Special Investigation Unit Investigator
Columbus, OH
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
**We are currently hiring for multiple positions. Candidates for these role must reside in one of the following states: CA, HI, IL, NE, and OH.**
**Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.
+ Conduct investigations of potential waste, abuse, and fraud
+ Document activity on each case and refer issues to the appropriate party
+ Perform data mining and analysis to detect aberrancies and outliers in claims
+ Develop new queries and reports to detect potential waste, abuse, and fraud
+ Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
+ Assist with complex allegations of healthcare fraud
+ Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
+ Complete various special projects and audits
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** Bachelor's Degree in Business, Criminal Justice, Healthcare, related field or equivalent experience. 1+ years of medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation experience.
Pay Range: $55,100.00 - $99,000.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Quality Investigator
Columbus, OH
Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
Job Details
PRIMARY DUTIES AND RESPONSIBILITIES:
1. Responsible for Quality Assurance Investigations at ABC and ensuring adherence to applicable GMP regulations and policies and procedures.
2. Produces written reports that summarize the investigation, root cause determination, corrective actions and recommended disposition of affected product.
3. Conducts complaint investigations and maintains records of customer complaints.
4. Works with Production/QA to initiate investigations and minimize production down time.
5. Assists with the development of appropriate corrective actions.
6. Works with quality management to determine appropriate disposition of affected product.
7. Maintains the Investigation/CAPA Database and other databases as required.
8. Assists on follow-up checks on the effectiveness of corrective actions.
9. Performs other duties as assigned.
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
1. BS in relevant Science or Engineering discipline.
2. At least 3 years of experience in a cGMP regulated environment
3. Must have a working knowledge of pharmaceutical packaging records, process and equipment; and experience in quality assurance in the pharmaceutical industry.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
1. Strong critical thinking and deductive reasoning skills.
2. Strong oral, written, communication, presentation and interpersonal skills.
3. Ability to interact with Regulatory Agencies, vendors and all levels of associates within the organization, including management and plant associates.
4. Knowledge of QA principles, concepts, systems industry practices and standards.
5. Ability to work independently.
6. Ability to handle a variety of tasks simultaneously.
7. Attention to detail.
8. Strong skill in computer operations, experience with MS Word and Excel, ERP and Ensur)
What Cencora offers
We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit **************************************
Full time Equal Employment Opportunity
Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.
Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call ************ or email ****************. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned
Affiliated CompaniesAffiliated Companies: Amerisource Health Services, LLC
Auto-ApplySpecial Agent
Columbus, OH
Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position starts at a base salary of $48,371.00 (GL-07, step 1), with promotion potential to $117,034.00 (GS-13, step 10).
This position is covered by Law Enforcement Availability Pay (LEAP) which is an additional compensation of 25% of the basic rate of pay.
For more information on the Secret Service click here.
Summary
Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position starts at a base salary of $48,371.00 (GL-07, step 1), with promotion potential to $117,034.00 (GS-13, step 10).
This position is covered by Law Enforcement Availability Pay (LEAP) which is an additional compensation of 25% of the basic rate of pay.
For more information on the Secret Service click here.
Overview
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Accepting applications
Open & closing dates
10/01/2025 to 12/31/2025
Salary $48,371 to - $117,034 per year
Salary listed reflects the General Schedule (Base) table and, if applicable, will be adjusted to include the locality pay of the worksite location.
Pay scale & grade GL 7 - 11
Locations
MANY vacancies in the following locations:
Anchorage, AK
Birmingham, AL
Mobile, AL
Montgomery, AL
Show morefewer locations (110)
Little Rock, AR
Phoenix, AZ
Tucson, AZ
Fresno, CA
Los Angeles, CA
Riverside, CA
Sacramento, CA
San Diego, CA
San Francisco, CA
San Jose, CA
Santa Ana, CA
Ventura, CA
Denver, CO
New Haven, CT
Washington, DC
Wilmington, DE
Fort Myers, FL
Jacksonville, FL
Miami, FL
Orlando, FL
Tallahassee, FL
Tampa, FL
West Palm Beach, FL
Albany, GA
Atlanta, GA
Savannah, GA
Honolulu, HI
Des Moines, IA
Boise, ID
Chicago, IL
Springfield, IL
Indianapolis, IN
Wichita, KS
Lexington, KY
Louisville, KY
Baton Rouge, LA
New Orleans, LA
Boston, MA
Baltimore, MD
Portland, ME
Detroit, MI
Grand Rapids, MI
Saginaw, MI
Minneapolis, MN
Kansas City, MO
Saint Louis, MO
Springfield, MO
Jackson, MS
Billings, MT
Charlotte, NC
Greensboro, NC
Raleigh, NC
Wilmington, NC
Omaha, NE
Manchester, NH
Atlantic City, NJ
Newark, NJ
Trenton, NJ
Albuquerque, NM
Las Vegas, NV
Reno, NV
Albany, NY
Buffalo, NY
Melville, NY
New York, NY
Queens, NY
Rochester, NY
Syracuse, NY
White Plains, NY
Cincinnati, OH
Cleveland, OH
Columbus, OH
Dayton, OH
Toledo, OH
Oklahoma City, OK
Tulsa, OK
Portland, OR
Harrisburg, PA
Philadelphia, PA
Pittsburgh, PA
Scranton, PA
San Juan, PR
Providence, RI
Charleston, SC
Columbia, SC
Greenville, SC
Sioux Falls, SD
Chattanooga, TN
Knoxville, TN
Memphis, TN
Nashville, TN
Austin, TX
Dallas, TX
El Paso, TX
Houston, TX
Lubbock, TX
McAllen, TX
San Antonio, TX
Tyler, TX
Waco, TX
Salt Lake City, UT
Norfolk, VA
Richmond, VA
Roanoke, VA
Burlington, VT
Seattle, WA
Spokane, WA
Madison, WI
Milwaukee, WI
Charleston, WV
Remote job No Telework eligible No Travel Required 25% or less - Domestic and Foreign travel may be required. Relocation expenses reimbursed No Appointment type Term - The duration of this time limited Schedule B excepted appointment is 3 years and 120 days. Upon completion, you will either be converted to a career appointment in the competitive service or separated based on the expiration of the appointment. Work schedule Full-time Service Excepted
Promotion potential
13
Job family (Series)
* 1811 Criminal Investigation
Supervisory status No Security clearance Top Secret Drug test Yes Position sensitivity and risk Critical-Sensitive (CS)/High Risk
Trust determination process
* Credentialing
* Suitability/Fitness
* National security
Financial disclosure No Bargaining unit status No
Announcement number SAB-26-Q1-CI Control number 847106700
This job is open to
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The public
U.S. Citizens, Nationals or those who owe allegiance to the U.S.
Clarification from the agency
U.S. Citizens, Nationals, or those who owe allegiance to the U.S.
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Duties
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Joining the United States Secret Service as a Special Agent offers a unique and rewarding career dedicated to serving the nation through our dual mission of criminal investigations and protection. Special Agents play a critical role in safeguarding the financial integrity of the United States and protecting its highest leaders, including the President, Vice President, and other designated individuals. Throughout their careers, Special Agents have the opportunity to work on diverse assignments across the country and around the globe, gaining unparalleled experience in both investigative and protective operations.
Responsibilities include:
* Conducting complex criminal investigations into financial crimes, including counterfeiting, cyber fraud, and other threats to the financial infrastructure of the United States.
* Providing physical protection for the President, Vice President, their families, visiting foreign dignitaries, and other protectees, ensuring their safety in every environment.
* Designing, planning, and implementing advanced security measures for National Special Security Events (NSSEs), such as presidential inaugurations, international summits, and other high-profile events.
As a Special Agent, you will be part of an elite team committed to excellence, integrity, and service, with opportunities to serve at multiple duty stations both domestically and internationally. This dynamic and impactful career challenges you to rise to your fullest potential while making a difference for the nation.
For more information about the Special Agent position, click here.
Requirements
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Conditions of employment
* U.S. Citizenship.
* Possess a current valid driver's license. Must be REAL ID compliant.
* Use your official name on your application as it appears on your valid government identification (i.e., REAL ID Driver's License, State ID, Passport).
* Applicants must be 21 at the time of application and under 37 at the time of a conditional offer, unless they have prior federal law enforcement service under special retirement provisions. Veterans' preference applicants must receive a conditional offer before age 40.
* Submit to a drug test prior to your appointment and random drug testing while you occupy the position. Disclose any prior drug use, attempted use, and/or experimentation.
* Obtain a Top-Secret Clearance and retain it during your career.
* This position requires an automatic credit check after initial qualifications are met.
* Carry and use a firearm. Maintaining firearm proficiency is mandatory. You will be ineligible to occupy this position if at any time you have been convicted of a misdemeanor crime of domestic violence, unless you received a pardon, or your conviction was expunged or set aside.
* Be available for assignment to any of the U.S. Secret Service Field Offices. Preferences are not guaranteed.
* Candidates are required to complete intensive training at the Federal Law Enforcement Training Center (FLETC) in Glynco, GA, followed by specialized training at the James J. Rowley Training Center in Laurel, MD. Failure to pass the training program may result in separation from the Secret Service.
* Sign a mobility agreement stating your willingness to accept assignments anywhere within the United States and overseas.
* Certify that you have registered with the Selective Service System or are exempt from having to do so, if you are a male applicant born after December 31, 1959.
* Possess uncorrected visual acuity of no worse than 20/100 binocular, possess corrected visual acuity of 20/20 or better in each eye.(Note: Lasik, ALK, RK, and PRK corrective eye surgeries are acceptable eye surgeries for special agent applicants. Applicants will be considered eligible for the special agent position provided specific visual tests are passed. The following are waiting periods for visual tests: Lasik-2 months after surgery, PRK-6 months after surgery, ALK and RK-one year after surgery).
* Hearing loss, as measured by an audiometer, must not exceed 25 decibels (A.S.A. or equivalent I.S.O.) in either ear in the 500,1000 and 2000Hz ranges.
Qualifications
As a condition of employment for accepting this position, you may be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
* your performance and conduct;
* the needs and interests of the agency;
* whether your continued employment would advance organizational goals of the agency or the Government; and
* whether your continued employment would advance the efficiency of the Federal service.
Upon completion of your trial period your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
You are minimally qualified for the GL-07 Level (starting base salary $48,371) if you possess one of the following:
* A bachelor's degree from an accredited college or university with superior academic achievement (S.A.A.) which is based on class standing, grade-point average, or honor society membership as described below.
* Maintained a grade-point average of "B" (a GPA of 3.0 or higher) for all completed undergraduate courses, or those completed in the last two years of undergraduate study; OR
* Rank in the upper one-third of your class in the college, university, or major subdivision; OR
* Be a member of a national honor (other than freshman honor societies) recognized by the Association of College Honor Societies. Please submit a college transcript(s) showing your grade point average for all four years of undergraduate study, including all transferred courses.
* NOTE: GPAs are rounded to one decimal place. For example, 2.95 will round to 3.0 and 2.94 will round to 2.9. If more than 10 percent of your undergraduate course work (credit hours) were taken on a pass/fail or similar basis, your claim must be based on class standing or membership in an honor society.
* At least one full year of graduate level education (i.e., 18 semester hours); OR
* At least 1 year of specialized experience in, or related to, the investigative methods, protective methods, and law enforcement techniques that provide the specific competencies to successfully perform the position's duties. Experience also includes exercising initiative; attention to detail; judgment in collecting, assembling and developing facts, evidence or other pertinent data; the ability to analyze and evaluate data or evidence to arrive at sound conclusions including applying new information; and the ability to partner with or lead others in the accomplishment of mission activities.
You are minimally qualified for the GL-09 Level (starting base salary $53,945) if you possess one of the following:
* A master's or equivalent graduate degree (such as LL.B. or J.D.) or two full years of progressively higher graduate education, in a related field, leading to such a degree from an accredited college or university; OR
* Have at least 1 year of specialized experience equivalent to the GL-7 level such as experience applying law enforcement, protective, or investigative techniques in the performance of job duties; identifying problem areas and proposing and implementing solutions; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; and leading meeting or seminars on behalf of a professional or academic group; setting work priorities and allocating resources; partnering with other individuals from within and outside the organization; OR
* A combination of specialized experience, as described above, and related graduate level education, beyond the first full year of graduate level study.
You are minimally qualified for the GS-11 Level (Starting base salary $63,163) if you possess one of the following:
* Ph.D. or equivalent doctoral degree, or 3 full years of progressively higher-level graduate education leading to such a degree, or LL.M.; OR
* Have at least 1 year of specialized experience equivalent to the GL-9 level such as experience in, or related to planning and conducting complex criminal investigations to determine violations of Federal laws and regulations; collecting and assembling facts to identify logical conclusion; gathering, analyzing, and evaluating evidence or data; conducting interviews and interrogations; making arrests; conducting searches and seizures; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; partnering with or leveraging networks or relationships from outside the organization, experience managing complex projects including setting priorities and determining resource requirements; OR
* A combination of specialized experience, as described above, and related graduate level education, beyond the first full year of doctoral level study.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Qualified applicants will only be referred at the highest grade level for which they qualify.
Applicants must successfully pass Phase 1 assessments (see below) to receive a Conditional Job Offer. In addition, applicants must successfully pass Phase II (see below) to receive final consideration for employment.
Phase I:
* National Crime Information Center (NCIC)
* Special Agent Entrance Exam (SAEE)
* Applicant Physical Abilities Test
* Interview
Phase II:
* Credit Check
* Security Interview
* Polygraph examination
* Drug screening
* Medical examination
* Background investigation (a top-secret security clearance)
The Secret Service follows stringent guidelines relating to illegal drug usage. An applicant's history is reviewed and a determination for employment is made according to our guidelines. For more information regarding the U.S. Secret Service drug guidelines, please click here to view our Drug Policy.
As part of the application process the applicant will be required to complete the United States Secret Service Applicant Physical Abilities Test (APAT). It is a physical fitness assessment which consists of four components (push-ups, sit-ups, Illinois Agility Run and a 1.5 Mile Run). The APAT is designed to measure the current level of general physical fitness of an applicant, which serves as an indicator of an applicant's ability to safely complete a vigorous physical training program. It evaluates the applicant's ability to perform the physical tasks required on the job by measuring muscular and dynamic strength, endurance, flexibility, aerobic capacity and other factors related to physical aptitude. For more information about the APAT, please click here.
General Medical Requirements: As determined by OPM the duties of this position require moderate to arduous physical exertion involving walking and standing, use of firearms, and exposure to inclement weather. Manual dexterity with comparatively free motion of fingers, wrist, elbows, shoulders, hips and knee joints is required. Arms, hands, legs and feet must function sufficiently in order for applicants to perform the duties satisfactorily.
Additional information
* Recruitment Incentive: Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements. The first installment of $15,000 will be paid following successful completion of Secret Service Criminal Investigator training. A second installment of $10,000 will be paid following one year of service post training and an acceptable performance rating. The final installment of $15,000 will be paid after a third year of service post training and an acceptable performance rating. Provision of these payments require the execution of a three-year Continued Service Agreement (CSA) with the agency. Newly hired employees who resign from the USSS prior to the expiration of the CSA will be required to repay the recruitment incentive. (NOTE: Eligibility is limited to "Newly appointed" Federal employees as defined by 5 CFR 575.102).
Applicants selected for this position will be required to sign a CSA before being assigned to an initial training class. The CSA will commit the applicant to a specified period of employment with the Secret Service upon the successful completion of training.
Applicants will be required to travel to all phases of the hiring process at their own expense. If a final job offer is extended, relocation expenses will not be authorized for first duty location.
The Secret Service prohibits employees from having visible body markings (including but not limited to tattoos, body art and branding) on the head, face, neck, hand and fingers (any area below the wrist bone) (exception a single conservative and unobtrusive tattoo in the form of a ring is authorized on one finger).
If you are deemed minimally qualified for this position, you will be required to complete an Optional Form 306, Declaration for Federal Employment, and to sign and certify the accuracy of all information in your application, prior to entering Phase 1 of the hiring process. False statements on any part of the application may result in withdrawal of offer of employment, dismissal after beginning work, fine, or imprisonment.
