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Field Investigator jobs at Liberty Healthcare - 25 jobs

  • Special Investigations Unit - Investigator II (Hybrid Work Schedule)

    IEHP 4.7company rating

    Rancho Cucamonga, CA jobs

    What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Special Investigations Unit Investigator II investigates and analyzes incidents of suspected fraud, waste, and abuse in accordance with regulatory requirements. The Special Investigations Unit Investigator II is responsible for conducting full investigations to proactively prevent, detect, and correct suspected and identified issues of fraud, waste, and abuse in the health care environment, including reporting to State and/or Federal regulatory agencies. The incumbent makes potential fraud, waste, or abuse determinations by utilizing a variety of sources including data analytics to detect unusual billing. The Special Investigations Unit Investigator II conducts monitoring and supports the Plan's Fraud, Waste and Abuse Program (FWA) to ensure compliance with State and/or Federal contracts, laws, regulations, and guidance set forth by the Centers for Medicare and Medicaid Services (CMS), the United States Health and Human Services Office of the Inspector General (HHS-OIG), the California Department of Managed Health Care (DMHC), and the California Department of Health Care Services (DHCS). Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salary. Hybrid schedule. CalPERS retirement. State of the art fitness center on-site. Medical Insurance with Dental and Vision. Life, short-term, and long-term disability options Career advancement opportunities and professional development. Wellness programs that promote a healthy work-life balance. Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Identify, investigate, and analyze instances of alleged Fraud, Waste and Abuse (FWA) in accordance with regulatory requirements. Develop leads presented to the SIU to assess and determine whether potential FWA is corroborated by evidence. Conduct both preliminary assessments of FWA allegations, and end to end full investigations, including but not limited to witness interviews, background checks, data analytics to identify outlier billing behavior, contract and program regulation research, provider and member education, findings identification, develop recommendations, preparation of overpayment identifications, and closure of investigative cases. Prepare detailed preliminary and extensive investigation referrals to Federal and/or State regulatory and/or law enforcement agencies when potential FWA is identified as required by regulatory and/or contract requirements. Render provider education on appropriate practices (e.g., coding) as appropriate based on national or local guidelines, contractual, and/or regulatory requirements. Prepare audit results letters to providers when overpayments are identified. Prepare and conduct in-depth complex interviews relevant to investigative plan. Present, support, and defend investigative research to seek approval for formal corrective actions. Establish and maintain relationships with Federal and State law enforcement agencies, task force members, other company SIU staff and external contacts involved in fraud investigation, detection and prevention. Support regulatory communication requests as required, including providing claims data analysis, medical policy guidelines, and other documents/information. Support the FWA Program's short and long-term goals, as developed by Management, to prevent, detect, and correct issues of fraud, waste, and abuse. Review the FWA Program's policies and procedures, guidelines, practices, templates, and tools and make recommendations for revisions, as identified. Identify potential risks, non-compliance and/or alleged violations within the Plan or with external partners and issue root cause analysis/corrective action plans, as appropriate. Collaborate with internal partners on FWA intelligence and initiatives and assist with tracking and trending to identify potential fraud, waste, and abuse. Coordinate with Compliance Auditors as it relates to FWA issues and help implement process improvement measures to prevent, correct, and mitigate those risks in the future. Perform any other duties as assigned to ensure Plan operations are successful. Qualifications Education & Requirements Four (4) or more years relevant professional experience in a health care environment, with an emphasis in fraud, waste, and abuse investigations, including Federal and State reporting requirements Experience in health care fraud investigation, detection, and/or healthcare related specialty including but limited to; Pharmacy, DEM, Mental Health, Behavioral Health, Hospice, Home Health, claims, or claims processing preferred Bachelor's degree from an accredited institution In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position This experience is in addition to the minimum years listed in the Experience Requirements above Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), or similar certification/licensure preferred Key Qualifications Strong knowledge of Managed Care, Medi-Cal, and Medicare programs as well as Marketplace Compliance program principles and practices of managed care. Knowledge of federal and state guidelines as well as ICD, CPT, HCPCS, coding Excellent verbal and written communication skills with thorough documentation, composing detailed investigative reports and professional internal and external correspondence Interpersonal and presentation skills to communicate with internal departments and external agencies Demonstrated analytical, problem solving, and resolution skills Strong organizational skills and attention to detail. Proficiency in Microsoft Office programs including, but not limited to: Word, Excel, PowerPoint, Outlook, and Access Demonstrated proficiency in data mining and the use of data analytics to detect fraud, waste, and abuse, including the utilization of pivot tables, formulas, and trending Proven ability to: Work independently and collaboratively within a team environment. Apply knowledge, and address situations appropriately with minimal guidance Manage multiple projects with competing deadlines and changing priorities Research, comprehend and interpret various state specific Medicaid, Federal Medicare, and ACA/Exchange laws, rules and guidelines Identify, research and comprehend medical standards, healthcare authoritative sources and apply knowledge to investigative approach Minimal physical activity; may include standing, walking, sitting lifting, and pushing and carrying up to 25 lbs Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA) Pay Range USD $80,059.20 - USD $106,059.20 /Yr.
    $80.1k-106.1k yearly Auto-Apply 29d ago
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  • Special Investigations Unit - Investigator II (Hybrid Work Schedule)

    IEHP 4.7company rating

    Rancho Cucamonga, CA jobs

    What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! The Special Investigations Unit Investigator II investigates and analyzes incidents of suspected fraud, waste, and abuse in accordance with regulatory requirements. The Special Investigations Unit Investigator II is responsible for conducting full investigations to proactively prevent, detect, and correct suspected and identified issues of fraud, waste, and abuse in the health care environment, including reporting to State and/or Federal regulatory agencies. The incumbent makes potential fraud, waste, or abuse determinations by utilizing a variety of sources including data analytics to detect unusual billing. The Special Investigations Unit Investigator II conducts monitoring and supports the Plan's Fraud, Waste and Abuse Program (FWA) to ensure compliance with State and/or Federal contracts, laws, regulations, and guidance set forth by the Centers for Medicare and Medicaid Services (CMS), the United States Health and Human Services Office of the Inspector General (HHS-OIG), the California Department of Managed Health Care (DMHC), and the California Department of Health Care Services (DHCS). Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. * Competitive salary. * Hybrid schedule. * CalPERS retirement. * State of the art fitness center on-site. * Medical Insurance with Dental and Vision. * Life, short-term, and long-term disability options * Career advancement opportunities and professional development. * Wellness programs that promote a healthy work-life balance. * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance Education & Requirements * Four (4) or more years relevant professional experience in a health care environment, with an emphasis in fraud, waste, and abuse investigations, including Federal and State reporting requirements * Experience in health care fraud investigation, detection, and/or healthcare related specialty including but limited to; Pharmacy, DEM, Mental Health, Behavioral Health, Hospice, Home Health, claims, or claims processing preferred * Bachelor's degree from an accredited institution * In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position * This experience is in addition to the minimum years listed in the Experience Requirements above * Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), or similar certification/licensure preferred Key Qualifications * Strong knowledge of Managed Care, Medi-Cal, and Medicare programs as well as Marketplace * Compliance program principles and practices of managed care. Knowledge of federal and state guidelines as well as ICD, CPT, HCPCS, coding * Excellent verbal and written communication skills with thorough documentation, composing detailed investigative reports and professional internal and external correspondence * Interpersonal and presentation skills to communicate with internal departments and external agencies * Demonstrated analytical, problem solving, and resolution skills * Strong organizational skills and attention to detail. Proficiency in Microsoft Office programs including, but not limited to: Word, Excel, PowerPoint, Outlook, and Access * Demonstrated proficiency in data mining and the use of data analytics to detect fraud, waste, and abuse, including the utilization of pivot tables, formulas, and trending * Proven ability to: * Work independently and collaboratively within a team environment. * Apply knowledge, and address situations appropriately with minimal guidance * Manage multiple projects with competing deadlines and changing priorities * Research, comprehend and interpret various state specific Medicaid, Federal Medicare, and ACA/Exchange laws, rules and guidelines * Identify, research and comprehend medical standards, healthcare authoritative sources and apply knowledge to investigative approach * Minimal physical activity; may include standing, walking, sitting lifting, and pushing and carrying up to 25 lbs Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $80,059.20 USD Annually - $106,059.20 USD Annually
    $80.1k-106.1k yearly 45d ago
  • SIU Investigator III

