Dayton, OH)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- United Auto Delivery & Recovery Inc. (Cincinnati, OH)
- …growth, we are now hiring full-time Field Investigators. In the Field Investigator position, you will drive a late-model, company-issued car in designated areas ... - seeing first hand the role of a Field Investigator . We are looking for individuals who are interested...service, we want to talk with you! Keyword: field investigator , investigation, camera car, day shift, full time, driving,… more
- Command Investigations (Cleveland, OH)
- …investigative excellence. What you'll get: + A dedicated position as a surveillance investigator on a full-time basis. + A steppingstone into the realms of ... in driving skills. + Ability to obtain a Private Investigator license in the state where work is performed...applicable. What a day in the life of an investigator looks like: + Surveillance involves monitoring, tracking, and… more
- Command Investigations (Cleveland, OH)
- …out why at www.GoCommand.com . Requirements: + 1+ years of experience as an Surveillance Investigator + Must be licensed as a Private Investigator in your state ... weekends and holidays + Valid state issued driver's license The Surveillance Investigator should demonstrate proficiency in the following areas: + Obtaining quality… more
- Elevance Health (Mason, OH)
- ** Investigator I - Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator I** will be responsible for investigating assigned cases, collecting,… more
- Elevance Health (Mason, OH)
- ** Investigator II - Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator II** will be responsible for the identification, investigation and… more
- Elevance Health (Mason, OH)
- ** Investigator Assistant - Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Assistant** will be responsible for providing administrative support to… more
- Insight Global (Blue Ash, OH)
- …the Blue Ash/Cincinnati, Ohio area is seeking a detail-oriented and analytical Fraud Investigator to join it's retail grocery Asset Protection team. This role is ... activity. Using data from the MAX Asset Protection system, the Fraud Investigator will identify suspicious patterns and investigate potential internal fraud. This… more
- Elevance Health (Columbus, OH)
- ** Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per week, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
- Elevance Health (Mason, OH)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
- Humana (Columbus, OH)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... and claims processing areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities + Assist in… more
- The Robison Group (Youngstown, OH)
- …position may be for you. The Robison Group is seeking a Traveling Surveillance Investigator ideally based in northeast Ohio. The position is full time and travel ... + Candidates must be willing and able to obtain an Ohio Private Investigator license. + Self-motivated, determined, and intuitive. + Strong initiative and work… more
- Command Investigations (Cleveland, OH)
- …excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law ... per accident/Property damages. What a day in the life of an investigator looks like: + Surveillance involves monitoring, tracking, and recording subjects during… more
- Ally (Columbus, OH)
- …appropriate channels to ensure reasonable resolution. The Auto Fraud Investigator is responsible for conducting sophisticated investigations and in-depth research ... on auto consumer loans across Ally's Consumer Auto portfolio. **The Work Itself** * Provide investigative and fraud risk services in support of the Automotive Finance Line of Business. Position is responsible for investigating external financial crimes;… more
- Huntington National Bank (Columbus, OH)
- Description Job Description Summary Specialty Investigator - Internal Investigations will investigate suspected internal fraud/financial crimes and all reported ... occurrences of internal fraud and defalcation. Ability to understand all types of financial transactions and related rules and statutes is key to success. Investigations require analysis of bank systems, very strong decision-making skills, and the ability to… more
- Highmark Health (Columbus, OH)
- …Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment ... methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining… more
- GovCIO (Beavercreek, OH)
- …defense or ISR-related fields. + Proven experience as a Principal Investigator on federally funded research projects, with successful management of ... /Yr. Submit a referral to this job (https://careers-govcio.icims.com/jobs/6128/principal- investigator /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834385473) **Location** _US-OH-Beavercreek_ **ID** _2025-6128_ **Category** _Intelligence… more
- Bath & Body Works (Columbus, OH)
- …misconduct, including harassment, retaliation, and discrimination. At times, the investigator will conduct investigations specifically in partnership with in-house ... counsel, external counsel, ethics and compliance, or other business functions. Responsibilities:Business & HR Strategy Implementation & Influence + Support development and execution of a human resources strategy that corresponds with the company's goals to… more
- Family Dollar (Marysville, OH)
- General Summary: The Market Investigator is responsible for confirming that the market's stores operations and daily functions comply with Company programs and ... policies. Monitor and measure store process performance in these categories: Office/Cash Sales, Loss Prevention, Physical Security, Safety and Personnel Training and Development. This position will report directly to the Director, Loss Prevention or Regional… more
- Meta (Columbus, OH)
- …activities related to insider threats. **Required Skills:** Security Engineer Investigator , Insider Trust Responsibilities: 1. Perform analysis, and threat hunting ... from a variety of log sources (eg, individual host logs, network traffic logs) to identify potential insider threats 2. Create workflows and automations to streamline signal detection, threat hunts, and investigative processes 3. Collaborate with software and… more