Since the duties of this position are exacting and involve the responsibility for the safety of others under trying conditions, applicants must possess emotional and mental stability. Any condition that would hinder full efficient performance of the duties of this position or that would cause the individual to be a hazard to himself/herself or to others is disqualifying.
There are also specific medical requirements for this position and any chronic disease or condition affecting the respiratory, cardiovascular, gastrointestinal, musculoskeletal, digestive, nervous, endocrine, lymphatic, nervous, genitourinary and other systems that would impair full performance of the duties of the position may also be disqualifying. Click here for more information.
The Fair Chance to Compete for Jobs Act prohibits the Department of Homeland Security and its Components from requesting an applicant's criminal history record before that individual receives a conditional offer of employment. In accordance with 5 U.S. Code § 9202(c) and 5 C.F.R § 920.201 certain positions are exempt from the provisions of the Fair Chance to Compete Act. Applicants who believe they have been subjected to a violation of the Fair Chance to Compete for Jobs Act, may submit a written complaint to Equal ************************.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
DHS offers competitive salaries and an attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include flexible work schedules; tuition reimbursement; transportation subsidies (government vehicle); uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "Benefits." Disabled veteran leave will be available to any Federal employee hired on or after November 5, 2016, who is a veteran with a service- connected disability rating of 30 percent or more.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
We will review your resume and supporting documentation to ensure you meet the minimum qualification requirements. If you meet the minimum qualifications, you will receive a conditional job offer.
You will automatically be considered for all grade levels to maximize your consideration for this position.
The competencies needed to perform this job are:
* Investigative methods
* Protective methods
* Law enforcement techniques
* Exercising initiative
* Attention to detail
* Judgment and Problem Solving
* Ability to analyze and evaluate data or evidence
* Ability to partner with or lead others
Interviews are required for this position. Failure to complete the interview may result in removal from further consideration.
Your on-line application will be rated on the extent, quality, and relevance of the following: your experience, education and training, and competencies. All applicants are evaluated on competencies related to law enforcement methods and techniques, protective methods and techniques, investigative methods and techniques, initiative, attention to detail, learning, problem solving, partnering, planning and organizing, and leadership. All answers in the online process must be substantiated by your resume. Upon review your resume and transcripts need to support your answer choices. Overstating your qualifications and/or experience in your application materials or on the application questionnaire may result in your removal for consideration.
Any Offers of employment made pursuant to this announcement will be consistent with all applicable authorities, including Presidential Memoranda, Executive Orders, interpretive U.S. Office of Personnel Management guidance and U.S. Office of Management and Budget plans and policies concerning hiring. These authorities are subject to change.
DHS uses E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Click here to learn more about E-Verify, including your rights and responsibilities.
Benefits
Help
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
DHS offers competitive salaries and an attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include flexible work schedules; tuition reimbursement; transportation subsidies (government vehicle); uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "Benefits." Disabled veteran leave will be available to any Federal employee hired on or after November 5, 2016, who is a veteran with a service- connected disability rating of 30 percent or more.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required documents
Required Documents
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In addition to addressing the job opportunity announcement specific questions, you must also submit the following documentation:
* Resume - Limit your resume to no more than two pages. The USAJOBS database will not allow an applicant to submit an application that includes a resume over two pages. In order to receive credit for experience contained in an uploaded resume, your employment history should show relevant work experience in detail and in month/year format (MM/YYYY), reflecting starting date and ending date, and include the number of hours worked per week. To learn how to format and submit a two-page resume, please visit the USAJOBS Help Center.
* If you have earned a college degree, or if you are qualifying based on education or you are qualifying based on a combination of education and experience , or are claiming Superior Academic Achievement (overall grade point average of 3.0 or higher out of a possible 4.0 recorded on the unofficial college/university transcript) to qualify at the GL-07 level (as explained in the Qualifications section), you must submit a copy of your college/university transcript (unofficial is acceptable) which must show school name, student's name, credit earned, degree, and date awarded. Education must be obtained from an accredited institution recognized by the U.S. Department of Education. Education completed in foreign colleges or universities may be used to meet Federal qualification requirements if you can show that your foreign education is comparable to education received in accredited educational institutions in the United States. For example, specific courses accepted for college-level credit by an accredited U.S. college or university, or foreign education evaluated by an organization recognized for accreditation by the Department of Education as education equivalent to that gained in an accredited U.S. college or university. It is your responsibility to provide such evidence with your application. See Recognition of Foreign Qualifications for more information. Those with Foreign education, click here.
* Are you a Veteran? Submit Member Copy 4 of your DD-214 (Certificate of Release or Discharge from Active Duty) or Statement of Service. If a DD-214 is not available, submit your Statement of Service from the Armed Forces that list the beginning and ending dates of active service, your rank, and confirm that you will be separated under honorable conditions. Those applying for 10-point preference must fill out the SF-15 (click here for the form) and provide the required documentation listed on the back of the form. Click here for more veterans' information.
* Are you a current or former Federal Employee? Submit a copy of your SF-50, Notification of Personnel Action, showing your tenure code, position occupied and highest grade and step. In addition, if you have or had service in a Federal Law Enforcement position covered by law enforcement or firefighter retirement provisions, including early or mandatory retirement, the SF-50 must show the retirement code. An award SF-50 does not contain the required information. Also submit your performance appraisals and/or incentive awards.
* The Office of Personnel Management (OPM) must authorize employment offers made to current or former political appointees. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, Non-career SES or Presidential Appointee employee in the Executive Branch, you must disclose this information to the Human Resources Office.
* Did you previously take the Special Agent Entrance Exam (SAEE)? Submit a copy of your SAEE results.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
Senior Investigator, Special Investigations Unit (Aetna SIU)
Columbus, OH
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
- Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices.
- Conducts investigations of known or suspected acts of healthcare fraud and abuse.
- Communicates with federal, state, and local law enforcement agencies as appropriate in matters pertaining to the prosecution of specific healthcare fraud
cases.
- Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc.
- Facilitates the recovery of company and customer money lost as a result of fraud matters.
- Provides input regarding controls for monitoring fraud related issues within the business units.
- Delivers educational programs designed to promote deterrence and detection of fraud and minimize losses to the company
- Maintains open communication with constituents within and external to the company.
- Uses available resources and technology in developing evidence, supporting allegations of fraud and abuse.
- Researches and prepares cases for clinical and legal review.
- Documents all appropriate case activity in tracking system.
- Makes referrals and deconflictions, both internal and external, in the required timeframe.
- Cost effectively manages use of outside resources and vendors to perform activities necessary for investigations.
- Exhibits behaviors outlined in Employee Competencies
- Attending and presenting at quarterly state meetings.
**Required Qualifications**
- 1+ years' experience working with Medicaid.
- 3+ years' in healthcare field working in fraud, waste and abuse investigations and audits.
- Proficient in researching information and identifying information resources.
- Experience working in Microsoft Word, Excel, Outlook products.
- Experience working with database search tools and use in the Intranet/Internet to research information.
- Ability to utilize company systems to obtain relevant electronic documentation.
- Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.
**Preferred Qualifications**
- Knowledge of New Jersey Medicaid
- Credentials such as a certification from the Association of Certified Fraud Examiners (CFE)
- An accreditation from the National Health Care Anti-Fraud Association (AHFI).
- Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA)
- Knowledge of Aetna's policies and procedures
- Ability to interact with different groups of people at different levels and provide assistance on a timely basis.
**Education**
- Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud, waste, and abuse investigations and audits.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$46,988.00 - $122,400.00
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: 01/10/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Cleveland , OH SIU Investigator
Cleveland, OH
We have immediate openings due to growth. We are seeking experienced SIU/Claims Investigators in the Cleveland or surrounding areas. This is a part-time position to start with the ability to turn into a full-time position for the right individual. The owners are entrepreneurial, experienced, field investigators, each with over 25 years of experience. We understand the job and never forgot our roots in the field. We are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel.
Requirements:
You must have complex SIU/Claims experience and reside in the Cleveland or surrounding area. If you do not have SIU/Claims experience, please do not apply because we can't hire you.
Responsibilities:
Provide detailed accurate reports
Obtain written and recorded statements
Perform scene investigations
Ability to accurately photograph evidence i.e., accident scenes, vehicle damage, etc.
Investigate property theft, vehicle theft, garaging issues and permissible use claims
Skills/Experience:
Experience conducting complex SIU/Claims cases is a must.
Experience conducting surveillance as a Private Investigator is preferred but not required.
Bi-lingual is a plus
Associates/Bachelor, Degree in Criminal Justice or Related Field is a plus
Notary license is a plus
Ability and willingness to travel as necessary
Flexibility to work varied/irregular hours and days
Strong computer and Internet skills
Possess a valid state-issued driver's license
Possess a reliable vehicle, digital camera and computer with Windows Operating System, Microsoft Word and Internet connection
Must have the personal pride to get your work product in on time
Competitive starting pay
Travel time compensation
Report writing compensation
FT positions are offered the following benefits: Medical, Dental, 401K, Paid Vacation and Paid Holidays
Investigator II
Cleveland, OH
Corporate Security and Resilience Investigator II position will lead investigations, including Internal investigations of a sensitive nature. Position contributes to various types of investigations, including complex financial crime. This is achieved by providing an independent and objective investigation service enterprise wide that applies rigorous, lawful and professional practices and principles.
Primary responsibilities include
+ Provide independent, professional, and objective investigative services to business stakeholders.
+ Delivering reliable, high-quality, fact-finding investigation reports that identify the relevant key issues and objective conclusions.
+ Identify key control issues by the gathering, analysis and objective interpretation of relevant complex evidence and by conducting formal and informational interviews with relevant employees.
+ Independent contact and engagement with suspects, victims and witnesses related to potential frauds/crimes.
+ Make determination on when to involve legal, human resources/employee relations, and senior management on sensitive incidents.
+ Ensure the delivery of work undertaken is consistent with and targeted to the issues subject to investigation and resolution
+ Provide court testimony as appropriate.
+ Makes determination if evidence is sufficient for criminal complaints.
+ Work independently on investigative actions while collaborating with local, state and federal law enforcement agencies on prosecution efforts.
+ Comply with all local, state and federal laws.
+ Ensure clear knowledge and understanding of SAR Program compliance.
Qualifications, Education, Certifications and/or Other Professional Credentials
+ Five (3) years of relevant experience in similar investigations capacity.
+ Five (3) years of broker-dealer, compliance, financial or operational audits/investigations or related experience.
+ Knowledge of rules, regulations, and guidelines governing the securities industry.
+ Experience with social media, OSINT, payments, investments research
+ Knowledge of FINRA/SEC investigative best practices
+ Competence using a desktop computer with the full suite of office software applications.
+ Bachelor's degree in finance or related field
+ Certified Fraud Examiner certification preferred.
Hours & Work Schedule Hours per Week: 40
Work Schedule: Monday - Friday. Work outside of normal business hours and overnight travel may be required.
Pay Transparency
The salary range for this position is $60,234 - $90,351 per year, plus an opportunity to earn an annual discretionary bonus. Actual pay is based on various factors including but not limited to the work location, and relevant skills and experience.
We offer competitive pay, comprehensive medical, dental and vision coverage, retirement benefits, maternity/paternity leave, flexible work arrangements, education reimbursement, wellness programs and more. Note, Citizens' paid time off policy exceeds the mandatory, paid sick or paid time-away policy of very local and state jurisdiction in the United States. For an overview of our benefits, visit ************************************** .
Some job boards have started using jobseeker-reported data to estimate salary ranges for roles. If you apply and qualify for this role, a recruiter will discuss accurate pay guidance.
Equal Employment Opportunity
Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to age, ancestry, color, citizenship, physical or mental disability, perceived disability or history or record of a disability, ethnicity, gender, gender identity or expression, genetic information, genetic characteristic, marital or domestic partner status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy/childbirth/lactation, colleague's or a dependent's reproductive health decision making, race, religion, sex, sexual orientation, or any other category protected by federal, state and/or local laws. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism. Employment decisions are based solely on merit, qualifications, performance and capability.
Why Work for Us
At Citizens, you'll find a customer-centric culture built around helping our customers and giving back to our local communities. When you join our team, you are part of a supportive and collaborative workforce, with access to training and tools to accelerate your potential and maximize your career growth
Background Check
Any offer of employment is conditioned upon the candidate successfully passing a background check, which may include initial credit, motor vehicle record, public record, prior employment verification, and criminal background checks. Results of the background check are individually reviewed based upon legal requirements imposed by our regulators and with consideration of the nature and gravity of the background history and the job offered. Any offer of employment will include further information.
Investigator II
Cleveland, OH
Corporate Security and Resilience Investigator II position will lead investigations, including Internal investigations of a sensitive nature. Position contributes to various types of investigations, including complex financial crime. This is achieved by providing an independent and objective investigation service enterprise wide that applies rigorous, lawful and professional practices and principles.
Primary responsibilities include
* Provide independent, professional, and objective investigative services to business stakeholders.
* Delivering reliable, high-quality, fact-finding investigation reports that identify the relevant key issues and objective conclusions.
* Identify key control issues by the gathering, analysis and objective interpretation of relevant complex evidence and by conducting formal and informational interviews with relevant employees.
* Independent contact and engagement with suspects, victims and witnesses related to potential frauds/crimes.
* Make determination on when to involve legal, human resources/employee relations, and senior management on sensitive incidents.
* Ensure the delivery of work undertaken is consistent with and targeted to the issues subject to investigation and resolution
* Provide court testimony as appropriate.
* Makes determination if evidence is sufficient for criminal complaints.
* Work independently on investigative actions while collaborating with local, state and federal law enforcement agencies on prosecution efforts.
* Comply with all local, state and federal laws.
* Ensure clear knowledge and understanding of SAR Program compliance.
Qualifications, Education, Certifications and/or Other Professional Credentials
* Five (3) years of relevant experience in similar investigations capacity.
* Five (3) years of broker-dealer, compliance, financial or operational audits/investigations or related experience.
* Knowledge of rules, regulations, and guidelines governing the securities industry.
* Experience with social media, OSINT, payments, investments research
* Knowledge of FINRA/SEC investigative best practices
* Competence using a desktop computer with the full suite of office software applications.
* Bachelor's degree in finance or related field
* Certified Fraud Examiner certification preferred.
Hours & Work Schedule Hours per Week: 40
Work Schedule: Monday - Friday. Work outside of normal business hours and overnight travel may be required.
Pay Transparency
The salary range for this position is $60,234 - $90,351 per year, plus an opportunity to earn an annual discretionary bonus. Actual pay is based on various factors including but not limited to the work location, and relevant skills and experience.
We offer competitive pay, comprehensive medical, dental and vision coverage, retirement benefits, maternity/paternity leave, flexible work arrangements, education reimbursement, wellness programs and more. Note, Citizens' paid time off policy exceeds the mandatory, paid sick or paid time-away policy of very local and state jurisdiction in the United States. For an overview of our benefits, visit ***************************************
Some job boards have started using jobseeker-reported data to estimate salary ranges for roles. If you apply and qualify for this role, a recruiter will discuss accurate pay guidance.
Equal Employment Opportunity
Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to age, ancestry, color, citizenship, physical or mental disability, perceived disability or history or record of a disability, ethnicity, gender, gender identity or expression, genetic information, genetic characteristic, marital or domestic partner status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy/childbirth/lactation, colleague's or a dependent's reproductive health decision making, race, religion, sex, sexual orientation, or any other category protected by federal, state and/or local laws. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism. Employment decisions are based solely on merit, qualifications, performance and capability.
Background Check
Any offer of employment is conditioned upon the candidate successfully passing a background check, which may include initial credit, motor vehicle record, public record, prior employment verification, and criminal background checks. Results of the background check are individually reviewed based upon legal requirements imposed by our regulators and with consideration of the nature and gravity of the background history and the job offered. Any offer of employment will include further information.
Benefits
We offer competitive pay, comprehensive medical, dental and vision coverage, retirement benefits, maternity/paternity leave, flexible work arrangements, education reimbursement, wellness programs and more.