    Caresource 4.9company rating

    Remote

    The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. Serves as a subject matter expert for other investigators. Some travel to Massachusetts each quarter. Essential Functions: Develop, coordinate and conduct strategic fact-driven investigative projects including business process review, execution of investigative activities, and development of investigation outcome recommendations Manage the development, production, and validation of reports generated from detailed claims, eligibility, pharmacy, and clinical data and translate analytical findings into actionable items Manage strategic investigative plan and drive investigative outcome for the team Ensure quality outcomes for investigative team through auditing and oversight Prioritize, track, and report status of investigations Report identified corporate financial impact issues Use concepts and knowledge of coding guidelines to analyze complex provider claim submissions Research, comprehend and interpret various state specific Medicaid, federal Medicare, and ACA/Exchange laws, rules and guidelines Identify, research and comprehend medical standards, healthcare authoritative sources and apply knowledge to investigative approach Collaborate with data analytics team and utilize RAT STATS on Statistically Valid Random Sampling Coordinate and conduct on-site and desk audits of medical record reviews and claim audits Manage and decision claims pended for investigative purposes Maintain a working knowledge of all state and federal laws, rules, and billing guidelines for various provider specialty types Prepare and conduct in-depth complex interviews relevant to investigative plan Execute and manage provider formal corrective action plans Participate in meetings with operational departments, business partners, and regulatory partners to facilitate investigative case development Participate in meetings with Legal General Counsel to drive case legal actions, formal corrective actions, negotiations with recovery efforts, settlement agreements, and preparation of evidentiary documents for litigation Present, support, and defend investigative research to seek approval for formal corrective actions Establish and maintain relationships with Federal and State law enforcement agencies, task force members, other company SIU staff and external contacts involved in fraud investigation, detection and prevention SME in the designated market and ability to apply external intelligence to their analysis and case development Develop and present internal and external formal presentations, as needed Attend fraud, waste, and abuse training/conferences, as needed Support regulatory fraud, waste, and abuse reports to federal and state Medicare/Medicaid agencies Manage and maintain sensitive confidential investigative information Maintain compliance with state and federal laws and regulations and contracts Adhere to the CareSource Corporate Compliance Plan and the Anti-Fraud Plan Assist in Federal and State regulatory audits, as needed Perform any other job-related instructions, as requested Education and Experience: Bachelor's Degree or equivalent years of relevant work experience in Health-Related Field, Law Enforcement, or Insurance required Master's Degree (e.g., criminal justice, public health, mathematics, statistics, health economics, nursing) preferred Minimum of five (5) years of experience in healthcare fraud investigations, medical coding, pharmacy, medical research, auditing, data analytics or related field is required Competencies, Knowledge and Skills: Intermediate proficiency level in Microsoft Office to include Outlook, Word, Excel, Access, and PowerPoint Effective listening and critical thinking skills and the ability to identify gaps in logic Strong interpersonal skills, high level of professionalism, integrity and ethics in performance of all duties Excellent problem solving and decision making skills with attention to details Background in research and drawing conclusions Ability to perform intermediate data analysis and to articulate understanding of findings Ability to work under limited supervision with moderate latitude for initiative and independent judgment Ability to manage demanding investigative case load Ability to develop, prioritize and accomplish goals Self-motivated, self-directed Strong written skills with ability to compose detailed investigative reports and professional internal and external correspondences Presentation experience, beneficial Knowledge of Medicaid, Medicare, healthcare rules preferred Background in medical terminology, CPT, HCPCS, ICD codes or medical billing preferred Complex project management skills preferred Display leadership qualities Licensure and Certification: One of the following certifications is required: Accredited Healthcare Fraud Investigator (AHFI) or Certified Fraud Examiner (CFE) Certified Professional Coder (CPC) is preferred NHCAA or other fraud and abuse investigation training is preferred Working Conditions: General office environment; may be required to sit or stand for extended periods of time Occasional travel (up to 10%) to attend meetings, training, and conferences may be required Compensation Range: $72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-SD1
    $72.2k-115.5k yearly Auto-Apply 5d ago
  • SIU Investigator

    Devoted Health 4.1company rating

    Remote

    A bit about this role: Are you a highly analytical and experienced investigator with a passion for uncovering the truth and protecting vital healthcare resources? Our Special Investigations Unit (SIU) is looking for a skilled Investigator to join our dedicated team. In this crucial role, you'll be at the forefront of preventing, detecting, and responding to healthcare fraud, waste, and abuse (FWA), safeguarding our members and the integrity of the Medicare Fund. If you're driven by meticulous investigation, data-driven insights, and a commitment to justice, we encourage you to apply. Responsibilities and Impact will include: As an SIU Investigator, you'll be responsible for the full lifecycle of complex FWA investigations, acting as a subject matter expert and collaborating with various stakeholders. Your key responsibilities will include: Lead Complex Investigations: Plan, organize, and execute specialized investigations into allegations of healthcare fraud, waste, and abuse. This includes handling intricate cases requiring advanced investigative knowledge and skills. Data-Driven Detection: Utilize advanced data mining and analysis techniques to identify aberrancies and outliers in claims, medical records, enrollment, and other healthcare transactions. You'll independently research FWA issues and employ cutting-edge investigative resources. Expert Guidance: Serve as a subject matter expert for other SIU Investigators, providing specialized knowledge and guidance to elevate team capabilities. Policy & Strategy Development: Contribute to the development of robust policies and procedures related to FWA detection and investigation, as well as the annual SIU risk assessment and work plan. Thorough Documentation & Reporting: Conduct comprehensive FWA investigations, ensuring complete and accurate case documentation and detailed investigative reports that adhere to SIU policies and standards. External Referrals & Collaboration: Prepare comprehensive summary and detailed reports on investigative findings for referral to federal and state agencies, ensuring full compliance with regulatory requirements. You'll also actively participate in OIG Healthcare Fraud Workgroups. Stakeholder Engagement: Collaborate closely with internal stakeholders (e.g., FWA Monthly Workgroup, Market/Network, Credentialing Committee) to share updates on FWA schemes, coordinate recommendations, and facilitate fund recovery or other necessary actions. Provider Education: Conduct impactful provider education sessions as a direct response to investigation findings and audits. Liaison & Point of Contact: Serve as a key point of contact for corporate and field inquiries regarding FWA, and participate in meetings with providers, business partners, regulatory agencies, and law enforcement. Training & Development: Assist in developing and presenting engaging FWA training programs for internal and external audiences. Required skills and experience: Education: A Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent relevant work experience. Experience: Minimum of 3 years of dedicated experience in health insurance fraud investigation. Proven experience within Medicare and/or Medicaid programs, specifically with medical claim billing, reimbursement, audit, or provider contracting. Demonstrated experience with data analysis techniques. Experience with the Healthcare Fraud Shield platform is a significant plus. Exceptional Analytical Skills: Ability to interpret and dissect complex data sets, identifying patterns and anomalies indicative of FWA. Outstanding Communication: Excellent written and verbal communication skills are essential for clear report writing, compelling presentations, and effective stakeholder engagement. Integrity & Detail-Oriented: A strong commitment to integrity and compliance, coupled with meticulous attention to detail in all aspects of investigations. Independent & Collaborative: Proven ability to work independently, manage a diverse caseload of investigations, and thrive in a fast-paced environment, while also excelling in collaborative team settings. Strong Organizational Skills: Highly organized with the ability to manage multiple complex investigations simultaneously and effectively prioritize tasks. Desired skills and experience: Certified Fraud Examiner (CFE) Certified Professional Coder (CPC) #LI-DS1 #LI-Remote Salary range: $55,000 - $100,000 annually The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce. At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
    $55k-100k yearly Auto-Apply 16d ago
  • Special Investigations Unit Senior Investigator (Must Reside in LA)

    CVS Health 4.6company rating

    Remote

    We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary LOUISIANA RESIDENCY REQUIRED As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that are complex cases involving or cases involving multiple perpetrators or intricate healthcare fraud schemes. Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business Researches and prepares cases for clinical and legal review Documents all appropriate case activity in case tracking system Facilitates feedback with providers related to clinical findings Initiates proactive data mining to identify aberrant billing patterns Makes referrals, both internal and external, in the required timeframe Facilitates the recovery of company and customer money lost as a result of fraud matters Provides on the job training to new Investigators and provides guidance for less experienced or skilled Investigators. Assists Investigators in identifying resources and best course of action on investigations Serves as back up to the Team Leader as necessary Cooperates with federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters. Demonstrates high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal proceedings Gives presentations to internal and external customers regarding healthcare fraud matters and Aetna's approach to fighting fraud Provides input regarding controls for monitoring fraud related issues within the business units Required Qualifications LOUISIANA RESIDENCY REQUIRED 3+ years investigative experience in the area of healthcare fraud and abuse matters. Working knowledge of medical coding; CPT, HCPCS, ICD10 Proficiency in Microsoft Office with advanced skills in Excel (must know how to do pivot tables). Strong analytical and research skills. Proficient in researching information and identifying information resources. Strong verbal and written communication skills. Ability to travel up to 10% (approx. 2-3x per year, depending on business needs) Preferred Qualifications Previous Medicaid/Medicare investigatory experience Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations for fraud and abuse. Credentials such as certification from the Association of Certified Fraud Examiners (CFE), or an accreditation from the National Health Care Anti-Fraud Association (AHFI) Knowledge of Aetna's policies and procedures. Knowledge and understanding of complex clinical issues. Competent with legal theories. Strong communication and customer service skills. Ability to effectively interact with different groups of people at different levels in any situation. Education: Bachelor's degree or equivalent experience (3-5 years of working health care fraud, waste and abuse investigations). Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $91,800.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 02/18/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $47k-91.8k yearly Auto-Apply 7d ago
  • Pediatric Hematology-Oncology - AYA Clinical Investigator

