Detectives and Criminal Investigators

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

**Job Posting Title**

SIU Investigator - Remote

**Job Description**

The Special Investigations Unit (SIU) Investigator is responsible for conducting standard investigations of potential member, and/or prescriber fraud, waste and abuse (FWA). This position conducts claims data mining, fraud analysis and auditing/monitoring activities and proactively identifies improvement opportunities in audit and investigation procedures and FWA prevention efforts ensure proper identification of potential FWA. The SIU Investigator prepares investigative reports for leadership, remediation actions, recovery efforts, internal committees and/or referral to state and federal law enforcement agencies.

**Responsibilities**

+ Develop investigative plans, documents and justification to support investigations; evaluate impact of changing circumstances or newly discovered evidence to a previously developed investigation plan; proactively communicate plans, progress and changes to department leadership and other internal or external stakeholders

+ Evaluate reports of potential fraud in SIU and make recommendations on next steps; ensure investigative action aligns to department policy and practice; provide recommendations to audit operations and/or SIU regarding enhancements or required changes to process

+ Adhere to evidentiary requirements in compliance with federal, state and local laws pertaining to investigations and fair claims handling practices; evaluate risk to determine how best to proceed with investigations based on the allegations, quality metrics and other performance indicators required per SIU procedures

+ Recommend referrals to client SIUs, regulatory agencies, and/or law enforcement; recommend retention of experts or private investigators, surveillance or other expenditures to support investigations

+ Other duties as assigned

**Education & Experience**

+ Bachelor of Science/Arts in Criminal Justice, Healthcare or related area of study or the equivalent combination of education and relevant work experience; HS diploma or GED is required

+ 2 years of work experience in investigation, audit or legal to include 1 year of work experience in data or crime analysis

Must be eligible to work in the United States without need for work visa or residency sponsorship

**Additional Qualifications**

+ Change agile; willing and able to adjust individual and team direction based upon changing priorities and business need while working with a high degree of autonomy

+ Ability to think critically, problem solve and use appropriate judgement to make decisions and provide risk advice to internal and external partners while anticipating the broad impact of decisions

+ Ability to establish trust, respect and credibility and form effective working relationships with individuals at all levels of an organization; collaborate effectively cross-functionally and with clients, law enforcement and other key stakeholders

+ Ability to distill complex concepts or situations into concise and compelling communications

+ Ability to interact positively and professionally during all member, prescriber and pharmacy interactions and effectively de-escalate potentially confrontational situations

**Preferred Qualifications**

+ Certified Fraud Examiner or Accredited Health Care Fraud Investigator

+ National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)

+ Licensed Practical Nurse (LPN) or Registered Nurse (RN)

+ Prior experience in a special investigation unit

+ Knowledge and understanding of pharmacy and medical claims processing environment

**Physical Demands**

+ Constantly required to sit, use hands to handle or feel, talk and hear

+ Frequently required to reach with hands and arms

+ Occasionally required to stand, walk and stoop, kneel, and crouch

+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

+ Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Potential pay for this position ranges from $28.37 - $45.19 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _

_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._

_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

Location: Anywhere in Country

At EY, you’ll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better. Join us and build an exceptional experience for yourself, and a better working world for all.

The exceptional EY experience. It's yours to build.

EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.

**Job description**

At EY, you’ll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all.

**The opportunity**

The Ethics and Compliance Investigations Team Assistant Director works as part of the centralized Ethics and Compliance Investigations Team to conduct and manage Code of Conduct related investigations. They will work closely with Ethics, Compliance, and Risk Management (ECRM) leaders to implement investigation strategies and programs, and Talent and/or GCO on individual matters. The position is responsible for addressing and resolving complex employee and Partner, Principal, Managing Director, and Director inquiries from start to finish on a wide range of investigation and Code of Conduct topics.

**Your key responsibilities**

+ Manage and conduct Code of Conduct related investigations as assigned

+ Lead interviews of all relevant persons

+ Maintain and track investigation and status in a centralized database

+ Follow documentation and reporting standards

+ Draft memorandum summarizing factual conclusions

+ Maintain strict confidentiality

+ Conduct detailed reporting and analysis to inform stakeholders and identify trends and root causes

+ May participate in intake analysis to determine appropriate disposition of inquiries

+ May present findings to firm leadership, as necessary

+ Make recommendations for trainings, awareness, communications, and more

+ May lead and/or participate in medium to large projects

+ Share best practices and mentor others

+ May supervise and/or mentor other team members

**Decision Making Responsibilities**

You will be responsible for interpreting highly sensitive data related to Code of Conduct related concerns, including potential policy violations. You will also assess situations to determine risk mitigation and escalate as necessary to appropriate parties (e.g., ECRM, General Counsel Office, or Talent).