View Benefits
Awards We've Received
Age-Friendly Institute's Certified Age-Friendly Employer
Dave Thomas Foundation's Best Adoption-Friendly Workplace
Disability:IN Best Places to Work for Disability Inclusion
Human Rights Campaign Corporate Equality Index 100 Award
Fair360 Top Regional Company
FORTUNE's World's Most Admired Companies
Military Friendly Employer
Auto-ApplySecurity Investigator
Cleveland, OH
A Security Investigator conducts routine to complex investigations involving fraud and/or physical security considerations. Security Investigators work closely with Security Department analysts in a collaborative environment and are expected to maintain a professional and positive working relationship with internal and external partners, including law enforcement agencies and other financial institutions. Security Investigators may also serve as support and response personnel as part of enterprise physical security strategies.
Education and Experience Requirements:
Bachelor's degree in criminal justice, accounting, finance, pre-law, or other related field required. Will consider commensurate experience.
Minimum 1 year experience required in conducting investigations involving fraud and/or physical security.
Experience with and understanding financial transactions is preferred.
Certificate, Licenses and Registration Requirements:
N/A
Knowledge, Skill, and Ability Requirements:
Solid understanding of financial fraud investigations and physical security systems is a plus.
The ability to proficiently and effectively navigate multiple software systems simultaneously.
Must be able to differentiate and transition from proactive problem identification to root cause analysis.
Excellent written and verbal skills are necessary to interact and communicate with various levels of internal and external clients. Must be able to effectively work independently or in a team environment.
Excellent time management and organizational skills with the ability to manage and prioritize multiple tasks to meet predetermined deadlines.
Solid understanding of financial fraud investigations and physical security systems is a plus.
Essential Functions:
Conduct routine to complex investigations as identified or assigned that may involve variables such as checks, digital, electronic, identity theft, card, loans, and physical properties.
Conduct interviews in accordance with Bank expectations and laws of the jurisdiction that support Bank investigations.
Preparation of Suspicious Activity Reports (SARs) and organization of case data and other supporting documentation.
Ability to understand, compile, and report on industry fraud trends and associated operational impacts contributing to potential fraud loss.
Implement, maintain, and respond to physical security strategies and associated equipment performance within a geographical area.
Be part of the Department's 24/7 emergency and investigative response team for security related matters including responding to intrusion alarms.
Travel to Bank properties as needed as part of investigations or interviews and conduct other duties as assigned.
All employees have the responsibility and the accountability to serve as risk managers for their businesses by understanding, reporting, responding to, managing and monitoring the risk they encounter daily as required by Dollar Bank's risk management program. Compliance with regulatory laws and company procedures is a required component of all position descriptions.
Supervisory Responsibilities:
N/A
Schedule Information
M-F
8:00am-5:00pm
EEO Statement
Dollar Bank is an Equal Opportunity Employer.
Minority/Female/Veteran/Disabled
Benefits Information
Full-time employees are eligible for a comprehensive benefits package including medical, dental, vision, 401(k) with immediate vesting, tuition reimbursement, and gym membership reimbursement.
Part-time employees qualify for 401(k) with immediate vesting, tuition reimbursement, and gym reimbursement.
For more information, please visit ************************************************
Experienced AML Investigator - Financial Crimes
Ohio
Remote - Florida
Remote - Georgia
Remote - North Carolina
Remote - Ohio
Remote - Oklahoma
Remote - Pennsylvania
Remote - South Carolina
Remote - Tennessee
Remote - Texas
Work Arrangement:
This is a remote, work-from-home opportunity for candidates located in one our eligible states. The role includes three weeks of company-provided remote training.
Please note: Remote work flexibility is not guaranteed long-term and may be subject to change based on company needs.
(Candidates must currently reside in Arizona, Florida, Georgia, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, or Texas).
About the Role:
As a Senior AML Investigator, you'll work remotely to provide expertise in detecting suspicious financial activity, ensuring regulatory compliance, and performing quality control. You will lead investigations, supervise junior analysts, and collaborate with clients to manage financial crime risks. This role offers the opportunity to work independently while making key decisions in a fast-paced, dynamic environment.
Key Responsibilities:
Identify data anomalies and red flags related to money laundering, terrorist financing, fraud, and sanctions violations, escalating cases for second-level review as appropriate.
Verify client identities to understand the nature and purpose of their relationship with the financial institution, ensuring compliance with Know Your Customer (KYC) procedures.
Perform quality control (QC) tasks as needed.
Assist with advanced responsibilities, including client communication, analyzing production data, and developing client-specific aids and training materials.
Provide independent support to analysts with workflow items and administrative tasks as they arise.
Submit written work for review by internal and client quality control teams, make necessary adjustments based on feedback, and apply insights to future work.
Meet all designated deadlines and procedures to ensure accurate and timely completion of tasks.
Contribute to a collaborative, team-oriented work environment.
Comply with all relevant federal and state laws, regulations, and guidance, including Anti-Money Laundering (AML) requirements, as well as company policies, procedures, and client expectations.
What You Bring (Minimum Qualifications)
Bachelor's degree is required.
At least 2-3 years of relevant AML/BSA experience.
Must currently reside in Arizona, Florida, Georgia, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, or Texas
Ability to thoroughly investigate potentially suspicious activities, analyze findings, and prepare detailed Suspicious Activity Reports (SARs) in compliance with regulatory requirements and clients' internal policies.
Strong knowledge of financial or banking industries and related regulations and laws.
Strong written and oral communication skills with the ability to produce narrative or written summaries clearly synthesizing recommendations and conclusions.
Proven ability to consistently meet and exceed daily production goals, demonstrating strong time management skills, attention to detail, and the capacity to prioritize tasks effectively.
Strong analytical, problem solving and organizational skills.
Proficiency in Microsoft Excel, PowerPoint, and Word, with a demonstrated ability to quickly learn new technologies.
Demonstrated experience in MS Excel, including pivot tables, macros, filtering, and sorting.
Capable of multitasking, working independently, and collaborating as part of a team to establish cooperative and productive working relationships.
Receptive to feedback and able to implement changes effectively.
Quick learner with adaptability to new technologies and processes.
Normal Working Hours and Conditions:
Core hours are 8:00 am - 5:00 pm, with potential flexibility required based on operational needs across different time zones.
About Us:
We are AML RightSource, the leading technology-enabled managed services firm focused on fighting financial crime for our clients and the world. Headquartered in Cleveland, Ohio, and operating across the globe, we are a trusted partner to our financial institution, FinTech, money service business, and corporate clients.
Using a blend of highly trained anti-financial crime professionals, cutting-edge technology tools, and industry-leading consultants, we help clients with their AML/BSA, transaction monitoring, client onboarding (KYC), enhanced due diligence (EDD), and risk management needs.
We support clients in meeting day-to-day compliance tasks, urgent projects, and strategic changes. Globally, our staff of more than 7,000 highly trained analysts and subject matter experts is the industry's largest group of full-time compliance professionals. Together with our clients, we are Reimagining Compliance.
Physical Requirements:
Ability to sit or stand for long periods.
Prolonged use of computers and office equipment.
Occasional lifting, bending, and reaching required.
AML RightSource is committed to fostering a diverse work environment and is proud to be an equal opportunity employer. We provide equal employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Recruitment Scam Alerts
We're aware of an increase in recruitment scams where individuals falsely claim to represent AML RightSource. These scammers may ask for money or personal information by offering fake job opportunities through e-mail, text message or social media. Please verify the source of any job-related communications carefully. All official AML RightSource communications are conducted through "@amlrightsource.com" email addresses. If you encounter suspicious messages, do not respond.
Auto-ApplyFraud Waste & Abuse (FWA) Investigator
Akron, OH
Special Investigations Unit (SIU) Investigator SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 Hours / Days Hybrid / Remote Protect Integrity. Uncover the Truth. Join Us as an FWA Investigator! Are you fueled by curiosity, driven by justice, and relentless in your pursuit of the facts? Step into a high-impact role where your investigative skills help safeguard healthcare systems from fraud, waste, and abuse - and ensure that resources go where they're truly needed.
We're looking for a Fraud, Waste, and Abuse (FWA) Investigator to lead complex investigations, analyze patterns, ensure compliance, communicate via phone or in writing with members and providers and collaborate across teams to uphold compliance and accountability.
Summary:
Conducts medium to high complexity investigations under general supervision to effectively pursue the identification, prevention, and investigation of healthcare fraud, waste and abuse (FWA), to facilitate the recovery of lost funds, and to comply with state and federal regulations mandating fraud plans and practices. Maintains knowledge of current schemes and determines impact to the plan. Ensures the SIU processes and procedures reflect current industry norms.
Formal Education Required:
a. Bachelor's Degree, or equivalent combination of education and experience.
Experience & Training Required:
a. Five (5) years Fraud, Waste and Abuse identification and investigation.
b. Special Investigations Unit (SIU) experience in a managed care setting.
Essential Functions:
1) Works within industry groups, and known fraud, waste and abuse (FWA) data repositories to ensure a current knowledge and understanding of FWA schemes and industry practices.
2) Performs data mining to determine if identified FWA schemes are impacting the plan, summarize those findings and make recommendations for action including reporting and prevention. Documents all findings, decisions, and actions.
3) Maintains working knowledge of relative enterprise and local information systems, databases, data schemas, software packages, and business operations to facilitate precise, reliable and accurate fulfillment of information needs related to corporate operations.
4) Maintains employee, provider and member education as it relates to FWA.
5) Investigates assigned cases of FWA including coordinating and conducting on-site and desk-top audits, member and stakeholder interviews, outlier billing identification, contract and regulatory guidance analysis.
6) Manages the SIU prepay review process which includes requesting the implementation of prepay reviews, organizing the records, and reviewing submitted records or sending to the appropriate area for a medical/coding review.
7) Complies with SIU Policies and procedures as well as goals set by SIU leadership.
8) Prepares SIU documentation for arbitrations, legal procedures, and settlements.
9) Recommends claim handling based on medical record review and compliance with industry standard claim coding (CPT, HCPCs, ICD10. etc,) and payment policies.
10) Ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity.
3. Other Skills, Competencies and Qualifications:
a. Demonstrate intermediate proficiency in MS Office, Project, and database management.
b. Maintain excellent working knowledge of process improvement techniques, methodologies and principles applying these in the normal course of operations.
c. Demonstrate excellent analytical and problem-solving skills.
d. Apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions.
e. Organize and manage time to accurately complete tasks within designated time frames in fast paced environment.
f. Skilled at conducting analysis of claims data to identify aberrant patterns and support investigative activities.
g. Maintain current knowledge of and comply with regulatory and company policy and procedures.
h. Accredited Healthcare Fraud Investigator (AHFI) or Certified Fraud Examiner (CFE) preferred.
i. Lean Six Sigma Yellow Belt preferred
4. Level of Physical Demands:
a. Sit for prolonged periods of time.
b. Bend, stoop, and stretch.
c. Lift up to 20 pounds.
d. Manual dexterity to operate computer, phone, and standard office machines
As a regional, provider-owned health plan, SummaCare values the relationship between the members and their doctors. SummaCare is a part of Summa Health, an integrated healthcare delivery system that includes Summa Health System hospitals, its community-based health centers, dedicated clinicians and SummaCare. Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits.
Equal Opportunity Employer/Veterans/Disabled
$28.10/hr - $42.15/hr
The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.
Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.
* Basic Life and Accidental Death & Dismemberment (AD&D)
* Supplemental Life and AD&D
* Dependent Life Insurance
* Short-Term and Long-Term Disability
* Accident Insurance, Hospital Indemnity, and Critical Illness
* Retirement Savings Plan
* Flexible Spending Accounts - Healthcare and Dependent Care
* Employee Assistance Program (EAP)
* Identity Theft Protection
* Pet Insurance
* Education Assistance
* Daily Pay
Senior Investigator (Aetna SIU)
Columbus, OH
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
**WEST VIRGINIA 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 national in scope, complex cases involving multi-lines of business, 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**
+ WEST VIRGINIA RESIDENCY REQUIRED
+ 3-5 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 - $102,000.00
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: 12/19/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Cleveland , OH SIU Investigator
Cleveland, OH
Job Description
We have immediate openings due to growth. We are seeking experienced SIU/Claims Investigators in the Cleveland or surrounding areas. This is a part-time position to start with the ability to turn into a full-time position for the right individual. The owners are entrepreneurial, experienced, field investigators, each with over 25 years of experience. We understand the job and never forgot our roots in the field. We are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel.
Requirements:
You must have complex SIU/Claims experience and reside in the Cleveland or surrounding area. If you do not have SIU/Claims experience, please do not apply because we can't hire you.
Responsibilities:
Provide detailed accurate reports
Obtain written and recorded statements
Perform scene investigations
Ability to accurately photograph evidence i.e., accident scenes, vehicle damage, etc.
Investigate property theft, vehicle theft, garaging issues and permissible use claims
Skills/Experience:
Experience conducting complex SIU/Claims cases is a must.
Experience conducting surveillance as a Private Investigator is preferred but not required.
Bi-lingual is a plus
Associates/Bachelor, Degree in Criminal Justice or Related Field is a plus
Notary license is a plus
Ability and willingness to travel as necessary
Flexibility to work varied/irregular hours and days
Strong computer and Internet skills
Possess a valid state-issued driver's license
Possess a reliable vehicle, digital camera and computer with Windows Operating System, Microsoft Word and Internet connection
Must have the personal pride to get your work product in on time
Competitive starting pay
Travel time compensation
Report writing compensation
FT positions are offered the following benefits: Medical, Dental, 401K, Paid Vacation and Paid Holidays
Special Agent
Cleveland, OH
Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position starts at a base salary of $48,371.00 (GL-07, step 1), with promotion potential to $117,034.00 (GS-13, step 10).
This position is covered by Law Enforcement Availability Pay (LEAP) which is an additional compensation of 25% of the basic rate of pay.
For more information on the Secret Service click here.
Summary
Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position starts at a base salary of $48,371.00 (GL-07, step 1), with promotion potential to $117,034.00 (GS-13, step 10).
This position is covered by Law Enforcement Availability Pay (LEAP) which is an additional compensation of 25% of the basic rate of pay.
For more information on the Secret Service click here.
Overview
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Accepting applications
Open & closing dates
10/01/2025 to 12/31/2025
Salary $48,371 to - $117,034 per year
Salary listed reflects the General Schedule (Base) table and, if applicable, will be adjusted to include the locality pay of the worksite location.
Pay scale & grade GL 7 - 11
Locations
MANY vacancies in the following locations:
Anchorage, AK
Birmingham, AL
Mobile, AL
Montgomery, AL
Show morefewer locations (110)
Little Rock, AR
Phoenix, AZ
Tucson, AZ
Fresno, CA
Los Angeles, CA
Riverside, CA
Sacramento, CA
San Diego, CA
San Francisco, CA
San Jose, CA
Santa Ana, CA
Ventura, CA
Denver, CO
New Haven, CT
Washington, DC
Wilmington, DE
Fort Myers, FL
Jacksonville, FL
Miami, FL
Orlando, FL
Tallahassee, FL
Tampa, FL
West Palm Beach, FL
Albany, GA
Atlanta, GA
Savannah, GA
Honolulu, HI
Des Moines, IA
Boise, ID
Chicago, IL
Springfield, IL
Indianapolis, IN
Wichita, KS
Lexington, KY
Louisville, KY
Baton Rouge, LA
New Orleans, LA
Boston, MA
Baltimore, MD
Portland, ME
Detroit, MI
Grand Rapids, MI
Saginaw, MI
Minneapolis, MN
Kansas City, MO
Saint Louis, MO
Springfield, MO
Jackson, MS
Billings, MT
Charlotte, NC
Greensboro, NC
Raleigh, NC
Wilmington, NC
Omaha, NE
Manchester, NH
Atlantic City, NJ
Newark, NJ
Trenton, NJ
Albuquerque, NM
Las Vegas, NV
Reno, NV
Albany, NY
Buffalo, NY
Melville, NY
New York, NY
Queens, NY
Rochester, NY
Syracuse, NY
White Plains, NY
Cincinnati, OH
Cleveland, OH
Columbus, OH
Dayton, OH
Toledo, OH
Oklahoma City, OK
Tulsa, OK
Portland, OR
Harrisburg, PA
Philadelphia, PA
Pittsburgh, PA
Scranton, PA
San Juan, PR
Providence, RI
Charleston, SC
Columbia, SC
Greenville, SC
Sioux Falls, SD
Chattanooga, TN
Knoxville, TN
Memphis, TN
Nashville, TN
Austin, TX
Dallas, TX
El Paso, TX
Houston, TX
Lubbock, TX
McAllen, TX
San Antonio, TX
Tyler, TX
Waco, TX
Salt Lake City, UT
Norfolk, VA
Richmond, VA
Roanoke, VA
Burlington, VT
Seattle, WA
Spokane, WA
Madison, WI
Milwaukee, WI
Charleston, WV
Remote job No Telework eligible No Travel Required 25% or less - Domestic and Foreign travel may be required. Relocation expenses reimbursed No Appointment type Term - The duration of this time limited Schedule B excepted appointment is 3 years and 120 days. Upon completion, you will either be converted to a career appointment in the competitive service or separated based on the expiration of the appointment. Work schedule Full-time Service Excepted
Promotion potential
13
Job family (Series)
* 1811 Criminal Investigation
Supervisory status No Security clearance Top Secret Drug test Yes Position sensitivity and risk Critical-Sensitive (CS)/High Risk
Trust determination process
* Credentialing
* Suitability/Fitness
* National security
Financial disclosure No Bargaining unit status No
Announcement number SAB-26-Q1-CI Control number 847106700
This job is open to
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The public
U.S. Citizens, Nationals or those who owe allegiance to the U.S.