    Cedars-Sinai 4.8company rating

    Los Angeles, CA jobs

    Pediatric Hematology-Oncology at Guerin Children's and Cedars-Sinai Cancer is seeking a **Clinical Investigator with** **expertise in adolescent and young adult (AYA)** clinical care and research. We are particularly interested in early to mid-career professionals whose aspirations align with our team-based approach and who would benefit from our exceptional environment for clinical care, teaching and research mentorship. Candidates should be board certified in pediatric hematology-oncology and possess or be eligible for licensure from the Medical Board of California. Assistant or Associate Professor level and must qualify for an academic appointment at Cedars-Sinai Health Sciences University. The selected candidate will have an exciting opportunity to work with a rapidly growing multidisciplinary pediatric hematology/oncology program within a nationally recognized clinical, academic, and research institution that is **ranked # 1 in California and a US News and World Report Honor Roll Hospital in 2025** . Cedars-Sinai Medical Center's Cancer Center sees over 4,800 new cases of cancer a year and is part of the Cedars-Sinai Health System, a rapidly expanding, vertically integrated health system with practices located in Southern California, including Cedars-Sinai Cancer Beverly Hills, The Angeles Clinic and Research Institute, Cedars-Sinai Valley Oncology Medical Group, Cedars-Sinai Marina del Rey Hospital, Hunt Cancer Institute at Torrance Memorial, the Huntington Cancer Center, and Cedars-Sinai Medical Center. Cedars-Sinai Guerin Children's is a tertiary and quaternary pediatric center advancing an ambitious vision for children's healthcare thanks to the generosity of the Shapell Guerin Family Foundation and its president, Vera Guerin. Propelled by this historic $100 million gift, Cedars-Sinai Guerin Children's fills a critical gap in care for young patients in Los Angeles and beyond, providing primary and specialty care for patients as they grow from newborns to adolescents to adults. The pediatric inpatient unit has been newly redesigned to be a state-of-the-art general pediatrics and mixed subspecialty inpatient space with 26 beds. Guerin Children's also includes a 12-bed PICU and 45-bed NICU. Launched in 2022, we now have over 125 clinical and research faculty spanning all subspecialties and help deliver nearly 7,000 babies each year - the highest within Los Angeles County. **Interested candidates may apply** by submitting their CV, cover letter, and names of three references to Leo Mascarenhas, MD, MS via the Apply Now button. We offer competitive total compensation that includes pay, benefits, and other incentive programs for our employees.The total pay range shown takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors.This total pay range includes any incentive payments that may be applicable to this role. We also offer a comprehensive faculty benefits package. Pay Range: $213,326 - $375,179 total cash compensation **Qualifications** + Medical Degree (MD or equivilent) + Board certified or eligible in pediatric hematology-oncology + Possess or be eligible for licensure from the Medical Board of California + Assistant Professor level or higher and must qualify for an academic appointment at Cedars-Sinai Health Sciences University Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
    $95k-167k yearly est. 60d+ ago
  • Pediatric Hematology-Oncology Cellular Therapy & Bone Marrow Transplant Clinical Investigator or Physician Scientist

    Cedars-Sinai 4.8company rating

    Los Angeles, CA jobs

    The Division of Pediatric Hematology-Oncology at Guerin Children's and Cedars-Sinai Cancer is seeking a full time **Pediatric Hematology-Oncology Physician Scientist** to expand a new **Cell Therapy & Bone Marrow Transplant (BMT)** for children and adolescents. Cedars-Sinai Cancer boasts an established FACT-approved cell therapy and BMT program for adults, recognized for its strong basic, translational, and clinical research initiatives. We are seeking mid- to late-career professionals with proven leadership in program development, board certification in pediatric hematology-oncology, and eligibility for California medical licensure. Candidates should qualify for an academic appointment at the Associate Professor or Professor level at Cedars-Sinai Health Sciences University. This is a unique opportunity to join a robust multidisciplinary pediatric hematology-oncology team within a nationally recognized clinical and research institution, **ranked # 1 in California and a US News and World Report Honor Roll Hospital in 2025** . The successful candidate will benefit from a highly collaborative ecosystem that includes the Cedars-Sinai Regenerative Medicine Institute, with advanced immunology platforms and state of the art GMP facilities that support cellular therapy development from bench to bedside. Cedars-Sinai Guerin Children's is a rapidly growing tertiary and quaternary pediatric center, made possible by a $100 million gift from the Shapell Guerin Family Foundation. With a 26-bed mixed subspecialty unit, 12-bed PICU, and 45-bed NICU, Guerin Children's offers comprehensive care from birth through adolescence. The pediatric enterprise includes over 125 clinical and research faculty across all subspecialties. Collaborative opportunities abound with leading programs in Developmental Biology and innovative cell therapy initiatives in Neurology and Gastroenterology, helping to shape the future of precision medicine and pediatric care. Discovery is a core value to Cedars-Sinai's mission. The institution's laboratories and clinics generate ideas, therapies, devices and systems that contribute to biomedical progress around the world. More than 2,000 current research projects explore the full breadth of biomedical research, some of which include investigating genetic therapies for pediatric conditions, organ development and regeneration, connections among diabetes, chronic pancreatitis and pancreatic cancer, exploiting the potential of stem cells, leveraging nanotechnology, parsing big data, and assessing the developmental origins of disease. During the last five years, Cedars-Sinai has doubled its federal awards, with our FY24 federal awards totaling over $150 million and $300 million+ in research expenses. **FY24 Cedars-Sinai Research Metrics:** · #10 in Total NIH Funding among independent hospitals in the U.S. · 612 grants · 638 clinical trials · $300+ Million in research expenses · 540,000 square feet of wet and dry lab space · 2,100+ Research projects · 2,400+ Peer-reviewed faculty publications · 21 research cores, including our Biomanufacturing Center/iPSC core, flow cytometry, and molecular therapeutics **Interested candidates may apply** by submitting their CV, cover letter, and names of three references to Leo Mascarenhas, MD, MS. We offer competitive total compensation that includes pay, benefits, and other incentive programs for our employees. The pay range shown takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This pay range includes any incentive payments that may be applicable to this role. We also offer a comprehensive faculty benefits package. Resources to enable significant program building will also be available. Pay Range: $213,326 - $491,437 total cash compensation **Qualifications** + Medical Degree from an accredited university + Board certification in pediatric hematology-oncology + California medical licensure + Proven leadership in program development + Associate Professor or Professor level Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.
    $95k-167k yearly est. 60d+ ago
  • Pediatric Hematology-Oncology Cellular Therapy & Bone Marrow Transplant Clinical Investigator or Physician Scientist

    Cedars Sinai 4.8company rating

    Los Angeles, CA jobs

    The Division of Pediatric Hematology-Oncology at Guerin Children's and Cedars-Sinai Cancer is seeking a full time Pediatric Hematology-Oncology Physician Scientist to expand a new Cell Therapy & Bone Marrow Transplant (BMT) for children and adolescents. Cedars-Sinai Cancer boasts an established FACT-approved cell therapy and BMT program for adults, recognized for its strong basic, translational, and clinical research initiatives. We are seeking mid- to late-career professionals with proven leadership in program development, board certification in pediatric hematology-oncology, and eligibility for California medical licensure. Candidates should qualify for an academic appointment at the Associate Professor or Professor level at Cedars-Sinai Health Sciences University. This is a unique opportunity to join a robust multidisciplinary pediatric hematology-oncology team within a nationally recognized clinical and research institution, ranked # 1 in California and a US News and World Report Honor Roll Hospital in 2025. The successful candidate will benefit from a highly collaborative ecosystem that includes the Cedars-Sinai Regenerative Medicine Institute, with advanced immunology platforms and state of the art GMP facilities that support cellular therapy development from bench to bedside. Cedars-Sinai Guerin Children's is a rapidly growing tertiary and quaternary pediatric center, made possible by a $100 million gift from the Shapell Guerin Family Foundation. With a 26-bed mixed subspecialty unit, 12-bed PICU, and 45-bed NICU, Guerin Children's offers comprehensive care from birth through adolescence. The pediatric enterprise includes over 125 clinical and research faculty across all subspecialties. Collaborative opportunities abound with leading programs in Developmental Biology and innovative cell therapy initiatives in Neurology and Gastroenterology, helping to shape the future of precision medicine and pediatric care. Discovery is a core value to Cedars-Sinai's mission. The institution's laboratories and clinics generate ideas, therapies, devices and systems that contribute to biomedical progress around the world. More than 2,000 current research projects explore the full breadth of biomedical research, some of which include investigating genetic therapies for pediatric conditions, organ development and regeneration, connections among diabetes, chronic pancreatitis and pancreatic cancer, exploiting the potential of stem cells, leveraging nanotechnology, parsing big data, and assessing the developmental origins of disease. During the last five years, Cedars-Sinai has doubled its federal awards, with our FY24 federal awards totaling over $150 million and $300 million+ in research expenses. FY24 Cedars-Sinai Research Metrics: * #10 in Total NIH Funding among independent hospitals in the U.S. * 612 grants * 638 clinical trials * $300+ Million in research expenses * 540,000 square feet of wet and dry lab space * 2,100+ Research projects * 2,400+ Peer-reviewed faculty publications * 21 research cores, including our Biomanufacturing Center/iPSC core, flow cytometry, and molecular therapeutics Interested candidates may apply by submitting their CV, cover letter, and names of three references to Leo Mascarenhas, MD, MS. We offer competitive total compensation that includes pay, benefits, and other incentive programs for our employees. The pay range shown takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This pay range includes any incentive payments that may be applicable to this role. We also offer a comprehensive faculty benefits package. Resources to enable significant program building will also be available. Pay Range: $213,326 - $491,437 total cash compensation Qualifications * Medical Degree from an accredited university * Board certification in pediatric hematology-oncology * California medical licensure * Proven leadership in program development * Associate Professor or Professor level
    $95k-167k yearly est. 60d+ ago
  • Pediatric Hematology-Oncology - AYA Clinical Investigator

    Cedars-Sinai 4.8company rating

    Los Angeles, CA jobs

    Pediatric Hematology-Oncology at Guerin Children's and Cedars-Sinai Cancer is seeking a Clinical Investigator with expertise in adolescent and young adult (AYA) clinical care and research. We are particularly interested in early to mid-career professionals whose aspirations align with our team-based approach and who would benefit from our exceptional environment for clinical care, teaching and research mentorship. Candidates should be board certified in pediatric hematology-oncology and possess or be eligible for licensure from the Medical Board of California. Assistant or Associate Professor level and must qualify for an academic appointment at Cedars-Sinai Health Sciences University. The selected candidate will have an exciting opportunity to work with a rapidly growing multidisciplinary pediatric hematology/oncology program within a nationally recognized clinical, academic, and research institution that is ranked # 1 in California and a US News and World Report Honor Roll Hospital in 2025. Cedars-Sinai Medical Center's Cancer Center sees over 4,800 new cases of cancer a year and is part of the Cedars-Sinai Health System, a rapidly expanding, vertically integrated health system with practices located in Southern California, including Cedars-Sinai Cancer Beverly Hills, The Angeles Clinic and Research Institute, Cedars-Sinai Valley Oncology Medical Group, Cedars-Sinai Marina del Rey Hospital, Hunt Cancer Institute at Torrance Memorial, the Huntington Cancer Center, and Cedars-Sinai Medical Center. Cedars-Sinai Guerin Children's is a tertiary and quaternary pediatric center advancing an ambitious vision for children's healthcare thanks to the generosity of the Shapell Guerin Family Foundation and its president, Vera Guerin. Propelled by this historic $100 million gift, Cedars-Sinai Guerin Children's fills a critical gap in care for young patients in Los Angeles and beyond, providing primary and specialty care for patients as they grow from newborns to adolescents to adults. The pediatric inpatient unit has been newly redesigned to be a state-of-the-art general pediatrics and mixed subspecialty inpatient space with 26 beds. Guerin Children's also includes a 12-bed PICU and 45-bed NICU. Launched in 2022, we now have over 125 clinical and research faculty spanning all subspecialties and help deliver nearly 7,000 babies each year - the highest within Los Angeles County. Interested candidates may apply by submitting their CV, cover letter, and names of three references to Leo Mascarenhas, MD, MS via the Apply Now button. We offer competitive total compensation that includes pay, benefits, and other incentive programs for our employees. The total pay range shown takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This total pay range includes any incentive payments that may be applicable to this role. We also offer a comprehensive faculty benefits package. Pay Range: $213,326 - $375,179 total cash compensation Medical Degree (MD or equivilent) Board certified or eligible in pediatric hematology-oncology Possess or be eligible for licensure from the Medical Board of California Assistant Professor level or higher and must qualify for an academic appointment at Cedars-Sinai Health Sciences University
    $95k-167k yearly est. Auto-Apply 60d+ ago
  • Pediatric Hematology-Oncology Cellular Therapy & Bone Marrow Transplant Clinical Investigator or Physician Scientist

    Cedars-Sinai 4.8company rating

    Los Angeles, CA jobs

    The Division of Pediatric Hematology-Oncology at Guerin Children's and Cedars-Sinai Cancer is seeking a full time Pediatric Hematology-Oncology Physician Scientist to expand a new Cell Therapy & Bone Marrow Transplant (BMT) for children and adolescents. Cedars-Sinai Cancer boasts an established FACT-approved cell therapy and BMT program for adults, recognized for its strong basic, translational, and clinical research initiatives. We are seeking mid- to late-career professionals with proven leadership in program development, board certification in pediatric hematology-oncology, and eligibility for California medical licensure. Candidates should qualify for an academic appointment at the Associate Professor or Professor level at Cedars-Sinai Health Sciences University. This is a unique opportunity to join a robust multidisciplinary pediatric hematology-oncology team within a nationally recognized clinical and research institution, ranked # 1 in California and a US News and World Report Honor Roll Hospital in 2025. The successful candidate will benefit from a highly collaborative ecosystem that includes the Cedars-Sinai Regenerative Medicine Institute, with advanced immunology platforms and state of the art GMP facilities that support cellular therapy development from bench to bedside. Cedars-Sinai Guerin Children's is a rapidly growing tertiary and quaternary pediatric center, made possible by a $100 million gift from the Shapell Guerin Family Foundation. With a 26-bed mixed subspecialty unit, 12-bed PICU, and 45-bed NICU, Guerin Children's offers comprehensive care from birth through adolescence. The pediatric enterprise includes over 125 clinical and research faculty across all subspecialties. Collaborative opportunities abound with leading programs in Developmental Biology and innovative cell therapy initiatives in Neurology and Gastroenterology, helping to shape the future of precision medicine and pediatric care. Discovery is a core value to Cedars-Sinai's mission. The institution's laboratories and clinics generate ideas, therapies, devices and systems that contribute to biomedical progress around the world. More than 2,000 current research projects explore the full breadth of biomedical research, some of which include investigating genetic therapies for pediatric conditions, organ development and regeneration, connections among diabetes, chronic pancreatitis and pancreatic cancer, exploiting the potential of stem cells, leveraging nanotechnology, parsing big data, and assessing the developmental origins of disease. During the last five years, Cedars-Sinai has doubled its federal awards, with our FY24 federal awards totaling over $150 million and $300 million+ in research expenses. FY24 Cedars-Sinai Research Metrics: · #10 in Total NIH Funding among independent hospitals in the U.S. · 612 grants · 638 clinical trials · $300+ Million in research expenses · 540,000 square feet of wet and dry lab space · 2,100+ Research projects · 2,400+ Peer-reviewed faculty publications · 21 research cores, including our Biomanufacturing Center/iPSC core, flow cytometry, and molecular therapeutics Interested candidates may apply by submitting their CV, cover letter, and names of three references to Leo Mascarenhas, MD, MS. We offer competitive total compensation that includes pay, benefits, and other incentive programs for our employees. The pay range shown takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This pay range includes any incentive payments that may be applicable to this role. We also offer a comprehensive faculty benefits package. Resources to enable significant program building will also be available. Pay Range: $213,326 - $491,437 total cash compensation Medical Degree from an accredited university Board certification in pediatric hematology-oncology California medical licensure Proven leadership in program development Associate Professor or Professor level
    $95k-167k yearly est. Auto-Apply 60d+ ago
  • Manager, Special Investigative Unit-(Kentucky)

    Molina Healthcare 4.4company rating

    Long Beach, CA jobs

    Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. KNOWLEDGE/SKILLS/ABILITIES Provides oversight and review of the SIU referral intake and investigation process while giving guidance and direction to team on case investigation steps and actions. Works with leadership to maintain and revise policies and procedures, fraud, waste, and abuse plans, annual audit work plans, including department guidance memos, and educational materials. Identifies opportunities for improvement through the audit process and provide recommendations for system enhancement to augment investigative outcomes and performance. Accurately tracks, reports, and follows up on overpayments and recoveries Leads business requirement process and reporting to ensure proper and timely notification of case activity to the appropriate regulatory and/or law enforcement agency. To serve as the single point of contact with the Department whose job duties are dedicated exclusively to the coordination, management, and oversight of the Contractor's Program Integrity unit to reduce Fraud, Waste, and Abuse of Medicaid services within Kentucky and; Be available and require participation in meetings with the Department by staff as requested by the Department JOB QUALIFICATIONS Required Education Bachelor's Degree or equivalent combination of education and experience Required Experience 5-7 years Required License, Certification, Association Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud Examiner (CFE) Preferred Education Master's Degree preferred; will consider previous experience in health plan setting in government programs Preferred Experience 7-9 years Preferred License, Certification, Association Health Care Anti-Fraud Associate (HCAFA) designation To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCorp #LI-AC1
    $50k-80k yearly est. Auto-Apply 60d+ ago
  • Lead Investigator, Special Investigative Unit-(Kentucky)