Clarification from the agency
U.S. Citizens, Nationals, or those who owe allegiance to the U.S.
Videos
Duties
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Joining the United States Secret Service as a Special Agent offers a unique and rewarding career dedicated to serving the nation through our dual mission of criminal investigations and protection. Special Agents play a critical role in safeguarding the financial integrity of the United States and protecting its highest leaders, including the President, Vice President, and other designated individuals. Throughout their careers, Special Agents have the opportunity to work on diverse assignments across the country and around the globe, gaining unparalleled experience in both investigative and protective operations.
Responsibilities include:
* Conducting complex criminal investigations into financial crimes, including counterfeiting, cyber fraud, and other threats to the financial infrastructure of the United States.
* Providing physical protection for the President, Vice President, their families, visiting foreign dignitaries, and other protectees, ensuring their safety in every environment.
* Designing, planning, and implementing advanced security measures for National Special Security Events (NSSEs), such as presidential inaugurations, international summits, and other high-profile events.
As a Special Agent, you will be part of an elite team committed to excellence, integrity, and service, with opportunities to serve at multiple duty stations both domestically and internationally. This dynamic and impactful career challenges you to rise to your fullest potential while making a difference for the nation.
For more information about the Special Agent position, click here.
Requirements
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Conditions of employment
* U.S. Citizenship.
* Possess a current valid driver's license. Must be REAL ID compliant.
* Use your official name on your application as it appears on your valid government identification (i.e., REAL ID Driver's License, State ID, Passport).
* Applicants must be 21 at the time of application and under 37 at the time of a conditional offer, unless they have prior federal law enforcement service under special retirement provisions. Veterans' preference applicants must receive a conditional offer before age 40.
* Submit to a drug test prior to your appointment and random drug testing while you occupy the position. Disclose any prior drug use, attempted use, and/or experimentation.
* Obtain a Top-Secret Clearance and retain it during your career.
* This position requires an automatic credit check after initial qualifications are met.
* Carry and use a firearm. Maintaining firearm proficiency is mandatory. You will be ineligible to occupy this position if at any time you have been convicted of a misdemeanor crime of domestic violence, unless you received a pardon, or your conviction was expunged or set aside.
* Be available for assignment to any of the U.S. Secret Service Field Offices. Preferences are not guaranteed.
* Candidates are required to complete intensive training at the Federal Law Enforcement Training Center (FLETC) in Glynco, GA, followed by specialized training at the James J. Rowley Training Center in Laurel, MD. Failure to pass the training program may result in separation from the Secret Service.
* Sign a mobility agreement stating your willingness to accept assignments anywhere within the United States and overseas.
* Certify that you have registered with the Selective Service System or are exempt from having to do so, if you are a male applicant born after December 31, 1959.
* Possess uncorrected visual acuity of no worse than 20/100 binocular, possess corrected visual acuity of 20/20 or better in each eye.(Note: Lasik, ALK, RK, and PRK corrective eye surgeries are acceptable eye surgeries for special agent applicants. Applicants will be considered eligible for the special agent position provided specific visual tests are passed. The following are waiting periods for visual tests: Lasik-2 months after surgery, PRK-6 months after surgery, ALK and RK-one year after surgery).
* Hearing loss, as measured by an audiometer, must not exceed 25 decibels (A.S.A. or equivalent I.S.O.) in either ear in the 500,1000 and 2000Hz ranges.
Qualifications
As a condition of employment for accepting this position, you may be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
* your performance and conduct;
* the needs and interests of the agency;
* whether your continued employment would advance organizational goals of the agency or the Government; and
* whether your continued employment would advance the efficiency of the Federal service.
Upon completion of your trial period your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
You are minimally qualified for the GL-07 Level (starting base salary $48,371) if you possess one of the following:
* A bachelor's degree from an accredited college or university with superior academic achievement (S.A.A.) which is based on class standing, grade-point average, or honor society membership as described below.
* Maintained a grade-point average of "B" (a GPA of 3.0 or higher) for all completed undergraduate courses, or those completed in the last two years of undergraduate study; OR
* Rank in the upper one-third of your class in the college, university, or major subdivision; OR
* Be a member of a national honor (other than freshman honor societies) recognized by the Association of College Honor Societies. Please submit a college transcript(s) showing your grade point average for all four years of undergraduate study, including all transferred courses.
* NOTE: GPAs are rounded to one decimal place. For example, 2.95 will round to 3.0 and 2.94 will round to 2.9. If more than 10 percent of your undergraduate course work (credit hours) were taken on a pass/fail or similar basis, your claim must be based on class standing or membership in an honor society.
* At least one full year of graduate level education (i.e., 18 semester hours); OR
* At least 1 year of specialized experience in, or related to, the investigative methods, protective methods, and law enforcement techniques that provide the specific competencies to successfully perform the position's duties. Experience also includes exercising initiative; attention to detail; judgment in collecting, assembling and developing facts, evidence or other pertinent data; the ability to analyze and evaluate data or evidence to arrive at sound conclusions including applying new information; and the ability to partner with or lead others in the accomplishment of mission activities.
You are minimally qualified for the GL-09 Level (starting base salary $53,945) if you possess one of the following:
* A master's or equivalent graduate degree (such as LL.B. or J.D.) or two full years of progressively higher graduate education, in a related field, leading to such a degree from an accredited college or university; OR
* Have at least 1 year of specialized experience equivalent to the GL-7 level such as experience applying law enforcement, protective, or investigative techniques in the performance of job duties; identifying problem areas and proposing and implementing solutions; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; and leading meeting or seminars on behalf of a professional or academic group; setting work priorities and allocating resources; partnering with other individuals from within and outside the organization; OR
* A combination of specialized experience, as described above, and related graduate level education, beyond the first full year of graduate level study.
You are minimally qualified for the GS-11 Level (Starting base salary $63,163) if you possess one of the following:
* Ph.D. or equivalent doctoral degree, or 3 full years of progressively higher-level graduate education leading to such a degree, or LL.M.; OR
* Have at least 1 year of specialized experience equivalent to the GL-9 level such as experience in, or related to planning and conducting complex criminal investigations to determine violations of Federal laws and regulations; collecting and assembling facts to identify logical conclusion; gathering, analyzing, and evaluating evidence or data; conducting interviews and interrogations; making arrests; conducting searches and seizures; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; partnering with or leveraging networks or relationships from outside the organization, experience managing complex projects including setting priorities and determining resource requirements; OR
* A combination of specialized experience, as described above, and related graduate level education, beyond the first full year of doctoral level study.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Qualified applicants will only be referred at the highest grade level for which they qualify.
Applicants must successfully pass Phase 1 assessments (see below) to receive a Conditional Job Offer. In addition, applicants must successfully pass Phase II (see below) to receive final consideration for employment.
Phase I:
* National Crime Information Center (NCIC)
* Special Agent Entrance Exam (SAEE)
* Applicant Physical Abilities Test
* Interview
Phase II:
* Credit Check
* Security Interview
* Polygraph examination
* Drug screening
* Medical examination
* Background investigation (a top-secret security clearance)
The Secret Service follows stringent guidelines relating to illegal drug usage. An applicant's history is reviewed and a determination for employment is made according to our guidelines. For more information regarding the U.S. Secret Service drug guidelines, please click here to view our Drug Policy.
As part of the application process the applicant will be required to complete the United States Secret Service Applicant Physical Abilities Test (APAT). It is a physical fitness assessment which consists of four components (push-ups, sit-ups, Illinois Agility Run and a 1.5 Mile Run). The APAT is designed to measure the current level of general physical fitness of an applicant, which serves as an indicator of an applicant's ability to safely complete a vigorous physical training program. It evaluates the applicant's ability to perform the physical tasks required on the job by measuring muscular and dynamic strength, endurance, flexibility, aerobic capacity and other factors related to physical aptitude. For more information about the APAT, please click here.
General Medical Requirements: As determined by OPM the duties of this position require moderate to arduous physical exertion involving walking and standing, use of firearms, and exposure to inclement weather. Manual dexterity with comparatively free motion of fingers, wrist, elbows, shoulders, hips and knee joints is required. Arms, hands, legs and feet must function sufficiently in order for applicants to perform the duties satisfactorily.
Additional information
* Recruitment Incentive: Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements. The first installment of $15,000 will be paid following successful completion of Secret Service Criminal Investigator training. A second installment of $10,000 will be paid following one year of service post training and an acceptable performance rating. The final installment of $15,000 will be paid after a third year of service post training and an acceptable performance rating. Provision of these payments require the execution of a three-year Continued Service Agreement (CSA) with the agency. Newly hired employees who resign from the USSS prior to the expiration of the CSA will be required to repay the recruitment incentive. (NOTE: Eligibility is limited to "Newly appointed" Federal employees as defined by 5 CFR 575.102).
Applicants selected for this position will be required to sign a CSA before being assigned to an initial training class. The CSA will commit the applicant to a specified period of employment with the Secret Service upon the successful completion of training.
Applicants will be required to travel to all phases of the hiring process at their own expense. If a final job offer is extended, relocation expenses will not be authorized for first duty location.
The Secret Service prohibits employees from having visible body markings (including but not limited to tattoos, body art and branding) on the head, face, neck, hand and fingers (any area below the wrist bone) (exception a single conservative and unobtrusive tattoo in the form of a ring is authorized on one finger).
If you are deemed minimally qualified for this position, you will be required to complete an Optional Form 306, Declaration for Federal Employment, and to sign and certify the accuracy of all information in your application, prior to entering Phase 1 of the hiring process. False statements on any part of the application may result in withdrawal of offer of employment, dismissal after beginning work, fine, or imprisonment.
Since the duties of this position are exacting and involve the responsibility for the safety of others under trying conditions, applicants must possess emotional and mental stability. Any condition that would hinder full efficient performance of the duties of this position or that would cause the individual to be a hazard to himself/herself or to others is disqualifying.
There are also specific medical requirements for this position and any chronic disease or condition affecting the respiratory, cardiovascular, gastrointestinal, musculoskeletal, digestive, nervous, endocrine, lymphatic, nervous, genitourinary and other systems that would impair full performance of the duties of the position may also be disqualifying. Click here for more information.
The Fair Chance to Compete for Jobs Act prohibits the Department of Homeland Security and its Components from requesting an applicant's criminal history record before that individual receives a conditional offer of employment. In accordance with 5 U.S. Code § 9202(c) and 5 C.F.R § 920.201 certain positions are exempt from the provisions of the Fair Chance to Compete Act. Applicants who believe they have been subjected to a violation of the Fair Chance to Compete for Jobs Act, may submit a written complaint to Equal ************************.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
DHS offers competitive salaries and an attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include flexible work schedules; tuition reimbursement; transportation subsidies (government vehicle); uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "Benefits." Disabled veteran leave will be available to any Federal employee hired on or after November 5, 2016, who is a veteran with a service- connected disability rating of 30 percent or more.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
We will review your resume and supporting documentation to ensure you meet the minimum qualification requirements. If you meet the minimum qualifications, you will receive a conditional job offer.
You will automatically be considered for all grade levels to maximize your consideration for this position.
The competencies needed to perform this job are:
* Investigative methods
* Protective methods
* Law enforcement techniques
* Exercising initiative
* Attention to detail
* Judgment and Problem Solving
* Ability to analyze and evaluate data or evidence
* Ability to partner with or lead others
Interviews are required for this position. Failure to complete the interview may result in removal from further consideration.
Your on-line application will be rated on the extent, quality, and relevance of the following: your experience, education and training, and competencies. All applicants are evaluated on competencies related to law enforcement methods and techniques, protective methods and techniques, investigative methods and techniques, initiative, attention to detail, learning, problem solving, partnering, planning and organizing, and leadership. All answers in the online process must be substantiated by your resume. Upon review your resume and transcripts need to support your answer choices. Overstating your qualifications and/or experience in your application materials or on the application questionnaire may result in your removal for consideration.
Any Offers of employment made pursuant to this announcement will be consistent with all applicable authorities, including Presidential Memoranda, Executive Orders, interpretive U.S. Office of Personnel Management guidance and U.S. Office of Management and Budget plans and policies concerning hiring. These authorities are subject to change.
DHS uses E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Click here to learn more about E-Verify, including your rights and responsibilities.
Benefits
Help
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
DHS offers competitive salaries and an attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include flexible work schedules; tuition reimbursement; transportation subsidies (government vehicle); uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "Benefits." Disabled veteran leave will be available to any Federal employee hired on or after November 5, 2016, who is a veteran with a service- connected disability rating of 30 percent or more.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required documents
Required Documents
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In addition to addressing the job opportunity announcement specific questions, you must also submit the following documentation:
* Resume - Limit your resume to no more than two pages. The USAJOBS database will not allow an applicant to submit an application that includes a resume over two pages. In order to receive credit for experience contained in an uploaded resume, your employment history should show relevant work experience in detail and in month/year format (MM/YYYY), reflecting starting date and ending date, and include the number of hours worked per week. To learn how to format and submit a two-page resume, please visit the USAJOBS Help Center.
* If you have earned a college degree, or if you are qualifying based on education or you are qualifying based on a combination of education and experience , or are claiming Superior Academic Achievement (overall grade point average of 3.0 or higher out of a possible 4.0 recorded on the unofficial college/university transcript) to qualify at the GL-07 level (as explained in the Qualifications section), you must submit a copy of your college/university transcript (unofficial is acceptable) which must show school name, student's name, credit earned, degree, and date awarded. Education must be obtained from an accredited institution recognized by the U.S. Department of Education. Education completed in foreign colleges or universities may be used to meet Federal qualification requirements if you can show that your foreign education is comparable to education received in accredited educational institutions in the United States. For example, specific courses accepted for college-level credit by an accredited U.S. college or university, or foreign education evaluated by an organization recognized for accreditation by the Department of Education as education equivalent to that gained in an accredited U.S. college or university. It is your responsibility to provide such evidence with your application. See Recognition of Foreign Qualifications for more information. Those with Foreign education, click here.
* Are you a Veteran? Submit Member Copy 4 of your DD-214 (Certificate of Release or Discharge from Active Duty) or Statement of Service. If a DD-214 is not available, submit your Statement of Service from the Armed Forces that list the beginning and ending dates of active service, your rank, and confirm that you will be separated under honorable conditions. Those applying for 10-point preference must fill out the SF-15 (click here for the form) and provide the required documentation listed on the back of the form. Click here for more veterans' information.
* Are you a current or former Federal Employee? Submit a copy of your SF-50, Notification of Personnel Action, showing your tenure code, position occupied and highest grade and step. In addition, if you have or had service in a Federal Law Enforcement position covered by law enforcement or firefighter retirement provisions, including early or mandatory retirement, the SF-50 must show the retirement code. An award SF-50 does not contain the required information. Also submit your performance appraisals and/or incentive awards.