    Molina Healthcare 4.4company rating

    Long Beach, CA jobs

    Under direct supervision of the Manager, SIU, the Team Lead is responsible to lead a small team of investigators and provide oversight on daily investigative activities as a back-up to the SIU Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight and guidance throughout the life of an investigation as well as QA reviews and approvals. In addition to leading a team of investigators and analysts, the Team Lead will ensure the Manager is aware of any major case developments, and ensure cases are being investigated according to the SIU's standards. Position must have thorough knowledge of Medicaid/Medicare/Marketplace health coverage audit policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must have the ability to determine correct coding, documentation, potential fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare providers that bill Medicaid/Medicare/Marketplace. KNOWLEDGE/SKILLS/ABILITIES Ensure investigators are managing their cases effectively and in accordance with SIU policies, processes, quality standards, and procedures. Ensure that investigators are managing their respective State Reporting requirements and assignments effectively and timely. Manage the flow of day-to-day investigations. Perform assessment that QA measures were complete and signed-off Provide guidance to investigators as needed on investigative techniques, tools, or strategy. Effectively investigate and manage complex and non-complex fraud allegations. Develop and maintain relationships with key business units within specific product line and geographic region. Provides direction, instructions, and guidance to Investigative team, particularly in the absence of the SIU Manager. Provide training to team members as needed. Communicate clear instructions to team members, listen to team members' feedback. Monitor team members' participation to ensure the training provided is effective, and if any additional training is needed. Create, edit, and update assigned reports to apprise the company on the team's progress. Distribute reports to the appropriate personnel. JOB QUALIFICATIONS Required Education High School/GED Associates degree or bachelor's degree in Health Information Management, Health Care Administration, Finance, Criminal Justice, Law Enforcement, or related field (applicable FWA experience would be accepted in lieu of education experience) Required Experience Associates degree or bachelor's degree in Health Information Management, Health Care Administration, Finance, Criminal Justice, Law Enforcement, or related field (applicable FWA experience would be accepted in lieu of education experience) At least five (5) years' experience working in a Managed Care Organization or health insurance company Minimum of three (3) years' experience working on healthcare fraud related investigations/reviews Proven investigatory skill; ability to organize, analyze, and effectively determine risk with corresponding solutions; ability to remain objective and separate facts from opinions Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems Understanding of datamining and use of data analytics to detect fraud, waste, and abuse Proven ability to research and interpret regulatory requirements Effective interpersonal skills and customer service focus; ability to interact with individuals at all levels Excellent oral and written communication skills; presentation skills with ability to create and deliver training, informational and other types of programs Advanced skills in Microsoft Office (Word, Excel, PowerPoint, Outlook), SharePoint and Intra/Internet as well as proficiency with incorporating/merging documents from various applications Strong logical, analytical, critical thinking and problem-solving skills Initiative, excellent follow-through, persistence in locating and securing needed information Fundamental understanding of audits and corrective actions Ability to multi-task and operate effectively across geographic and functional boundaries Detail-oriented, self-motivated, able to meet tight deadlines Ability to develop realistic, motivating goals and objectives, track progress and adapt to changing priorities Energetic and forward thinking with high ethical standards and a professional image Collaborative and team-oriented Required License, Certification, Association Valid driver's license required. Preferred Experience Healthcare Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Examiner (AHFI) and/or Certified Fraud Examiner (CFE) preferred. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCorp #LI-AC1
    $50k-80k yearly est. Auto-Apply 60d+ ago
  • Corporate Security Investigator IV

    Kaiser Permanente 4.7company rating

    Pasadena, CA jobs

    Investigator IV (Consultant IV) Leads complex, multi‑state corporate investigations involving incidents and accidents across diverse Kaiser Permanente regions, ensuring compliance with safety regulations, labor agreements, and organizational policies, victim advocacy programs. Partners closely with regional bargaining units, labor groups, law enforcement, and regulatory agencies to conduct comprehensive interviews, analyze evidence, and produce clear, actionable investigative reports. Utilizes data‑driven analysis to identify trends, root causes, and risk exposures, translating findings into proactive safety initiatives, enhanced parking and pedestrian safety protocols, and effective training programs. Provides leadership with data‑driven reporting and strategic guidance that enhances safety performance, mitigates operational risk, and supports informed, timely decision‑making. Job Summary:In addition to the responsibilities listed below, this position is also responsible for serving as a senior investigator for the Corporate Security Investigations department in Kaiser Permanente, managing criminal, civil, and administrative investigations to support a variety of departments (e.g., Security Operations, Workplace Violence, Threat Management, Human Resources, Legal). This includes delivering expertise and coherence across assigned area(s) while ensuring consistent and repeatable service delivery, effective integration, alignment, and unity of effort across the frontline to establish and maintain a strong and adaptive security posture that aligns with organizational risk tolerance and business strategies. This position is also responsible for contributing to the development and deployment of the framework and organizational design of a security investigations and loss prevention program, including the governance, operating rhythm, systems, and tools necessary to execute standardized processes. This role will be responsible for managing complex investigations; processing crime scenes and maintaining evidence, interviewing witnesses, victims, and perpetrators; providing testimony in court or hearings; and recommending security solutions at the conclusion of their investigations. Finally, this role collaborating within and across teams at KP and with local, state, and federal law enforcement agencies, prosecutors, and other security experts working to promote unit and organizational goals. Essential Responsibilities: Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome. Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions. Monitors and prevents security incidents by\: leveraging understanding of the security management plan to (if applicable) monitor premises, people, and systems (e.g., fire alarm, security, closed circuit television) to detect criminal violations or hazardous conditions in order to reduce crime, limit property loss, improve safety of physicians, employees and members, and minimize liability; maintaining positive relationships with internal department stakeholders, physicians, employees, and members; using judgment and discretion in resolving routine and non-routine security issues, which may include using protective equipment, with minimal guidance, escalating when appropriate; and identifying potential liability and security risks and alerting management. If applicable to the role, supports facility access control plan by\: as relevant, adhering to complex guidelines for facilities access control, which may or may not include key control, ID badge management, controlling access to specific areas, locking and unlocking doors, providing emergency and after hours access as appropriate, providing escorts to sensitive areas, traffic control, and vendor/patient/visitor/personnel access management; and may or may not include complying with access control plan. If applicable to the role, leads response to security and threat incidents by\: if relevant, maintaining own awareness of all current emergencies, disasters, and other incidents at facilities, with consideration for their impact and severity, and communicating with both internal and external stakeholders; as appropriate, participating in team response to emergencies, disasters, burglaries, and uncooperative or combative individuals; as appropriate, completing complex tasks that support plan execution for emergency response (e.g., lockdown procedures) within their team; as appropriate, conducts incident response training programs for security staff, employees, and physicians; as appropriate, performing tasks essential to the investigation of security incidents; as appropriate, evaluating security incident reports to identify trends and recommend improvements, with limited direction; and as appropriate, contributing to efforts to compile information on potential internal and external threats. Complies with safety and security policies and procedures by\: using advanced knowledge of safety and security laws, regulations, policies, procedures, and standards to independently determine and execute a course of action across a variety work situations; as appropriate, participating in training programs for area security staff; contributing to the implementation of department policies; and proactively applying safety and security knowledge and training. Minimum Qualifications: Minimum four (4) years of experience in a investigative role, leading/investigating complex criminal, civil and administrative cases; conducting complex criminal, civil, or administrative interviews with witness, victims or perpetrators; understanding case management, optimizing projects/programs through continuous improvement to effectively align people (staffing), processes, and technology; experience with writing, reviewing search warrants, subpoenas, court orders, court testimony experience, and conducting complicated investigations and interviews. Minimum three (3) years experience in law enforcement investigations. Minimum three (3) years experience in crime scene and evidence management, (Physical and Digital Evidence). Minimum three (3) years experience developing security policies and procedures (e.g., investigations, loss prevention, workplace violence). Minimum one (1) year of experience in a leadership role with or without direct reports. Associates degree in Law Enforcement, Business Administration, Public Policy, Healthcare Management, Criminal Justice, Corporate Security, Security Management, or related field AND minimum four (4) years of experience in Security Management, Hospital Security, Law Enforcement Management, or a directly related field OR Minimum five (5) years of experience in Security Management, Hospital Security, Law Enforcement Management, or a directly related field. Driver's License (California) required at hire Click here for Important Additional Job Requirements. Share this job with a friend You may also share this job description with a friend by email or social media. All the relevant details will be included in the message. Click the button labeled that is next to Submit.
    $87k-148k yearly est. Auto-Apply 1d ago
  • QC Investigator

    Agilent Technologies 4.8company rating

    Frederick, MD jobs

    The world's most revolutionary biopharma companies are partnering with Agilent Technologies to advance the next frontier of medicine. Agilent continues to invest in capacity and expansion of its Colorado operations. Join our team of professionals dedicated to the development and commercialization of nucleic acid therapeutics for life changing, lifesaving medicines. The Quality Control Laboratory Investigator position performs investigations for events that occur in the Quality Control laboratories, including but not limited to deviations, sample acceptance criteria not being met, analytical testing results that are potentially Out of Specification (OOS) or Out of Trend (OOT), discrepancies, unexpected results, etc., to improve the quality control testing processes by implementing corrective and preventative actions. Other duties may include writing or revising SOPs, change controls, and other technical documentation generated by Quality Control. This position description (POD) covers all levels of the Quality Control Investigator (entry, intermediate, advanced, expert, and master). ESSENTIAL DUTIES AND RESPONSIBILITIES: Lead investigation activities by gathering information from all necessary internal and external sources using investigation tools to: Perform the Root Cause Analysis (RCA) to determine if the deviation is a result of a laboratory error Evaluate the impact of the deviation on the product Determine the risk to previous products or future operations Determine what additional testing must be performed to identify root cause or to generate acceptable results and formulate testing plan. Collaborate with cross-functional teams to develop effective Corrective and Preventive Action (CAPA) plans to prevent recurrence. Author comprehensive investigation reports. Review quality and regulatory documentation and conduct interviews with internal sources to obtain an in-depth understanding of the product and process. Analyze QC laboratory data and evaluate trends to identify continuous process improvement opportunities. Consults with the Quality Assurance and Quality Control groups to resolve quality, QC Laboratory, and efficiency issues. Manage multiple deviations, CAPAs, and Change Controls as necessary to closure within established timelines and batch disposition dates. Write and/or revises technical documentation including SOPs and other documents as required. Participate with internal and external regulatory audits and inspections as required. Maintain safe, secure, and healthy manufacturing environment by adhering to organizational standards and policies and to legal regulations, alerting others regarding potential concerns. KNOWLEDGE, SKILLS, AND ABILITIES: Knowledge of Good Manufacturing Practice (GMP) guidelines as well as international regulations (i.e., International Conference on Harmonization (ICH) Q7) pertaining to the production of Active Pharmaceutical Ingredients (API) and drug products. Have the training and ability to participate in and/or lead investigations applying scientific methods and effectively present findings and solutions to customers, co-workers, or members of management. Able to identify personnel and documentation to support knowledge of equipment and processes utilized to analyze materials used in production of APIs such as, but not limited to: raw materials, in-process samples, and API/DP. Skill in communication, written and verbal. Ability to lead cross-functional teams. Ability to interface with clients as required. Knowledge of and skill in using computer software and hardware applications, including Microsoft products and the internet, are required. Computer skills, especially with Microsoft Word, Excel, Visio are preferred. Skill in managing various projects; must be able to use individual discretion in completing work assignments while assisting the group in establishing priorities, setting standards and working collectively to accomplish deadlines and objectives. Ability to read, analyze, and interpret industry-related periodicals, SOPs, and government regulations. Ability to write reports, business correspondence, and procedures. Ability to respond to common inquiries, comments or complaints from customers, co-workers, subordinates, and supervisors regarding the documents, products and processes. Actively lead or participate in the investigation of major QC laboratory investigations including providing technical assistance to Quality Assurance (QA) on the final product impact assessment and identification of root cause. Outstanding communication skills, understanding of cGMP regulations and knowledge of investigation techniques including root cause analysis (RCA) and technical writing skills are required. Works on complex problems in which analysis of situations or data requires an in-depth evaluation of various factors. Exercises judgment within broadly defined practices and policies in selecting methods, techniques and evaluation criteria for obtaining results. Qualifications Bachelor's degree in chemistry, biology, engineering or related life science field; or an equivalent combination of education and related experience. 2+ years relevant experience required Prior experience in a GMP Laboratory supporting Manufacturing in-process and release testing preferred Requires in-depth knowledge and experience in job and ability to work independently Additional Details This job has a full time weekly schedule. Applications for this job will be accepted until at least January 20, 2026 or until the job is no longer posted.The full-time equivalent pay range for this position is $93,760.00 - $146,500.00/yr plus eligibility for bonus, stock and benefits. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: ************************************* Agilent Technologies, Inc. is an Equal Employment Opportunity and merit-based employer that values individuals of all backgrounds at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, religion or religious creed, color, gender, gender identity, gender expression, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military or veteran status, protected veteran status, or any other basis protected by federal, state, local law, ordinance, or regulation and will not be discriminated against on these bases. Agilent Technologies, Inc., is committed to creating and maintaining an inclusive in the workplace where everyone is welcome, and strives to support candidates with disabilities. If you have a disability and need assistance with any part of the application or interview process or have questions about workplace accessibility, please email job_******************* or contact ***************. For more information about equal employment opportunity protections, please visit *************************************** Required: OccasionalShift: DayDuration: No End DateJob Function: Quality/Regulatory
    $93.8k-146.5k yearly Auto-Apply 13d ago
  • Manufacturing Operations Investigator

    Agilent Technologies 4.8company rating

    Frederick, MD jobs

    At Agilent, we are driving innovation in life-changing, lifesaving medicines. Join our team in advancing the next frontier of biopharma by supporting the production of nucleic acid therapeutics. We offer an opportunity to be part of a high-performance manufacturing team dedicated to delivering perfection in our new innovative facility. Together, we're helping craft the future of medicine. The Manufacturing Operations Investigator position performs manufacturing investigations, including but not limited to deviations, environmental excursions, nonconformances, discrepancies, etc. to improve the manufacturing process by implementing corrective and preventative actions. Other duties may include writing or revising SOP's, Change Controls, and other technical documentation generated by manufacturing. Key Responsibilities Lead investigations activities by gathering information and data from all necessary internal and external sources using investigation tools to perform the following: root causes analysis (RCA) Evaluate the impact of deviation on the manufactured product and the equipment. Determine the risk to previous products or future operations. Collaborate with cross-functional teams to develop effective Corrective and Preventative Action (CAPA) plans to prevent recurrence. Author comprehensive investigation reports. Review quality and regulatory documents and conduct interviews with internal sources to obtain an in-depth understanding of the product and process. Analyze process data and evaluate trends to identify continuous process improvement opportunities. Consults with the Quality Assurance, area subject matter experts, and manufacturing groups to resolve quality, production and efficiency issues. Manage multiple Non-Conformance Records (NCR's), CAPA's, and Change Controls as necessary to closure within established timelines and batch disposition dates. Write and/or revises technical documentation including SOP's, and other documents as needed. Qualifications Bachelor's degree in a science-related field or equivalent. Knowledge of Good Manufacturing Practice (GMP) guidelines as well as international regulations (i.e., International Conference on Harmonization (ICH) Q& pertaining to the production of Active Pharmaceutical Ingredients (API) and drug products. Possess the training and ability to lead investigations by applying scientific methods and effectively present findings and solutions to customers, co-workers, or members of management. Able to identify personnel and documentation to support knowledge of equipment and processes utilized to manufacture oligonucleotide API's such as, but not limited to, Solid Phase Oligonucleotide Synthesis, Deprotection, Chromatographic Purification (AX, RP, HIC, etc.), Ultrafiltration, Concentration, Annealing and Lyophilization. Skilled utilizing Microsoft products (Word, Excel and Visio preferred). Skilled in managing various projects; must be able to use individual discretion in completing work assignments while assisting the group in establishing priorities, setting standards and working collectively to accomplish deadlines and objectives. 3+ years related experience and/or training working in a GMP Production Environment applying Root Cause Analysis techniques is required. Bachelor's degree in a science-related field or equivalent experience. 1+ years of meaningful experience, ideally in a GMP manufacturing environment. Strong understanding of GMP guidelines and international regulations for API and drug production. Experience with root cause analysis, technical writing, and SOP development. Proficient in Microsoft Word and other standard software applications. Excellent communication and leadership skills, with the ability to run cross-functional teams and sophisticated projects. Additional Details This job has a full time weekly schedule. Applications for this job will be accepted until at least January 22, 2026 or until the job is no longer posted.The full-time equivalent pay range for this position is $74,560.00 - $116,500.00/yr plus eligibility for bonus, stock and benefits. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: ************************************* Agilent Technologies, Inc. is an Equal Employment Opportunity and merit-based employer that values individuals of all backgrounds at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, religion or religious creed, color, gender, gender identity, gender expression, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military or veteran status, protected veteran status, or any other basis protected by federal, state, local law, ordinance, or regulation and will not be discriminated against on these bases. Agilent Technologies, Inc., is committed to creating and maintaining an inclusive in the workplace where everyone is welcome, and strives to support candidates with disabilities. If you have a disability and need assistance with any part of the application or interview process or have questions about workplace accessibility, please email job_******************* or contact ***************. For more information about equal employment opportunity protections, please visit *************************************** Required: NoShift: DayDuration: No End DateJob Function: Quality/Regulatory
    $74.6k-116.5k yearly Auto-Apply 11d ago
  • Investigator