* The Office of Personnel Management (OPM) must authorize employment offers made to current or former political appointees. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, Non-career SES or Presidential Appointee employee in the Executive Branch, you must disclose this information to the Human Resources Office.
* Did you previously take the Special Agent Entrance Exam (SAEE)? Submit a copy of your SAEE results.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
Senior Investigator, Special Investigations Unit (Aetna SIU)
Ohio
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position Summary- Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices.
- Conducts investigations of known or suspected acts of healthcare fraud and abuse.
- Communicates with federal, state, and local law enforcement agencies as appropriate in matters pertaining to the prosecution of specific healthcare fraudcases.
- Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc.
- Facilitates the recovery of company and customer money lost as a result of fraud matters.
- Provides input regarding controls for monitoring fraud related issues within the business units.
- Delivers educational programs designed to promote deterrence and detection of fraud and minimize losses to the company- Maintains open communication with constituents within and external to the company.
- Uses available resources and technology in developing evidence, supporting allegations of fraud and abuse.
- Researches and prepares cases for clinical and legal review.
- Documents all appropriate case activity in tracking system.
- Makes referrals and deconflictions, both internal and external, in the required timeframe.
- Cost effectively manages use of outside resources and vendors to perform activities necessary for investigations.
- Exhibits behaviors outlined in Employee Competencies- Attending and presenting at quarterly state meetings.
Required Qualifications- 1+ years' experience working with Medicaid.
- 3+ years' in healthcare field working in fraud, waste and abuse investigations and audits.
- Proficient in researching information and identifying information resources.
- Experience working in Microsoft Word, Excel, Outlook products.
- Experience working with database search tools and use in the Intranet/Internet to research information.
- Ability to utilize company systems to obtain relevant electronic documentation.
- Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.
Preferred Qualifications- Knowledge of New Jersey Medicaid- Credentials such as a certification from the Association of Certified Fraud Examiners (CFE)- An accreditation from the National Health Care Anti-Fraud Association (AHFI).
- Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA)- Knowledge of Aetna's policies and procedures- Ability to interact with different groups of people at different levels and provide assistance on a timely basis.
Education- Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud, waste, and abuse investigations and audits.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988.
00 - $122,400.
00This 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 *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/10/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position starts at a base salary of $48,371.00 (GL-07, step 1), with promotion potential to $117,034.00 (GS-13, step 10).
This position is covered by Law Enforcement Availability Pay (LEAP) which is an additional compensation of 25% of the basic rate of pay.
For more information on the Secret Service click here.
Summary
Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position starts at a base salary of $48,371.00 (GL-07, step 1), with promotion potential to $117,034.00 (GS-13, step 10).
This position is covered by Law Enforcement Availability Pay (LEAP) which is an additional compensation of 25% of the basic rate of pay.
For more information on the Secret Service click here.
Overview
Help
Accepting applications
Open & closing dates
10/01/2025 to 12/31/2025
Salary $48,371 to - $117,034 per year
Salary listed reflects the General Schedule (Base) table and, if applicable, will be adjusted to include the locality pay of the worksite location.
Pay scale & grade GL 7 - 11
Locations
MANY vacancies in the following locations:
Anchorage, AK
Birmingham, AL
Mobile, AL
Montgomery, AL
Show morefewer locations (110)
Little Rock, AR
Phoenix, AZ
Tucson, AZ
Fresno, CA
Los Angeles, CA
Riverside, CA
Sacramento, CA
San Diego, CA
San Francisco, CA
San Jose, CA
Santa Ana, CA
Ventura, CA
Denver, CO
New Haven, CT
Washington, DC
Wilmington, DE
Fort Myers, FL
Jacksonville, FL
Miami, FL
Orlando, FL
Tallahassee, FL
Tampa, FL
West Palm Beach, FL
Albany, GA
Atlanta, GA
Savannah, GA
Honolulu, HI
Des Moines, IA
Boise, ID
Chicago, IL
Springfield, IL
Indianapolis, IN
Wichita, KS
Lexington, KY
Louisville, KY
Baton Rouge, LA
New Orleans, LA
Boston, MA
Baltimore, MD
Portland, ME
Detroit, MI
Grand Rapids, MI
Saginaw, MI
Minneapolis, MN
Kansas City, MO
Saint Louis, MO
Springfield, MO
Jackson, MS
Billings, MT
Charlotte, NC
Greensboro, NC
Raleigh, NC
Wilmington, NC
Omaha, NE
Manchester, NH
Atlantic City, NJ
Newark, NJ
Trenton, NJ
Albuquerque, NM
Las Vegas, NV
Reno, NV
Albany, NY
Buffalo, NY
Melville, NY
New York, NY
Queens, NY
Rochester, NY
Syracuse, NY
White Plains, NY
Cincinnati, OH
Cleveland, OH
Columbus, OH
Dayton, OH
Toledo, OH
Oklahoma City, OK
Tulsa, OK
Portland, OR
Harrisburg, PA
Philadelphia, PA
Pittsburgh, PA
Scranton, PA
San Juan, PR
Providence, RI
Charleston, SC
Columbia, SC
Greenville, SC
Sioux Falls, SD
Chattanooga, TN
Knoxville, TN
Memphis, TN
Nashville, TN
Austin, TX
Dallas, TX
El Paso, TX
Houston, TX
Lubbock, TX
McAllen, TX
San Antonio, TX
Tyler, TX
Waco, TX
Salt Lake City, UT
Norfolk, VA
Richmond, VA
Roanoke, VA
Burlington, VT
Seattle, WA
Spokane, WA
Madison, WI
Milwaukee, WI
Charleston, WV
Remote job No Telework eligible No Travel Required 25% or less - Domestic and Foreign travel may be required. Relocation expenses reimbursed No Appointment type Term - The duration of this time limited Schedule B excepted appointment is 3 years and 120 days. Upon completion, you will either be converted to a career appointment in the competitive service or separated based on the expiration of the appointment. Work schedule Full-time Service Excepted
Promotion potential
13
Job family (Series)
* 1811 Criminal Investigation
Supervisory status No Security clearance Top Secret Drug test Yes Position sensitivity and risk Critical-Sensitive (CS)/High Risk
Trust determination process
* Credentialing
* Suitability/Fitness
* National security
Financial disclosure No Bargaining unit status No
Announcement number SAB-26-Q1-CI Control number 847106700
This job is open to
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The public
U.S. Citizens, Nationals or those who owe allegiance to the U.S.
Clarification from the agency
U.S. Citizens, Nationals, or those who owe allegiance to the U.S.
Videos
Duties
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Joining the United States Secret Service as a Special Agent offers a unique and rewarding career dedicated to serving the nation through our dual mission of criminal investigations and protection. Special Agents play a critical role in safeguarding the financial integrity of the United States and protecting its highest leaders, including the President, Vice President, and other designated individuals. Throughout their careers, Special Agents have the opportunity to work on diverse assignments across the country and around the globe, gaining unparalleled experience in both investigative and protective operations.
Responsibilities include:
* Conducting complex criminal investigations into financial crimes, including counterfeiting, cyber fraud, and other threats to the financial infrastructure of the United States.
* Providing physical protection for the President, Vice President, their families, visiting foreign dignitaries, and other protectees, ensuring their safety in every environment.
* Designing, planning, and implementing advanced security measures for National Special Security Events (NSSEs), such as presidential inaugurations, international summits, and other high-profile events.
As a Special Agent, you will be part of an elite team committed to excellence, integrity, and service, with opportunities to serve at multiple duty stations both domestically and internationally. This dynamic and impactful career challenges you to rise to your fullest potential while making a difference for the nation.
For more information about the Special Agent position, click here.
Requirements
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Conditions of employment
* U.S. Citizenship.
* Possess a current valid driver's license. Must be REAL ID compliant.
* Use your official name on your application as it appears on your valid government identification (i.e., REAL ID Driver's License, State ID, Passport).
* Applicants must be 21 at the time of application and under 37 at the time of a conditional offer, unless they have prior federal law enforcement service under special retirement provisions. Veterans' preference applicants must receive a conditional offer before age 40.
* Submit to a drug test prior to your appointment and random drug testing while you occupy the position. Disclose any prior drug use, attempted use, and/or experimentation.
* Obtain a Top-Secret Clearance and retain it during your career.
* This position requires an automatic credit check after initial qualifications are met.
* Carry and use a firearm. Maintaining firearm proficiency is mandatory. You will be ineligible to occupy this position if at any time you have been convicted of a misdemeanor crime of domestic violence, unless you received a pardon, or your conviction was expunged or set aside.
* Be available for assignment to any of the U.S. Secret Service Field Offices. Preferences are not guaranteed.
* Candidates are required to complete intensive training at the Federal Law Enforcement Training Center (FLETC) in Glynco, GA, followed by specialized training at the James J. Rowley Training Center in Laurel, MD. Failure to pass the training program may result in separation from the Secret Service.
* Sign a mobility agreement stating your willingness to accept assignments anywhere within the United States and overseas.
* Certify that you have registered with the Selective Service System or are exempt from having to do so, if you are a male applicant born after December 31, 1959.
* Possess uncorrected visual acuity of no worse than 20/100 binocular, possess corrected visual acuity of 20/20 or better in each eye.(Note: Lasik, ALK, RK, and PRK corrective eye surgeries are acceptable eye surgeries for special agent applicants. Applicants will be considered eligible for the special agent position provided specific visual tests are passed. The following are waiting periods for visual tests: Lasik-2 months after surgery, PRK-6 months after surgery, ALK and RK-one year after surgery).
* Hearing loss, as measured by an audiometer, must not exceed 25 decibels (A.S.A. or equivalent I.S.O.) in either ear in the 500,1000 and 2000Hz ranges.
Qualifications
As a condition of employment for accepting this position, you may be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
* your performance and conduct;
* the needs and interests of the agency;
* whether your continued employment would advance organizational goals of the agency or the Government; and
* whether your continued employment would advance the efficiency of the Federal service.
Upon completion of your trial period your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
You are minimally qualified for the GL-07 Level (starting base salary $48,371) if you possess one of the following:
* A bachelor's degree from an accredited college or university with superior academic achievement (S.A.A.) which is based on class standing, grade-point average, or honor society membership as described below.
* Maintained a grade-point average of "B" (a GPA of 3.0 or higher) for all completed undergraduate courses, or those completed in the last two years of undergraduate study; OR
* Rank in the upper one-third of your class in the college, university, or major subdivision; OR
* Be a member of a national honor (other than freshman honor societies) recognized by the Association of College Honor Societies. Please submit a college transcript(s) showing your grade point average for all four years of undergraduate study, including all transferred courses.
* NOTE: GPAs are rounded to one decimal place. For example, 2.95 will round to 3.0 and 2.94 will round to 2.9. If more than 10 percent of your undergraduate course work (credit hours) were taken on a pass/fail or similar basis, your claim must be based on class standing or membership in an honor society.
* At least one full year of graduate level education (i.e., 18 semester hours); OR
* At least 1 year of specialized experience in, or related to, the investigative methods, protective methods, and law enforcement techniques that provide the specific competencies to successfully perform the position's duties. Experience also includes exercising initiative; attention to detail; judgment in collecting, assembling and developing facts, evidence or other pertinent data; the ability to analyze and evaluate data or evidence to arrive at sound conclusions including applying new information; and the ability to partner with or lead others in the accomplishment of mission activities.
You are minimally qualified for the GL-09 Level (starting base salary $53,945) if you possess one of the following:
* A master's or equivalent graduate degree (such as LL.B. or J.D.) or two full years of progressively higher graduate education, in a related field, leading to such a degree from an accredited college or university; OR
* Have at least 1 year of specialized experience equivalent to the GL-7 level such as experience applying law enforcement, protective, or investigative techniques in the performance of job duties; identifying problem areas and proposing and implementing solutions; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; and leading meeting or seminars on behalf of a professional or academic group; setting work priorities and allocating resources; partnering with other individuals from within and outside the organization; OR
* A combination of specialized experience, as described above, and related graduate level education, beyond the first full year of graduate level study.
You are minimally qualified for the GS-11 Level (Starting base salary $63,163) if you possess one of the following:
* Ph.D. or equivalent doctoral degree, or 3 full years of progressively higher-level graduate education leading to such a degree, or LL.M.; OR
* Have at least 1 year of specialized experience equivalent to the GL-9 level such as experience in, or related to planning and conducting complex criminal investigations to determine violations of Federal laws and regulations; collecting and assembling facts to identify logical conclusion; gathering, analyzing, and evaluating evidence or data; conducting interviews and interrogations; making arrests; conducting searches and seizures; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; partnering with or leveraging networks or relationships from outside the organization, experience managing complex projects including setting priorities and determining resource requirements; OR
* A combination of specialized experience, as described above, and related graduate level education, beyond the first full year of doctoral level study.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Qualified applicants will only be referred at the highest grade level for which they qualify.
Applicants must successfully pass Phase 1 assessments (see below) to receive a Conditional Job Offer. In addition, applicants must successfully pass Phase II (see below) to receive final consideration for employment.
Phase I:
* National Crime Information Center (NCIC)
* Special Agent Entrance Exam (SAEE)
* Applicant Physical Abilities Test
* Interview
Phase II:
* Credit Check
* Security Interview
* Polygraph examination
* Drug screening
* Medical examination
* Background investigation (a top-secret security clearance)
The Secret Service follows stringent guidelines relating to illegal drug usage. An applicant's history is reviewed and a determination for employment is made according to our guidelines. For more information regarding the U.S. Secret Service drug guidelines, please click here to view our Drug Policy.
As part of the application process the applicant will be required to complete the United States Secret Service Applicant Physical Abilities Test (APAT). It is a physical fitness assessment which consists of four components (push-ups, sit-ups, Illinois Agility Run and a 1.5 Mile Run). The APAT is designed to measure the current level of general physical fitness of an applicant, which serves as an indicator of an applicant's ability to safely complete a vigorous physical training program. It evaluates the applicant's ability to perform the physical tasks required on the job by measuring muscular and dynamic strength, endurance, flexibility, aerobic capacity and other factors related to physical aptitude. For more information about the APAT, please click here.
General Medical Requirements: As determined by OPM the duties of this position require moderate to arduous physical exertion involving walking and standing, use of firearms, and exposure to inclement weather. Manual dexterity with comparatively free motion of fingers, wrist, elbows, shoulders, hips and knee joints is required. Arms, hands, legs and feet must function sufficiently in order for applicants to perform the duties satisfactorily.
Additional information
* Recruitment Incentive: Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements. The first installment of $15,000 will be paid following successful completion of Secret Service Criminal Investigator training. A second installment of $10,000 will be paid following one year of service post training and an acceptable performance rating. The final installment of $15,000 will be paid after a third year of service post training and an acceptable performance rating. Provision of these payments require the execution of a three-year Continued Service Agreement (CSA) with the agency. Newly hired employees who resign from the USSS prior to the expiration of the CSA will be required to repay the recruitment incentive. (NOTE: Eligibility is limited to "Newly appointed" Federal employees as defined by 5 CFR 575.102).
Applicants selected for this position will be required to sign a CSA before being assigned to an initial training class. The CSA will commit the applicant to a specified period of employment with the Secret Service upon the successful completion of training.
Applicants will be required to travel to all phases of the hiring process at their own expense. If a final job offer is extended, relocation expenses will not be authorized for first duty location.
The Secret Service prohibits employees from having visible body markings (including but not limited to tattoos, body art and branding) on the head, face, neck, hand and fingers (any area below the wrist bone) (exception a single conservative and unobtrusive tattoo in the form of a ring is authorized on one finger).
If you are deemed minimally qualified for this position, you will be required to complete an Optional Form 306, Declaration for Federal Employment, and to sign and certify the accuracy of all information in your application, prior to entering Phase 1 of the hiring process. False statements on any part of the application may result in withdrawal of offer of employment, dismissal after beginning work, fine, or imprisonment.