    Highland County Joint Township 4.1company rating

    Ohio, IL jobs

    The Investigator plays an important part at the Board. In this role, you will be responsible for: * Conducting investigations of complaints and alleged violations of the Ohio Revised Code 4732/4783 and the Ohio Administrative Code 4732/4783. * Interviewing complainants, witnesses, public members, licensees subject to allegations and unlicensed individuals who may be practicing illegally or using titles, terminology and/or techniques restricted by law. * Preparing reports and making recommendations regarding investigation strategy, case status. * Interpreting application of administrative rules, Ohio Revised Code, ethical principles and Psychology Board policy and procedures. * Responding to inquiries from citizens regarding complex and sensitive material related to confidentiality, client rights, mental disorders and occupational standards of care in psychology. * Drafting legal correspondence and documents including case notes, reports, subpoenas, letters, notice of opportunity for hearing letters, consent agreements and adjudication orders. * Preparing confidential investigation reports and recommendations. * Maintaining files and records and conferring with legal personnel. * Requesting and serving Psychology Board subpoenas. * Testifying in administrative hearings on behalf of the Psychology Board and/or criminal hearings on behalf of the Board. * Handling sensitive inquiries received via telephone, in writing, or in person from psychology physicians, legal counsel, consumers and the general public. * Assisting in development of Psychology Board investigative policies, procedures and methods in accordance with related civil service laws. * Entering and maintaining case information in Psychology Board's investigative case tracking database. * Attending and participating in law enforcement seminars and training and serving on committees and task forces. 30 months of training or 30 months of investigative experience with experience corresponding to type of complaints & alleged violations appearing in job posting/approved position description AND valid driver's license. * OR Completion of associate core program in law enforcement, criminal justice or in academic field commensurate with program area to be assigned per approved Position Description on file AND 12 months of experience conducting investigations and/or inspections AND valid driver's license. * OR 30 months of training or 30 months of experience as Investigator Assistant, 26210 with experience corresponding to type of complaints & alleged violations appearing in job posting/approved position description AND valid driver's license. * OR equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Investigation
    $61k-98k yearly est. 16d ago
  • Program Integrity Clinical Investigator (Remote-NC)

    Partners Behavioral Health Management 4.3company rating

    Elkin, NC jobs

    Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Office Location: Flexible for any of our NC office locations (Must live in NC or within 40 miles of NC border) Projected Hiring Range: Depending on Experience Closing Date: Open Until Filled Primary Purpose of Position: This position will assist in the development, implementation, revision, maintenance, and promotion of the agency's fraud, waste, and abuse prevention and detection activities to ensure that the agency and the agency's network operates in a manner that complies with applicable State and Federal laws, regulations, agency policies, national accreditation, and Medicaid guidelines. This position will perform functions relating to data analysis, investigations, and auditing relating to the monitoring, detection, and resolution of healthcare fraud, waste, and abuse. Role and Responsibilities: Conduct, plan and perform independent and comprehensive audits, investigations and reviews (hereinafter referred to as investigations) into allegations of regulatory compliance violations, including fraud, waste, and abuse (FWA). Investigation includes the review of financial, consumer/clinical, provider, and/or other records, reports, and information necessary to thoroughly analyze and investigate suspected violations. Conduct clinical and non-clinical interviews, as necessary, to facilitate the investigative process. Work collaboratively with appropriate internal/external subject matter experts, agency and provider personnel, as necessary, to facilitate the investigative process. Conducts clinical chart reviews of instances of care authorized for utilization purposes, case reviews for individuals that are identified as either over or under-utilizers of services. Knowledge of documentation and clinical protocols for utilization purposes and case reviews for individual consumers in order to conduct clinical chart reviews. Clinical knowledge of managed systems of physical health services (professional and institutional), durable medical equipment, pharmacy, Mental Health, substance abuse, and Intellectual and Developmental Disabilities to also include co-occurring disorders. Knowledge of managed care practices and principles to detect fraud, waste and abuse. Clinical ability to recognize gaps in Partners Health Management service network and ability to communicate these identified gaps to appropriate parties. Serve as a Lead Investigator responsible for coordinating and leading agency investigative teams related to program integrity. Gather, evaluate, and synthesize evidence related to reported allegations to determine compliance with applicable state and federal policies, laws, and regulations. Prepare written and oral reports based on the results of assigned work that help to sustain findings and uphold disputed TNOs. Prepare timely, thorough, and accurate investigative reports; compile case file documentation; calculate overpayments; and synthesize findings in accordance with agency policies and procedures and departmental guidelines. Communicate effectively, both in writing and orally, to ensure accurate and timely completion of all assignments. Develop, implement, monitor, and maintain analytic reports to detect and prevent health care FWA. Conduct independent data mining and data analysis techniques utilizing claims data to detect abnormal claims and develop trends and patterns for potential cases. Independently prepare case documents for referral to the appropriate oversight agency and other external agencies involved in the prosecution of health care fraud. Manage cases from complaint intake through their ultimate conclusion, including supporting the case during all legal processes and appeals and the collection of final overpayments. Create, maintain, and manage cases within the case filing and tracking systems to ensure information is accurate, timely and complete. Consult with legal counsel in order to prepare testimony and other information necessary for appeals and as requested by external agencies investigating or prosecuting Medicaid fraud (as appropriate). Remain abreast of all federal and North Carolina rules and laws applicable to FWA and program integrity. Develop and conduct proactive audits, reviews and investigations of Partners' programs to facilitate the detection and resolution of FWA. Develop, coordinate, and facilitate educational training to the Provider Network and agency personnel on issues relating to the compliance program, FWA. Identify information system edits/alerts/reports in need of implementation in the claims processing system(s). Recommend and implement compliance initiatives, policies, procedures, and practices designed to promote and encourage the reporting of suspected FWA without fear of retaliation. Serve on and/or facilitate various agency committees as deemed necessary by the Program Integrity Director Use data collection instruments and protocols previously developed or adopted by the department and develop data collection instruments as needed for complex investigations. Analyze computer-generated data sets, including claims data, to identify individuals and organizations that are most likely to provide evidence to ascertain whether FWA is likely to have occurred. Develop summary reports that illustrate data analysis to a nonscientific audience. Use appropriate software and systems to complete work assignments. Consult with IT to manage data and generate needed program reports. Perform other duties as assigned. Knowledge, Skills and Abilities: Strong knowledge of state and federal laws, including those related to Medicaid FWA, and regulatory compliance are required. Knowledge of investigative methods and procedures. Knowledge of claims processing and clinical services. Excellent interpersonal and communication skills. Excellent analytical skills. Effective time management and organizational skills. Excellent conflict management skills. Proficient in Word, Excel, Outlook, and Power Point. Ability to learn and effectively manage various information systems including Partners' claims reporting and North Carolina TRACKS. Ability to develop solutions and make recommendations for necessary process improvements. Ability to interpret contractual agreements, business oriented statistics, clinical/administrative services and records. A high level of integrity and discretion is required to effectively carry out the responsibilities related to this position. Education and Experience Required: Master's degree in a Human Services field, Health Administration, health informatics/analytics, or related field, OR a Bachelor's of Science in Nursing and licensed to practice as a Registered Nurse in North Carolina by the N. C. Board of Nursing. Minimum of 3 years recent experience in the healthcare field with compliance monitoring, auditing or investigation experience. Licensed Clinical Social Worker, Licensed Clinical Mental Health Counselor, Licensed Clinical Addiction Specialist, Registered Nurse, Nurse Practitioner, Physician's Assistant, or another clinical license related to the healthcare field. Education and Experience Preferred: Five years recent experience in the healthcare field. Experience analyzing complex data, claims processing, utilization reviews, provider credentialing/monitoring, and/or fraud and abuse detection. Preferred credentials: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Coding Specialist (CCS); Certified Fraud Examiner (CFE); and/or Accredited Healthcare Fraud Investigator (AHFI) certification. Licensure/Certification Requirements: Current unrestricted LCSW, LCMHC, LPA, LMFT or LCAS licensure with the appropriate professional board of licensure in the state of North Carolina or licensed to practice as a Registered Nurse, Nurse Practitioner in North Carolina by the N. C. Board of Nursing or licensure in the State of North Carolina or licensed to practice as a Physician's Assistant by the North Carolina Medical Board. Employee is responsible for complying with respective licensure board's continuing education/ training requirements in order to maintain an active license. Must maintain licensure or certification.
    $56k-69k yearly est. Auto-Apply 20d ago
  • Field Investigator (Public Utilities Gas Pipeline Safety Compliance Investigator)