Since the duties of this position are exacting and involve the responsibility for the safety of others under trying conditions, applicants must possess emotional and mental stability. Any condition that would hinder full efficient performance of the duties of this position or that would cause the individual to be a hazard to himself/herself or to others is disqualifying.
There are also specific medical requirements for this position and any chronic disease or condition affecting the respiratory, cardiovascular, gastrointestinal, musculoskeletal, digestive, nervous, endocrine, lymphatic, nervous, genitourinary and other systems that would impair full performance of the duties of the position may also be disqualifying. Click here for more information.
The Fair Chance to Compete for Jobs Act prohibits the Department of Homeland Security and its Components from requesting an applicant's criminal history record before that individual receives a conditional offer of employment. In accordance with 5 U.S. Code § 9202(c) and 5 C.F.R § 920.201 certain positions are exempt from the provisions of the Fair Chance to Compete Act. Applicants who believe they have been subjected to a violation of the Fair Chance to Compete for Jobs Act, may submit a written complaint to Equal ************************.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
DHS offers competitive salaries and an attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include flexible work schedules; tuition reimbursement; transportation subsidies (government vehicle); uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "Benefits." Disabled veteran leave will be available to any Federal employee hired on or after November 5, 2016, who is a veteran with a service- connected disability rating of 30 percent or more.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
We will review your resume and supporting documentation to ensure you meet the minimum qualification requirements. If you meet the minimum qualifications, you will receive a conditional job offer.
You will automatically be considered for all grade levels to maximize your consideration for this position.
The competencies needed to perform this job are:
* Investigative methods
* Protective methods
* Law enforcement techniques
* Exercising initiative
* Attention to detail
* Judgment and Problem Solving
* Ability to analyze and evaluate data or evidence
* Ability to partner with or lead others
Interviews are required for this position. Failure to complete the interview may result in removal from further consideration.
Your on-line application will be rated on the extent, quality, and relevance of the following: your experience, education and training, and competencies. All applicants are evaluated on competencies related to law enforcement methods and techniques, protective methods and techniques, investigative methods and techniques, initiative, attention to detail, learning, problem solving, partnering, planning and organizing, and leadership. All answers in the online process must be substantiated by your resume. Upon review your resume and transcripts need to support your answer choices. Overstating your qualifications and/or experience in your application materials or on the application questionnaire may result in your removal for consideration.
Any Offers of employment made pursuant to this announcement will be consistent with all applicable authorities, including Presidential Memoranda, Executive Orders, interpretive U.S. Office of Personnel Management guidance and U.S. Office of Management and Budget plans and policies concerning hiring. These authorities are subject to change.
DHS uses E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Click here to learn more about E-Verify, including your rights and responsibilities.
Benefits
Help
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
DHS offers competitive salaries and an attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include flexible work schedules; tuition reimbursement; transportation subsidies (government vehicle); uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "Benefits." Disabled veteran leave will be available to any Federal employee hired on or after November 5, 2016, who is a veteran with a service- connected disability rating of 30 percent or more.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required documents
Required Documents
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In addition to addressing the job opportunity announcement specific questions, you must also submit the following documentation:
* Resume - Limit your resume to no more than two pages. The USAJOBS database will not allow an applicant to submit an application that includes a resume over two pages. In order to receive credit for experience contained in an uploaded resume, your employment history should show relevant work experience in detail and in month/year format (MM/YYYY), reflecting starting date and ending date, and include the number of hours worked per week. To learn how to format and submit a two-page resume, please visit the USAJOBS Help Center.
* If you have earned a college degree, or if you are qualifying based on education or you are qualifying based on a combination of education and experience , or are claiming Superior Academic Achievement (overall grade point average of 3.0 or higher out of a possible 4.0 recorded on the unofficial college/university transcript) to qualify at the GL-07 level (as explained in the Qualifications section), you must submit a copy of your college/university transcript (unofficial is acceptable) which must show school name, student's name, credit earned, degree, and date awarded. Education must be obtained from an accredited institution recognized by the U.S. Department of Education. Education completed in foreign colleges or universities may be used to meet Federal qualification requirements if you can show that your foreign education is comparable to education received in accredited educational institutions in the United States. For example, specific courses accepted for college-level credit by an accredited U.S. college or university, or foreign education evaluated by an organization recognized for accreditation by the Department of Education as education equivalent to that gained in an accredited U.S. college or university. It is your responsibility to provide such evidence with your application. See Recognition of Foreign Qualifications for more information. Those with Foreign education, click here.
* Are you a Veteran? Submit Member Copy 4 of your DD-214 (Certificate of Release or Discharge from Active Duty) or Statement of Service. If a DD-214 is not available, submit your Statement of Service from the Armed Forces that list the beginning and ending dates of active service, your rank, and confirm that you will be separated under honorable conditions. Those applying for 10-point preference must fill out the SF-15 (click here for the form) and provide the required documentation listed on the back of the form. Click here for more veterans' information.
* Are you a current or former Federal Employee? Submit a copy of your SF-50, Notification of Personnel Action, showing your tenure code, position occupied and highest grade and step. In addition, if you have or had service in a Federal Law Enforcement position covered by law enforcement or firefighter retirement provisions, including early or mandatory retirement, the SF-50 must show the retirement code. An award SF-50 does not contain the required information. Also submit your performance appraisals and/or incentive awards.
* The Office of Personnel Management (OPM) must authorize employment offers made to current or former political appointees. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, Non-career SES or Presidential Appointee employee in the Executive Branch, you must disclose this information to the Human Resources Office.
* Did you previously take the Special Agent Entrance Exam (SAEE)? Submit a copy of your SAEE results.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
Senior Investigator, Special Investigations Unit (Aetna SIU)
Delaware, OH
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position Summary- Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices.
- Conducts investigations of known or suspected acts of healthcare fraud and abuse.
- Communicates with federal, state, and local law enforcement agencies as appropriate in matters pertaining to the prosecution of specific healthcare fraudcases.
- Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc.
- Facilitates the recovery of company and customer money lost as a result of fraud matters.
- Provides input regarding controls for monitoring fraud related issues within the business units.
- Delivers educational programs designed to promote deterrence and detection of fraud and minimize losses to the company- Maintains open communication with constituents within and external to the company.
- Uses available resources and technology in developing evidence, supporting allegations of fraud and abuse.
- Researches and prepares cases for clinical and legal review.
- Documents all appropriate case activity in tracking system.
- Makes referrals and deconflictions, both internal and external, in the required timeframe.
- Cost effectively manages use of outside resources and vendors to perform activities necessary for investigations.
- Exhibits behaviors outlined in Employee Competencies- Attending and presenting at quarterly state meetings.
Required Qualifications- 1+ years' experience working with Medicaid.
- 3+ years' in healthcare field working in fraud, waste and abuse investigations and audits.
- Proficient in researching information and identifying information resources.
- Experience working in Microsoft Word, Excel, Outlook products.
- Experience working with database search tools and use in the Intranet/Internet to research information.
- Ability to utilize company systems to obtain relevant electronic documentation.
- Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.
Preferred Qualifications- Knowledge of New Jersey Medicaid- Credentials such as a certification from the Association of Certified Fraud Examiners (CFE)- An accreditation from the National Health Care Anti-Fraud Association (AHFI).
- Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA)- Knowledge of Aetna's policies and procedures- Ability to interact with different groups of people at different levels and provide assistance on a timely basis.
Education- Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud, waste, and abuse investigations and audits.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988.
00 - $122,400.
00This 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 *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/10/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Special Agent
Cincinnati, OH
Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position starts at a base salary of $48,371.00 (GL-07, step 1), with promotion potential to $117,034.00 (GS-13, step 10).
This position is covered by Law Enforcement Availability Pay (LEAP) which is an additional compensation of 25% of the basic rate of pay.
For more information on the Secret Service click here.
Summary
Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position starts at a base salary of $48,371.00 (GL-07, step 1), with promotion potential to $117,034.00 (GS-13, step 10).
This position is covered by Law Enforcement Availability Pay (LEAP) which is an additional compensation of 25% of the basic rate of pay.
For more information on the Secret Service click here.
Overview
Help
Accepting applications
Open & closing dates
10/01/2025 to 12/31/2025
Salary $48,371 to - $117,034 per year
Salary listed reflects the General Schedule (Base) table and, if applicable, will be adjusted to include the locality pay of the worksite location.
Pay scale & grade GL 7 - 11
Locations
MANY vacancies in the following locations:
Anchorage, AK
Birmingham, AL
Mobile, AL
Montgomery, AL
Show morefewer locations (110)
Little Rock, AR
Phoenix, AZ
Tucson, AZ
Fresno, CA
Los Angeles, CA
Riverside, CA
Sacramento, CA
San Diego, CA
San Francisco, CA
San Jose, CA
Santa Ana, CA
Ventura, CA
Denver, CO
New Haven, CT
Washington, DC
Wilmington, DE
Fort Myers, FL
Jacksonville, FL
Miami, FL
Orlando, FL
Tallahassee, FL
Tampa, FL
West Palm Beach, FL
Albany, GA
Atlanta, GA
Savannah, GA
Honolulu, HI
Des Moines, IA
Boise, ID
Chicago, IL
Springfield, IL
Indianapolis, IN
Wichita, KS
Lexington, KY
Louisville, KY
Baton Rouge, LA
New Orleans, LA
Boston, MA
Baltimore, MD
Portland, ME
Detroit, MI
Grand Rapids, MI
Saginaw, MI
Minneapolis, MN
Kansas City, MO
Saint Louis, MO
Springfield, MO
Jackson, MS
Billings, MT
Charlotte, NC
Greensboro, NC
Raleigh, NC
Wilmington, NC
Omaha, NE
Manchester, NH
Atlantic City, NJ
Newark, NJ
Trenton, NJ
Albuquerque, NM
Las Vegas, NV
Reno, NV
Albany, NY
Buffalo, NY
Melville, NY
New York, NY
Queens, NY
Rochester, NY
Syracuse, NY
White Plains, NY
Cincinnati, OH
Cleveland, OH
Columbus, OH
Dayton, OH
Toledo, OH
Oklahoma City, OK
Tulsa, OK
Portland, OR
Harrisburg, PA
Philadelphia, PA
Pittsburgh, PA
Scranton, PA
San Juan, PR
Providence, RI
Charleston, SC
Columbia, SC
Greenville, SC
Sioux Falls, SD
Chattanooga, TN
Knoxville, TN
Memphis, TN
Nashville, TN
Austin, TX
Dallas, TX
El Paso, TX
Houston, TX
Lubbock, TX
McAllen, TX
San Antonio, TX
Tyler, TX
Waco, TX
Salt Lake City, UT
Norfolk, VA
Richmond, VA
Roanoke, VA
Burlington, VT
Seattle, WA
Spokane, WA
Madison, WI
Milwaukee, WI
Charleston, WV
Remote job No Telework eligible No Travel Required 25% or less - Domestic and Foreign travel may be required. Relocation expenses reimbursed No Appointment type Term - The duration of this time limited Schedule B excepted appointment is 3 years and 120 days. Upon completion, you will either be converted to a career appointment in the competitive service or separated based on the expiration of the appointment. Work schedule Full-time Service Excepted
Promotion potential
13
Job family (Series)
* 1811 Criminal Investigation
Supervisory status No Security clearance Top Secret Drug test Yes Position sensitivity and risk Critical-Sensitive (CS)/High Risk
Trust determination process
* Credentialing
* Suitability/Fitness
* National security
Financial disclosure No Bargaining unit status No
Announcement number SAB-26-Q1-CI Control number 847106700
This job is open to
Help
The public
U.S. Citizens, Nationals or those who owe allegiance to the U.S.
Clarification from the agency
U.S. Citizens, Nationals, or those who owe allegiance to the U.S.
Videos
Duties
Help
Joining the United States Secret Service as a Special Agent offers a unique and rewarding career dedicated to serving the nation through our dual mission of criminal investigations and protection. Special Agents play a critical role in safeguarding the financial integrity of the United States and protecting its highest leaders, including the President, Vice President, and other designated individuals. Throughout their careers, Special Agents have the opportunity to work on diverse assignments across the country and around the globe, gaining unparalleled experience in both investigative and protective operations.
Responsibilities include:
* Conducting complex criminal investigations into financial crimes, including counterfeiting, cyber fraud, and other threats to the financial infrastructure of the United States.
* Providing physical protection for the President, Vice President, their families, visiting foreign dignitaries, and other protectees, ensuring their safety in every environment.
* Designing, planning, and implementing advanced security measures for National Special Security Events (NSSEs), such as presidential inaugurations, international summits, and other high-profile events.
As a Special Agent, you will be part of an elite team committed to excellence, integrity, and service, with opportunities to serve at multiple duty stations both domestically and internationally. This dynamic and impactful career challenges you to rise to your fullest potential while making a difference for the nation.
For more information about the Special Agent position, click here.
Requirements
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Conditions of employment
* U.S. Citizenship.
* Possess a current valid driver's license. Must be REAL ID compliant.
* Use your official name on your application as it appears on your valid government identification (i.e., REAL ID Driver's License, State ID, Passport).
* Applicants must be 21 at the time of application and under 37 at the time of a conditional offer, unless they have prior federal law enforcement service under special retirement provisions. Veterans' preference applicants must receive a conditional offer before age 40.
* Submit to a drug test prior to your appointment and random drug testing while you occupy the position. Disclose any prior drug use, attempted use, and/or experimentation.
* Obtain a Top-Secret Clearance and retain it during your career.
* This position requires an automatic credit check after initial qualifications are met.
* Carry and use a firearm. Maintaining firearm proficiency is mandatory. You will be ineligible to occupy this position if at any time you have been convicted of a misdemeanor crime of domestic violence, unless you received a pardon, or your conviction was expunged or set aside.
* Be available for assignment to any of the U.S. Secret Service Field Offices. Preferences are not guaranteed.
* Candidates are required to complete intensive training at the Federal Law Enforcement Training Center (FLETC) in Glynco, GA, followed by specialized training at the James J. Rowley Training Center in Laurel, MD. Failure to pass the training program may result in separation from the Secret Service.
* Sign a mobility agreement stating your willingness to accept assignments anywhere within the United States and overseas.
* Certify that you have registered with the Selective Service System or are exempt from having to do so, if you are a male applicant born after December 31, 1959.
* Possess uncorrected visual acuity of no worse than 20/100 binocular, possess corrected visual acuity of 20/20 or better in each eye.(Note: Lasik, ALK, RK, and PRK corrective eye surgeries are acceptable eye surgeries for special agent applicants. Applicants will be considered eligible for the special agent position provided specific visual tests are passed. The following are waiting periods for visual tests: Lasik-2 months after surgery, PRK-6 months after surgery, ALK and RK-one year after surgery).
* Hearing loss, as measured by an audiometer, must not exceed 25 decibels (A.S.A. or equivalent I.S.O.) in either ear in the 500,1000 and 2000Hz ranges.
Qualifications
As a condition of employment for accepting this position, you may be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
* your performance and conduct;
* the needs and interests of the agency;
* whether your continued employment would advance organizational goals of the agency or the Government; and
* whether your continued employment would advance the efficiency of the Federal service.
Upon completion of your trial period your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
You are minimally qualified for the GL-07 Level (starting base salary $48,371) if you possess one of the following:
* A bachelor's degree from an accredited college or university with superior academic achievement (S.A.A.) which is based on class standing, grade-point average, or honor society membership as described below.
* Maintained a grade-point average of "B" (a GPA of 3.0 or higher) for all completed undergraduate courses, or those completed in the last two years of undergraduate study; OR
* Rank in the upper one-third of your class in the college, university, or major subdivision; OR
* Be a member of a national honor (other than freshman honor societies) recognized by the Association of College Honor Societies. Please submit a college transcript(s) showing your grade point average for all four years of undergraduate study, including all transferred courses.
* NOTE: GPAs are rounded to one decimal place. For example, 2.95 will round to 3.0 and 2.94 will round to 2.9. If more than 10 percent of your undergraduate course work (credit hours) were taken on a pass/fail or similar basis, your claim must be based on class standing or membership in an honor society.
* At least one full year of graduate level education (i.e., 18 semester hours); OR
* At least 1 year of specialized experience in, or related to, the investigative methods, protective methods, and law enforcement techniques that provide the specific competencies to successfully perform the position's duties. Experience also includes exercising initiative; attention to detail; judgment in collecting, assembling and developing facts, evidence or other pertinent data; the ability to analyze and evaluate data or evidence to arrive at sound conclusions including applying new information; and the ability to partner with or lead others in the accomplishment of mission activities.
You are minimally qualified for the GL-09 Level (starting base salary $53,945) if you possess one of the following:
* A master's or equivalent graduate degree (such as LL.B. or J.D.) or two full years of progressively higher graduate education, in a related field, leading to such a degree from an accredited college or university; OR
* Have at least 1 year of specialized experience equivalent to the GL-7 level such as experience applying law enforcement, protective, or investigative techniques in the performance of job duties; identifying problem areas and proposing and implementing solutions; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; and leading meeting or seminars on behalf of a professional or academic group; setting work priorities and allocating resources; partnering with other individuals from within and outside the organization; OR
* A combination of specialized experience, as described above, and related graduate level education, beyond the first full year of graduate level study.
You are minimally qualified for the GS-11 Level (Starting base salary $63,163) if you possess one of the following:
* Ph.D. or equivalent doctoral degree, or 3 full years of progressively higher-level graduate education leading to such a degree, or LL.M.; OR
* Have at least 1 year of specialized experience equivalent to the GL-9 level such as experience in, or related to planning and conducting complex criminal investigations to determine violations of Federal laws and regulations; collecting and assembling facts to identify logical conclusion; gathering, analyzing, and evaluating evidence or data; conducting interviews and interrogations; making arrests; conducting searches and seizures; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; partnering with or leveraging networks or relationships from outside the organization, experience managing complex projects including setting priorities and determining resource requirements; OR
* A combination of specialized experience, as described above, and related graduate level education, beyond the first full year of doctoral level study.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Qualified applicants will only be referred at the highest grade level for which they qualify.
Applicants must successfully pass Phase 1 assessments (see below) to receive a Conditional Job Offer. In addition, applicants must successfully pass Phase II (see below) to receive final consideration for employment.
Phase I:
* National Crime Information Center (NCIC)
* Special Agent Entrance Exam (SAEE)
* Applicant Physical Abilities Test
* Interview
Phase II:
* Credit Check
* Security Interview
* Polygraph examination
* Drug screening
* Medical examination
* Background investigation (a top-secret security clearance)
The Secret Service follows stringent guidelines relating to illegal drug usage. An applicant's history is reviewed and a determination for employment is made according to our guidelines. For more information regarding the U.S. Secret Service drug guidelines, please click here to view our Drug Policy.
As part of the application process the applicant will be required to complete the United States Secret Service Applicant Physical Abilities Test (APAT). It is a physical fitness assessment which consists of four components (push-ups, sit-ups, Illinois Agility Run and a 1.5 Mile Run). The APAT is designed to measure the current level of general physical fitness of an applicant, which serves as an indicator of an applicant's ability to safely complete a vigorous physical training program. It evaluates the applicant's ability to perform the physical tasks required on the job by measuring muscular and dynamic strength, endurance, flexibility, aerobic capacity and other factors related to physical aptitude. For more information about the APAT, please click here.
General Medical Requirements: As determined by OPM the duties of this position require moderate to arduous physical exertion involving walking and standing, use of firearms, and exposure to inclement weather. Manual dexterity with comparatively free motion of fingers, wrist, elbows, shoulders, hips and knee joints is required. Arms, hands, legs and feet must function sufficiently in order for applicants to perform the duties satisfactorily.
Additional information
* Recruitment Incentive: Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements. The first installment of $15,000 will be paid following successful completion of Secret Service Criminal Investigator training. A second installment of $10,000 will be paid following one year of service post training and an acceptable performance rating. The final installment of $15,000 will be paid after a third year of service post training and an acceptable performance rating. Provision of these payments require the execution of a three-year Continued Service Agreement (CSA) with the agency. Newly hired employees who resign from the USSS prior to the expiration of the CSA will be required to repay the recruitment incentive. (NOTE: Eligibility is limited to "Newly appointed" Federal employees as defined by 5 CFR 575.102).
Applicants selected for this position will be required to sign a CSA before being assigned to an initial training class. The CSA will commit the applicant to a specified period of employment with the Secret Service upon the successful completion of training.
Applicants will be required to travel to all phases of the hiring process at their own expense. If a final job offer is extended, relocation expenses will not be authorized for first duty location.
The Secret Service prohibits employees from having visible body markings (including but not limited to tattoos, body art and branding) on the head, face, neck, hand and fingers (any area below the wrist bone) (exception a single conservative and unobtrusive tattoo in the form of a ring is authorized on one finger).
If you are deemed minimally qualified for this position, you will be required to complete an Optional Form 306, Declaration for Federal Employment, and to sign and certify the accuracy of all information in your application, prior to entering Phase 1 of the hiring process. False statements on any part of the application may result in withdrawal of offer of employment, dismissal after beginning work, fine, or imprisonment.
Since the duties of this position are exacting and involve the responsibility for the safety of others under trying conditions, applicants must possess emotional and mental stability. Any condition that would hinder full efficient performance of the duties of this position or that would cause the individual to be a hazard to himself/herself or to others is disqualifying.
There are also specific medical requirements for this position and any chronic disease or condition affecting the respiratory, cardiovascular, gastrointestinal, musculoskeletal, digestive, nervous, endocrine, lymphatic, nervous, genitourinary and other systems that would impair full performance of the duties of the position may also be disqualifying. Click here for more information.
The Fair Chance to Compete for Jobs Act prohibits the Department of Homeland Security and its Components from requesting an applicant's criminal history record before that individual receives a conditional offer of employment. In accordance with 5 U.S. Code § 9202(c) and 5 C.F.R § 920.201 certain positions are exempt from the provisions of the Fair Chance to Compete Act. Applicants who believe they have been subjected to a violation of the Fair Chance to Compete for Jobs Act, may submit a written complaint to Equal ************************.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
DHS offers competitive salaries and an attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include flexible work schedules; tuition reimbursement; transportation subsidies (government vehicle); uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "Benefits." Disabled veteran leave will be available to any Federal employee hired on or after November 5, 2016, who is a veteran with a service- connected disability rating of 30 percent or more.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
We will review your resume and supporting documentation to ensure you meet the minimum qualification requirements. If you meet the minimum qualifications, you will receive a conditional job offer.
You will automatically be considered for all grade levels to maximize your consideration for this position.
The competencies needed to perform this job are:
* Investigative methods
* Protective methods
* Law enforcement techniques
* Exercising initiative
* Attention to detail
* Judgment and Problem Solving
* Ability to analyze and evaluate data or evidence
* Ability to partner with or lead others
Interviews are required for this position. Failure to complete the interview may result in removal from further consideration.
Your on-line application will be rated on the extent, quality, and relevance of the following: your experience, education and training, and competencies. All applicants are evaluated on competencies related to law enforcement methods and techniques, protective methods and techniques, investigative methods and techniques, initiative, attention to detail, learning, problem solving, partnering, planning and organizing, and leadership. All answers in the online process must be substantiated by your resume. Upon review your resume and transcripts need to support your answer choices. Overstating your qualifications and/or experience in your application materials or on the application questionnaire may result in your removal for consideration.
Any Offers of employment made pursuant to this announcement will be consistent with all applicable authorities, including Presidential Memoranda, Executive Orders, interpretive U.S. Office of Personnel Management guidance and U.S. Office of Management and Budget plans and policies concerning hiring. These authorities are subject to change.
DHS uses E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Click here to learn more about E-Verify, including your rights and responsibilities.
Benefits
Help
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
DHS offers competitive salaries and an attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include flexible work schedules; tuition reimbursement; transportation subsidies (government vehicle); uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "Benefits." Disabled veteran leave will be available to any Federal employee hired on or after November 5, 2016, who is a veteran with a service- connected disability rating of 30 percent or more.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required documents
Required Documents
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In addition to addressing the job opportunity announcement specific questions, you must also submit the following documentation:
* Resume - Limit your resume to no more than two pages. The USAJOBS database will not allow an applicant to submit an application that includes a resume over two pages. In order to receive credit for experience contained in an uploaded resume, your employment history should show relevant work experience in detail and in month/year format (MM/YYYY), reflecting starting date and ending date, and include the number of hours worked per week. To learn how to format and submit a two-page resume, please visit the USAJOBS Help Center.
* If you have earned a college degree, or if you are qualifying based on education or you are qualifying based on a combination of education and experience , or are claiming Superior Academic Achievement (overall grade point average of 3.0 or higher out of a possible 4.0 recorded on the unofficial college/university transcript) to qualify at the GL-07 level (as explained in the Qualifications section), you must submit a copy of your college/university transcript (unofficial is acceptable) which must show school name, student's name, credit earned, degree, and date awarded. Education must be obtained from an accredited institution recognized by the U.S. Department of Education. Education completed in foreign colleges or universities may be used to meet Federal qualification requirements if you can show that your foreign education is comparable to education received in accredited educational institutions in the United States. For example, specific courses accepted for college-level credit by an accredited U.S. college or university, or foreign education evaluated by an organization recognized for accreditation by the Department of Education as education equivalent to that gained in an accredited U.S. college or university. It is your responsibility to provide such evidence with your application. See Recognition of Foreign Qualifications for more information. Those with Foreign education, click here.
* Are you a Veteran? Submit Member Copy 4 of your DD-214 (Certificate of Release or Discharge from Active Duty) or Statement of Service. If a DD-214 is not available, submit your Statement of Service from the Armed Forces that list the beginning and ending dates of active service, your rank, and confirm that you will be separated under honorable conditions. Those applying for 10-point preference must fill out the SF-15 (click here for the form) and provide the required documentation listed on the back of the form. Click here for more veterans' information.
* Are you a current or former Federal Employee? Submit a copy of your SF-50, Notification of Personnel Action, showing your tenure code, position occupied and highest grade and step. In addition, if you have or had service in a Federal Law Enforcement position covered by law enforcement or firefighter retirement provisions, including early or mandatory retirement, the SF-50 must show the retirement code. An award SF-50 does not contain the required information. Also submit your performance appraisals and/or incentive awards.
* The Office of Personnel Management (OPM) must authorize employment offers made to current or former political appointees. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, Non-career SES or Presidential Appointee employee in the Executive Branch, you must disclose this information to the Human Resources Office.
* Did you previously take the Special Agent Entrance Exam (SAEE)? Submit a copy of your SAEE results.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
Senior Investigator, Aetna SIU (Must reside in Ohio)
Columbus, OH
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
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 national in scope, complex cases, 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 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 manager 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**
+ Must live in the state of Ohio
+ 4+ years investigative experience in the area of healthcare fraud, waste 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.
+ The ability to understand and analyze health care claims and coding
+ Ability to travel up to 10% (approx. 2-3x per year, depending on business needs)
**Preferred Qualifications**
+ Previous Medicaid/Medicare investigatory experience
+ Previous Behavioral Health 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 ( A bachelor's degree, or an associate's degree with an additional four+ years working on health care fraud, waste, and abuse investigations and audits;
**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: 12/18/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position starts at a base salary of $48,371.00 (GL-07, step 1), with promotion potential to $117,034.00 (GS-13, step 10).
This position is covered by Law Enforcement Availability Pay (LEAP) which is an additional compensation of 25% of the basic rate of pay.
For more information on the Secret Service click here.
Summary
Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position starts at a base salary of $48,371.00 (GL-07, step 1), with promotion potential to $117,034.00 (GS-13, step 10).
This position is covered by Law Enforcement Availability Pay (LEAP) which is an additional compensation of 25% of the basic rate of pay.
For more information on the Secret Service click here.
Overview
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Accepting applications
Open & closing dates
10/01/2025 to 12/31/2025
Salary $48,371 to - $117,034 per year
Salary listed reflects the General Schedule (Base) table and, if applicable, will be adjusted to include the locality pay of the worksite location.
Pay scale & grade GL 7 - 11
Locations
MANY vacancies in the following locations:
Anchorage, AK
Birmingham, AL
Mobile, AL
Montgomery, AL
Show morefewer locations (110)
Little Rock, AR
Phoenix, AZ
Tucson, AZ
Fresno, CA
Los Angeles, CA
Riverside, CA
Sacramento, CA
San Diego, CA
San Francisco, CA
San Jose, CA
Santa Ana, CA
Ventura, CA
Denver, CO
New Haven, CT
Washington, DC
Wilmington, DE
Fort Myers, FL
Jacksonville, FL
Miami, FL
Orlando, FL
Tallahassee, FL
Tampa, FL
West Palm Beach, FL
Albany, GA
Atlanta, GA
Savannah, GA
Honolulu, HI
Des Moines, IA
Boise, ID
Chicago, IL
Springfield, IL
Indianapolis, IN
Wichita, KS
Lexington, KY
Louisville, KY
Baton Rouge, LA
New Orleans, LA
Boston, MA
Baltimore, MD
Portland, ME
Detroit, MI
Grand Rapids, MI
Saginaw, MI
Minneapolis, MN
Kansas City, MO
Saint Louis, MO
Springfield, MO
Jackson, MS
Billings, MT
Charlotte, NC
Greensboro, NC
Raleigh, NC
Wilmington, NC
Omaha, NE
Manchester, NH
Atlantic City, NJ
Newark, NJ
Trenton, NJ
Albuquerque, NM
Las Vegas, NV
Reno, NV
Albany, NY
Buffalo, NY
Melville, NY
New York, NY
Queens, NY
Rochester, NY
Syracuse, NY
White Plains, NY
Cincinnati, OH
Cleveland, OH
Columbus, OH
Dayton, OH
Toledo, OH
Oklahoma City, OK
Tulsa, OK
Portland, OR
Harrisburg, PA
Philadelphia, PA
Pittsburgh, PA
Scranton, PA
San Juan, PR
Providence, RI
Charleston, SC
Columbia, SC
Greenville, SC
Sioux Falls, SD
Chattanooga, TN
Knoxville, TN
Memphis, TN
Nashville, TN
Austin, TX
Dallas, TX
El Paso, TX
Houston, TX
Lubbock, TX
McAllen, TX
San Antonio, TX
Tyler, TX
Waco, TX
Salt Lake City, UT
Norfolk, VA
Richmond, VA
Roanoke, VA
Burlington, VT
Seattle, WA
Spokane, WA
Madison, WI
Milwaukee, WI
Charleston, WV
Remote job No Telework eligible No Travel Required 25% or less - Domestic and Foreign travel may be required. Relocation expenses reimbursed No Appointment type Term - The duration of this time limited Schedule B excepted appointment is 3 years and 120 days. Upon completion, you will either be converted to a career appointment in the competitive service or separated based on the expiration of the appointment. Work schedule Full-time Service Excepted
Promotion potential
13
Job family (Series)
* 1811 Criminal Investigation
Supervisory status No Security clearance Top Secret Drug test Yes Position sensitivity and risk Critical-Sensitive (CS)/High Risk
Trust determination process
* Credentialing
* Suitability/Fitness
* National security
Financial disclosure No Bargaining unit status No
Announcement number SAB-26-Q1-CI Control number 847106700
This job is open to
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The public
U.S. Citizens, Nationals or those who owe allegiance to the U.S.
Clarification from the agency
U.S. Citizens, Nationals, or those who owe allegiance to the U.S.
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Duties
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Joining the United States Secret Service as a Special Agent offers a unique and rewarding career dedicated to serving the nation through our dual mission of criminal investigations and protection. Special Agents play a critical role in safeguarding the financial integrity of the United States and protecting its highest leaders, including the President, Vice President, and other designated individuals. Throughout their careers, Special Agents have the opportunity to work on diverse assignments across the country and around the globe, gaining unparalleled experience in both investigative and protective operations.
Responsibilities include:
* Conducting complex criminal investigations into financial crimes, including counterfeiting, cyber fraud, and other threats to the financial infrastructure of the United States.
* Providing physical protection for the President, Vice President, their families, visiting foreign dignitaries, and other protectees, ensuring their safety in every environment.