    Highland County Joint Township 4.1company rating

    Ohio, IL jobs

    Service Monitoring & Enforcement Department (SMED) Facility and Operations Field Division (FOFD) Hourly Rate: $33.52 About The Service Monitoring & Enforcement Department: The Service Monitoring and Enforcement Department's (SMED) mission is to enforce consumer safeguards, to resolve consumer complaints and to ensure Ohio utility consumers receive safe and reliable services. SMED is organized into three divisions. Facility Operations Field Division (FOFD) Facility Operations Field Division (FOFD) staff regularly inspects utility facilities and reviews plant operating practices to ensure regulated utility service providers deliver safe, reliable and quality service. Field investigators from the division's electric, telephone, water/wastewater and gas pipeline safety sections perform on-site inspections and audit company records to ensure utilities observe regulatory requirements. FOFD staff also participates in rate case proceedings and recommends changes in company policies and practices to improve utility service. FOFD staff also acts as the agency lead for the damage prevention complaint reporting and tracking process; assisting with the maintenance of the damage prevention enforcement database; and answering internal and public inquiries. What You'll Do: The Gas Pipeline Safety team at the PUCO is responsible for enforcing federal and state pipeline safety regulations. We work in partnership with the federal Pipeline and Hazardous Materials Safety Administration (PHMSA). In this position as a Gas Pipeline Safety Compliance Investigator, you will be a field-based employee responsible for scheduling, coordinating, and conducting independent field audits and inspections with gas utilities. Inspections include: * Reviews of company plans and procedures * Reviews of company construction, operations, and maintenance records * Field observations of gas company employees and contractors * Field inspections of company pipeline facilities. You will also be assigned to investigate natural gas related incidents and complaints. The position will involve learning and applying federal and state pipeline safety regulations to various company records and facilities to determine whether the company is complying with the regulations. Some inspections are performed as part of a team, but most inspections are performed independently. This position will be based in North Central Ohio and most assignments will be in that part of the state but occasional assignments requiring overnight stays in other parts of the state are possible. Travel to Columbus will also be required throughout the year for meetings at the PUCO headquarters in downtown Columbus. The position will also require the successful completion of several training courses at PHMSA's training facility in Oklahoma City, OK during the first 3 years in the position. A state vehicle will be assigned for work related travel within the state. The selected candidate must reside in or relocate to Marion, Morrow, Crawford, or Richland County areas. Please make sure the duty section of your work history clearly demonstrates 5 years of natural gas related experience to meet minimum qualifications. We will not be able to review any resumes or other attachments. Salary Information: Unless required by legislation or union contract, starting salary is set at the lowest rate of the salary range. In most cases, successful employees will increase a step in the salary range within six months, with subsequent step increases occurring every year. In addition, the State of Ohio offers cost of living adjustments, longevity supplements after five years of public service, and wellness incentives. 5 yrs. exp. in construction & operation of natural gas pipeline systems; 1 course or 3 mos. trg. in general management; 3 mos. trg. or 3 mos. exp. in public relations; valid driver's license. * Or 5 yrs. exp. as gas pipeline safety inspector & successful completion of seven basic gas pipeline safety courses from Transportation Safety Institute; valid driver's license. * Or completion of undergraduate core program in mechanical, electrical or civil engineering; valid driver's license. * Or completion of undergraduate core program in mechanical, electrical or civil engineering technology; 3 yrs. exp. in construction & operation of natural gas pipeline systems; successful completion of seven basic Transportation Safety Institute courses in gas pipeline safety; valid driver's license. * Or completion of undergraduate core program in mechanical, electrical or civil engineering technology; 3 yrs. exp. as gas pipeline safety inspector; completion of seven basic gas pipeline safety courses from Transportation Safety Institute; valid driver's license. * Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Utilities
    $21k-31k yearly est. 12d ago
  • Injury Epidemiology Investigator 3 (PN 20014148)

    Highland County Joint Township 4.1company rating

    Ohio, IL jobs

    What You'll Do: BHIW is seeking an experienced Epidemiologist who will independently design, initiate, and conduct epidemiological projects and investigations focused on injury prevention (unintentional and intentional injuries). Additional duties may include: * Serve as lead worker providing direction, training, and technical guidance to lower-level epidemiology staff and public health personnel. * Conduct analytic research and data analysis using multiple data sources (e.g., Vital Statistics, OH-VDRS, syndromic surveillance, hospital discharge data). * Develop and implement research tools, methodologies, and sampling techniques; design surveys and assessment instruments. * Perform computer-based statistical analyses using SAS and other software; produce comprehensive injury reports, dashboards, and fact sheets. * Monitor injury trends, predict morbidity and mortality changes, and disseminate Epi Alerts to state partners. * Coordinate literature reviews, respond to technical inquiries from media and public health organizations, and present findings at professional meetings. * Assist with grant writing, policy development, and administrative duties related to injury surveillance. * Fulfill CDC grant requirements for data deliverables and ensure quality control for data management. Normal working hours are Monday through Friday, 8:00am to 5:00pm. Unless required by legislation, the selected candidate will begin at Pay Grade 33, Step 1 of the OCSEA Pay Range Schedule ($33.52 per hour), with an opportunity for pay increase after six months ($35.15) of satisfactory performance and then a yearly raise thereafter. Position Qualifications Completion of graduate core program in public health or preventive medicine; 3 courses or 9 mos. exp. in use of statistical computer software packages; 6 mos. exp. as epidemiology investigator with local or federal health agency; must be able to provide own transportation. OR 6 mos. exp. as Epidemiology Investigator 2, 65762; must be able to provide own transportation. OR Equivalent of Minimum Class Qualifications For Employment noted above. Applications of those who meet the minimum qualifications will be further evaluated against the following criteria: * Graduate or advanced degree in public health or preventive medicine * Course work in epidemiology, biostatistics, health statistics, data analysis, mathematics * Experience in collecting, analyzing and interpreting statistical analysis of health, particularly injury-related data * Experience managing and analyzing large datasets * Experience in developing public health surveillance reports and giving oral presentations * Experience in designing and conducting studies/projects/surveys to investigate health and injury issues * Experience in database and analytic software packages (e.g., Access, Excel, ArcGIS, STATA, SAS, R, SPSS) * Experience in word processing and presentation software (e.g., Word, PowerPoint) * Experience with or training in the creation of data visualizations/dashboards using visualization software All eligible applications shall be reviewed considering the following criteria: qualifications, experience, education, and active disciplinary record. Job Skills: Public Health Technical Skills: Data Analytics, Data Modeling, Public Health Professional Skills: Analyzation, Interpreting Data, Written Communication Educational Transcript Requirements: Official educational transcripts are required for all post-high school educational accomplishments, coursework or degrees claimed on the application. Applicants will be required to submit an official transcript prior to receiving a formal offer of employment. Failure to provide transcripts within five (5) working days of being requested will cause the applicant to be eliminated from further consideration. Please note that a transcript is considered "official" only if it is an original copy from the educational institution and includes an institutional watermark, ink stamp or embossed stamp. Transcripts printed from the institution's website will not be accepted. ODH reserves the right to assess the academic credibility of an educational entity's award of a putative degree.
    $33.5 hourly 4d ago
  • Suicide Epidemiology Investigator 3 (PN 20098548)

    Highland County Joint Township 4.1company rating

    Ohio, IL jobs

    What You'll Do: BHIW is seeking an experienced Epidemiologist who will independently design, initiate, and conduct epidemiological projects focused on suicide and self-harm injury prevention at the Ohio-specific level. Additional duties may include: * Serve as lead worker providing direction, training, and technical guidance to lower-level epidemiology staff. * Coordinate data analysis of confidential records; ensure quality control for data management and statistical analysis. * Develop research tools and methodologies, including surveys, sampling techniques, and literature reviews. * Analyze data from multiple sources (e.g., OH-VDRS, syndromic surveillance, hospital discharge, Vital Statistics) and produce reports, dashboards, fact sheets, and briefs. * Create and maintain suicide-related data products and update content for injury prevention websites. * Assist with coroner data collection improvements and CDC grant deliverables. * Operate statistical software (e.g., SAS, R, SPSS) to perform advanced analyses and generate comprehensive reports. * Respond to technical inquiries and prepare presentations for public health professionals and general audiences. * Collaborate with state agencies (e.g., Ohio MHAS, RecoveryOhio), local health departments, and researchers to improve suicide surveillance. * Assist with grant writing, policy development, and administrative duties related to suicide surveillance. * Represent suicide surveillance efforts at meetings, conferences, and trainings. Normal working hours are Monday through Friday, 8:00am to 5:00pm. Unless required by legislation, the selected candidate will begin at Pay Grade 33, Step 1 of the OCSEA Pay Range Schedule ($33.52 per hour), with an opportunity for pay increase after six months ($35.15) of satisfactory performance and then a yearly raise thereafter. Position Qualifications Completion of graduate core program in public health or preventive medicine; 3 courses or 9 mos. exp. in use of statistical computer software packages; 6 mos. exp. as epidemiology investigator with local or federal health agency; must be able to provide own transportation. OR 6 mos. exp. as Epidemiology Investigator 2, 65762; must be able to provide own transportation. OR Equivalent of Minimum Class Qualifications For Employment noted above. Applications of those who meet the minimum qualifications will be further evaluated against the following criteria: * Graduate or advanced degree in public health or preventive medicine * Course work in epidemiology, biostatistics, health statistics, data analysis, mathematics * Experience in collecting, analyzing and interpreting statistical analysis of health (injury) related data * Experience managing and analyzing large datasets * Experience in developing public health surveillance reports and giving oral presentations * Experience in designing and conducting studies/projects/surveys to investigate health and injury issues * Experience in database and analytic software packages (e.g., Access, Excel, ArcView- GIS, STATA, SAS, SPSS) * Experience in word processing and presentation software (e.g., Word, PowerPoint) * Experience with or training in the creation of data visualizations/dashboard using Tableau * Experience in suicide data collection/analysis or prevention All eligible applications shall be reviewed considering the following criteria: qualifications, experience, education, and active disciplinary record. Job Skills: Public Health Technical Skills: Data Analytics, Data Modeling, Public Health Professional Skills: Analyzation, Interpreting Data, Written Communication Educational Transcript Requirements: Official educational transcripts are required for all post-high school educational accomplishments, coursework or degrees claimed on the application. Applicants will be required to submit an official transcript prior to receiving a formal offer of employment. Failure to provide transcripts within five (5) working days of being requested will cause the applicant to be eliminated from further consideration. Please note that a transcript is considered "official" only if it is an original copy from the educational institution and includes an institutional watermark, ink stamp or embossed stamp. Transcripts printed from the institution's website will not be accepted. ODH reserves the right to assess the academic credibility of an educational entity's award of a putative degree.
    $33.5 hourly 4d ago

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