* Designing, planning, and implementing advanced security measures for National Special Security Events (NSSEs), such as presidential inaugurations, international summits, and other high-profile events.
As a Special Agent, you will be part of an elite team committed to excellence, integrity, and service, with opportunities to serve at multiple duty stations both domestically and internationally. This dynamic and impactful career challenges you to rise to your fullest potential while making a difference for the nation.
For more information about the Special Agent position, click here.
Requirements
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Conditions of employment
* U.S. Citizenship.
* Possess a current valid driver's license. Must be REAL ID compliant.
* Use your official name on your application as it appears on your valid government identification (i.e., REAL ID Driver's License, State ID, Passport).
* Applicants must be 21 at the time of application and under 37 at the time of a conditional offer, unless they have prior federal law enforcement service under special retirement provisions. Veterans' preference applicants must receive a conditional offer before age 40.
* Submit to a drug test prior to your appointment and random drug testing while you occupy the position. Disclose any prior drug use, attempted use, and/or experimentation.
* Obtain a Top-Secret Clearance and retain it during your career.
* This position requires an automatic credit check after initial qualifications are met.
* Carry and use a firearm. Maintaining firearm proficiency is mandatory. You will be ineligible to occupy this position if at any time you have been convicted of a misdemeanor crime of domestic violence, unless you received a pardon, or your conviction was expunged or set aside.
* Be available for assignment to any of the U.S. Secret Service Field Offices. Preferences are not guaranteed.
* Candidates are required to complete intensive training at the Federal Law Enforcement Training Center (FLETC) in Glynco, GA, followed by specialized training at the James J. Rowley Training Center in Laurel, MD. Failure to pass the training program may result in separation from the Secret Service.
* Sign a mobility agreement stating your willingness to accept assignments anywhere within the United States and overseas.
* Certify that you have registered with the Selective Service System or are exempt from having to do so, if you are a male applicant born after December 31, 1959.
* Possess uncorrected visual acuity of no worse than 20/100 binocular, possess corrected visual acuity of 20/20 or better in each eye.(Note: Lasik, ALK, RK, and PRK corrective eye surgeries are acceptable eye surgeries for special agent applicants. Applicants will be considered eligible for the special agent position provided specific visual tests are passed. The following are waiting periods for visual tests: Lasik-2 months after surgery, PRK-6 months after surgery, ALK and RK-one year after surgery).
* Hearing loss, as measured by an audiometer, must not exceed 25 decibels (A.S.A. or equivalent I.S.O.) in either ear in the 500,1000 and 2000Hz ranges.
Qualifications
As a condition of employment for accepting this position, you may be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
* your performance and conduct;
* the needs and interests of the agency;
* whether your continued employment would advance organizational goals of the agency or the Government; and
* whether your continued employment would advance the efficiency of the Federal service.
Upon completion of your trial period your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
You are minimally qualified for the GL-07 Level (starting base salary $48,371) if you possess one of the following:
* A bachelor's degree from an accredited college or university with superior academic achievement (S.A.A.) which is based on class standing, grade-point average, or honor society membership as described below.
* Maintained a grade-point average of "B" (a GPA of 3.0 or higher) for all completed undergraduate courses, or those completed in the last two years of undergraduate study; OR
* Rank in the upper one-third of your class in the college, university, or major subdivision; OR
* Be a member of a national honor (other than freshman honor societies) recognized by the Association of College Honor Societies. Please submit a college transcript(s) showing your grade point average for all four years of undergraduate study, including all transferred courses.
* NOTE: GPAs are rounded to one decimal place. For example, 2.95 will round to 3.0 and 2.94 will round to 2.9. If more than 10 percent of your undergraduate course work (credit hours) were taken on a pass/fail or similar basis, your claim must be based on class standing or membership in an honor society.
* At least one full year of graduate level education (i.e., 18 semester hours); OR
* At least 1 year of specialized experience in, or related to, the investigative methods, protective methods, and law enforcement techniques that provide the specific competencies to successfully perform the position's duties. Experience also includes exercising initiative; attention to detail; judgment in collecting, assembling and developing facts, evidence or other pertinent data; the ability to analyze and evaluate data or evidence to arrive at sound conclusions including applying new information; and the ability to partner with or lead others in the accomplishment of mission activities.
You are minimally qualified for the GL-09 Level (starting base salary $53,945) if you possess one of the following:
* A master's or equivalent graduate degree (such as LL.B. or J.D.) or two full years of progressively higher graduate education, in a related field, leading to such a degree from an accredited college or university; OR
* Have at least 1 year of specialized experience equivalent to the GL-7 level such as experience applying law enforcement, protective, or investigative techniques in the performance of job duties; identifying problem areas and proposing and implementing solutions; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; and leading meeting or seminars on behalf of a professional or academic group; setting work priorities and allocating resources; partnering with other individuals from within and outside the organization; OR
* A combination of specialized experience, as described above, and related graduate level education, beyond the first full year of graduate level study.
You are minimally qualified for the GS-11 Level (Starting base salary $63,163) if you possess one of the following:
* Ph.D. or equivalent doctoral degree, or 3 full years of progressively higher-level graduate education leading to such a degree, or LL.M.; OR
* Have at least 1 year of specialized experience equivalent to the GL-9 level such as experience in, or related to planning and conducting complex criminal investigations to determine violations of Federal laws and regulations; collecting and assembling facts to identify logical conclusion; gathering, analyzing, and evaluating evidence or data; conducting interviews and interrogations; making arrests; conducting searches and seizures; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; partnering with or leveraging networks or relationships from outside the organization, experience managing complex projects including setting priorities and determining resource requirements; OR
* A combination of specialized experience, as described above, and related graduate level education, beyond the first full year of doctoral level study.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Qualified applicants will only be referred at the highest grade level for which they qualify.
Applicants must successfully pass Phase 1 assessments (see below) to receive a Conditional Job Offer. In addition, applicants must successfully pass Phase II (see below) to receive final consideration for employment.
Phase I:
* National Crime Information Center (NCIC)
* Special Agent Entrance Exam (SAEE)
* Applicant Physical Abilities Test
* Interview
Phase II:
* Credit Check
* Security Interview
* Polygraph examination
* Drug screening
* Medical examination
* Background investigation (a top-secret security clearance)
The Secret Service follows stringent guidelines relating to illegal drug usage. An applicant's history is reviewed and a determination for employment is made according to our guidelines. For more information regarding the U.S. Secret Service drug guidelines, please click here to view our Drug Policy.
As part of the application process the applicant will be required to complete the United States Secret Service Applicant Physical Abilities Test (APAT). It is a physical fitness assessment which consists of four components (push-ups, sit-ups, Illinois Agility Run and a 1.5 Mile Run). The APAT is designed to measure the current level of general physical fitness of an applicant, which serves as an indicator of an applicant's ability to safely complete a vigorous physical training program. It evaluates the applicant's ability to perform the physical tasks required on the job by measuring muscular and dynamic strength, endurance, flexibility, aerobic capacity and other factors related to physical aptitude. For more information about the APAT, please click here.
General Medical Requirements: As determined by OPM the duties of this position require moderate to arduous physical exertion involving walking and standing, use of firearms, and exposure to inclement weather. Manual dexterity with comparatively free motion of fingers, wrist, elbows, shoulders, hips and knee joints is required. Arms, hands, legs and feet must function sufficiently in order for applicants to perform the duties satisfactorily.
Additional information
* Recruitment Incentive: Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements. The first installment of $15,000 will be paid following successful completion of Secret Service Criminal Investigator training. A second installment of $10,000 will be paid following one year of service post training and an acceptable performance rating. The final installment of $15,000 will be paid after a third year of service post training and an acceptable performance rating. Provision of these payments require the execution of a three-year Continued Service Agreement (CSA) with the agency. Newly hired employees who resign from the USSS prior to the expiration of the CSA will be required to repay the recruitment incentive. (NOTE: Eligibility is limited to "Newly appointed" Federal employees as defined by 5 CFR 575.102).
Applicants selected for this position will be required to sign a CSA before being assigned to an initial training class. The CSA will commit the applicant to a specified period of employment with the Secret Service upon the successful completion of training.
Applicants will be required to travel to all phases of the hiring process at their own expense. If a final job offer is extended, relocation expenses will not be authorized for first duty location.
The Secret Service prohibits employees from having visible body markings (including but not limited to tattoos, body art and branding) on the head, face, neck, hand and fingers (any area below the wrist bone) (exception a single conservative and unobtrusive tattoo in the form of a ring is authorized on one finger).
If you are deemed minimally qualified for this position, you will be required to complete an Optional Form 306, Declaration for Federal Employment, and to sign and certify the accuracy of all information in your application, prior to entering Phase 1 of the hiring process. False statements on any part of the application may result in withdrawal of offer of employment, dismissal after beginning work, fine, or imprisonment.
Since the duties of this position are exacting and involve the responsibility for the safety of others under trying conditions, applicants must possess emotional and mental stability. Any condition that would hinder full efficient performance of the duties of this position or that would cause the individual to be a hazard to himself/herself or to others is disqualifying.
There are also specific medical requirements for this position and any chronic disease or condition affecting the respiratory, cardiovascular, gastrointestinal, musculoskeletal, digestive, nervous, endocrine, lymphatic, nervous, genitourinary and other systems that would impair full performance of the duties of the position may also be disqualifying. Click here for more information.
The Fair Chance to Compete for Jobs Act prohibits the Department of Homeland Security and its Components from requesting an applicant's criminal history record before that individual receives a conditional offer of employment. In accordance with 5 U.S. Code § 9202(c) and 5 C.F.R § 920.201 certain positions are exempt from the provisions of the Fair Chance to Compete Act. Applicants who believe they have been subjected to a violation of the Fair Chance to Compete for Jobs Act, may submit a written complaint to Equal ************************.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
Help
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
DHS offers competitive salaries and an attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include flexible work schedules; tuition reimbursement; transportation subsidies (government vehicle); uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "Benefits." Disabled veteran leave will be available to any Federal employee hired on or after November 5, 2016, who is a veteran with a service- connected disability rating of 30 percent or more.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
We will review your resume and supporting documentation to ensure you meet the minimum qualification requirements. If you meet the minimum qualifications, you will receive a conditional job offer.
You will automatically be considered for all grade levels to maximize your consideration for this position.
The competencies needed to perform this job are:
* Investigative methods
* Protective methods
* Law enforcement techniques
* Exercising initiative
* Attention to detail
* Judgment and Problem Solving
* Ability to analyze and evaluate data or evidence
* Ability to partner with or lead others
Interviews are required for this position. Failure to complete the interview may result in removal from further consideration.
Your on-line application will be rated on the extent, quality, and relevance of the following: your experience, education and training, and competencies. All applicants are evaluated on competencies related to law enforcement methods and techniques, protective methods and techniques, investigative methods and techniques, initiative, attention to detail, learning, problem solving, partnering, planning and organizing, and leadership. All answers in the online process must be substantiated by your resume. Upon review your resume and transcripts need to support your answer choices. Overstating your qualifications and/or experience in your application materials or on the application questionnaire may result in your removal for consideration.
Any Offers of employment made pursuant to this announcement will be consistent with all applicable authorities, including Presidential Memoranda, Executive Orders, interpretive U.S. Office of Personnel Management guidance and U.S. Office of Management and Budget plans and policies concerning hiring. These authorities are subject to change.
DHS uses E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Click here to learn more about E-Verify, including your rights and responsibilities.
Benefits
Help
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
DHS offers competitive salaries and an attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include flexible work schedules; tuition reimbursement; transportation subsidies (government vehicle); uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "Benefits." Disabled veteran leave will be available to any Federal employee hired on or after November 5, 2016, who is a veteran with a service- connected disability rating of 30 percent or more.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required documents
Required Documents
Help
In addition to addressing the job opportunity announcement specific questions, you must also submit the following documentation:
* Resume - Limit your resume to no more than two pages. The USAJOBS database will not allow an applicant to submit an application that includes a resume over two pages. In order to receive credit for experience contained in an uploaded resume, your employment history should show relevant work experience in detail and in month/year format (MM/YYYY), reflecting starting date and ending date, and include the number of hours worked per week. To learn how to format and submit a two-page resume, please visit the USAJOBS Help Center.
* If you have earned a college degree, or if you are qualifying based on education or you are qualifying based on a combination of education and experience , or are claiming Superior Academic Achievement (overall grade point average of 3.0 or higher out of a possible 4.0 recorded on the unofficial college/university transcript) to qualify at the GL-07 level (as explained in the Qualifications section), you must submit a copy of your college/university transcript (unofficial is acceptable) which must show school name, student's name, credit earned, degree, and date awarded. Education must be obtained from an accredited institution recognized by the U.S. Department of Education. Education completed in foreign colleges or universities may be used to meet Federal qualification requirements if you can show that your foreign education is comparable to education received in accredited educational institutions in the United States. For example, specific courses accepted for college-level credit by an accredited U.S. college or university, or foreign education evaluated by an organization recognized for accreditation by the Department of Education as education equivalent to that gained in an accredited U.S. college or university. It is your responsibility to provide such evidence with your application. See Recognition of Foreign Qualifications for more information. Those with Foreign education, click here.
* Are you a Veteran? Submit Member Copy 4 of your DD-214 (Certificate of Release or Discharge from Active Duty) or Statement of Service. If a DD-214 is not available, submit your Statement of Service from the Armed Forces that list the beginning and ending dates of active service, your rank, and confirm that you will be separated under honorable conditions. Those applying for 10-point preference must fill out the SF-15 (click here for the form) and provide the required documentation listed on the back of the form. Click here for more veterans' information.
* Are you a current or former Federal Employee? Submit a copy of your SF-50, Notification of Personnel Action, showing your tenure code, position occupied and highest grade and step. In addition, if you have or had service in a Federal Law Enforcement position covered by law enforcement or firefighter retirement provisions, including early or mandatory retirement, the SF-50 must show the retirement code. An award SF-50 does not contain the required information. Also submit your performance appraisals and/or incentive awards.
* The Office of Personnel Management (OPM) must authorize employment offers made to current or former political appointees. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, Non-career SES or Presidential Appointee employee in the Executive Branch, you must disclose this information to the Human Resources Office.
* Did you previously take the Special Agent Entrance Exam (SAEE)? Submit a copy of your SAEE results.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
Senior Investigator, Special Investigations Unit (Aetna SIU)
Oregon, OH
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position Summary- Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices.
- Conducts investigations of known or suspected acts of healthcare fraud and abuse.
- Communicates with federal, state, and local law enforcement agencies as appropriate in matters pertaining to the prosecution of specific healthcare fraudcases.
- Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc.
- Facilitates the recovery of company and customer money lost as a result of fraud matters.
- Provides input regarding controls for monitoring fraud related issues within the business units.
- Delivers educational programs designed to promote deterrence and detection of fraud and minimize losses to the company- Maintains open communication with constituents within and external to the company.
- Uses available resources and technology in developing evidence, supporting allegations of fraud and abuse.
- Researches and prepares cases for clinical and legal review.
- Documents all appropriate case activity in tracking system.
- Makes referrals and deconflictions, both internal and external, in the required timeframe.
- Cost effectively manages use of outside resources and vendors to perform activities necessary for investigations.
- Exhibits behaviors outlined in Employee Competencies- Attending and presenting at quarterly state meetings.
Required Qualifications- 1+ years' experience working with Medicaid.
- 3+ years' in healthcare field working in fraud, waste and abuse investigations and audits.
- Proficient in researching information and identifying information resources.
- Experience working in Microsoft Word, Excel, Outlook products.
- Experience working with database search tools and use in the Intranet/Internet to research information.
- Ability to utilize company systems to obtain relevant electronic documentation.
- Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.
Preferred Qualifications- Knowledge of New Jersey Medicaid- Credentials such as a certification from the Association of Certified Fraud Examiners (CFE)- An accreditation from the National Health Care Anti-Fraud Association (AHFI).
- Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA)- Knowledge of Aetna's policies and procedures- Ability to interact with different groups of people at different levels and provide assistance on a timely basis.
Education- Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud, waste, and abuse investigations and audits.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988.
00 - $122,400.
00This 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 *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/10/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.