**Knowledge and Skills Requirements**

+ Experience conducting investigations

+ Ability to analyze and synthesize high volumes of information to reach factual conclusions

+ Strong writing skills, ideally including investigative summary memos or other legal documents

+ Strong interviewing skills

+ Knowledge of applicable employment law & practices

+ Ability to interact with individuals at all levels within the firm

+ Maintains professionalism and confidentiality

+ Solid project and time management and ability to coordinate multiple projects simultaneously

+ Attention to detail

+ Ability to quickly learn the business of the firm

+ Ability to influence multiple constituents

+ Solid networking skills and the ability to build relationships

+ Solid understanding of internal practices and procedures

**To qualify for this role, you must have**

+ Ability to interact with individuals at all levels within the firm and maintain professionalism and confidentiality

+ Strong attention to detail, time management and prioritization skills, with solid track record of managing multiple projects/cases simultaneously

+ Excellent written communication skills and an ability to convey complex facts, perspectives, and conclusions in a way that’s clear to any audience; experience with legal writing preferred

+ Strong interviewing skills, investigative interviewing a plus

+ Ability to influence multiple constituents and engage in respectful dialogue in cases of disagreement

+ Solid networking skills and the ability to build relationships

+ Works independently on recurring projects but is not afraid to seek guidance or consult with colleagues for alternative views/suggestions

+ Bachelor’s degree or equivalent work experience; Master’s degree preferred

+ 7+ years related work experience

**Ideally, you’ll also have**

May have Society for Human Resource Management (SHRM) certification, Certified Fraud Examiner (ACFE) certification, or similar investigatory certification, but not required

**Other Requirements**

+ Experience: 7+ years related work experience

+ Education: Bachelor’s degree or equivalent work experience. Advanced degree preferred

+ Travel may be required

**What we offer**

We offer a competitive compensation package where you’ll be rewarded based on your performance and recognized for the value you bring to our business. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options. Under our flexible vacation policy, you’ll decide how much vacation time you need based on your own personal circumstances, as long as it aligns with business needs/expectations. You’ll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.

+ Continuous learning: You’ll develop the mindset and skills to navigate whatever comes next.

+ Success as defined by you: We’ll provide the tools and flexibility, so you can make a meaningful impact, your way.

+ Transformative leadership: We’ll give you the insights, coaching and confidence to be the leader the world needs.

+ Diverse and inclusive culture: You’ll be embraced for who you are and empowered to use your voice to help others find theirs

If you can demonstrate that you meet the criteria above, please contact us as soon as possible.

The exceptional EY experience. It’s yours to build.

**What we offer**

We offer a comprehensive compensation and benefits package where you’ll be rewarded based on your performance and recognized for the value you bring to the business. The base salary range for this job in all geographic locations in the US is $100,000 to $187,000. The salary range for New York City Metro Area, Washington State and California (excluding Sacramento) is $120,000 to $212,500. Individual salaries within those ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options. Join us in our team-led and leader-enabled hybrid model. Our expectation is for most people in external, client serving roles to work together in person 40-60% of the time over the course of an engagement, project or year. Under our flexible vacation policy, you’ll decide how much vacation time you need based on your own personal circumstances. You’ll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.

+ **Continuous learning:** You’ll develop the mindset and skills to navigate whatever comes next.

+ **Success as defined by you:** We’ll provide the tools and flexibility, so you can make a meaningful impact, your way.

+ **Transformative leadership:** We’ll give you the insights, coaching and confidence to be the leader the world needs.

+ **Diverse and inclusive culture:** You’ll be embraced for who you are and empowered to use your voice to help others find theirs.

EY accepts applications for this position on an on-going basis. **If you can demonstrate that you meet the criteria above, please contact us as soon as possible.**

EY exists to build a better working world, helping to create long-term value for clients, people and society and build trust in the capital markets.

Enabled by data and technology, diverse EY teams in over 150 countries provide trust through assurance and help clients grow, transform and operate.

Working across assurance, consulting, law, strategy, tax and transactions, EY teams ask better questions to find new answers for the complex issues facing our world today.

For those living in California, please click here (https://ey-preview.ey.com/content/ey-unified-site/ey-com/local/us/en\_us/home/legal-and-privacy/fair-chance-ordinance.html?token=68cf9ed2-94e5-4db9-83cf-5c6aa14619de) for additional information.

EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law.

EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY’s Talent Shared Services Team (TSS) or email the TSS at ssc.customersupport@ey.com .

Location: Anywhere in Country

At EY, you’ll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better. Join us and build an exceptional experience for yourself, and a better working world for all.

The exceptional EY experience. It's yours to build.

EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.

**Job description**

At EY, you’ll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all.

**The opportunity**

The Ethics and Compliance Investigations Team Assistant Director works as part of the centralized Ethics and Compliance Investigations Team to conduct and manage Code of Conduct related investigations. They will work closely with Ethics, Compliance, and Risk Management (ECRM) leaders to implement investigation strategies and programs, and Talent and/or GCO on individual matters. The position is responsible for addressing and resolving complex employee and Partner, Principal, Managing Director, and Director inquiries from start to finish on a wide range of investigation and Code of Conduct topics.

**Your key responsibilities**

+ Manage and conduct Code of Conduct related investigations as assigned

+ Lead interviews of all relevant persons

+ Maintain and track investigation and status in a centralized database

+ Follow documentation and reporting standards

+ Draft memorandum summarizing factual conclusions

+ Maintain strict confidentiality

+ Conduct detailed reporting and analysis to inform stakeholders and identify trends and root causes

+ May participate in intake analysis to determine appropriate disposition of inquiries

+ May present findings to firm leadership, as necessary

+ Make recommendations for trainings, awareness, communications, and more

+ May lead and/or participate in medium to large projects

+ Share best practices and mentor others

+ May supervise and/or mentor other team members

**Decision Making Responsibilities**

You will be responsible for interpreting highly sensitive data related to Code of Conduct related concerns, including potential policy violations. You will also assess situations to determine risk mitigation and escalate as necessary to appropriate parties (e.g., ECRM, General Counsel Office, or Talent).

**Knowledge and Skills Requirements**

+ Experience conducting investigations

+ Ability to analyze and synthesize high volumes of information to reach factual conclusions

+ Strong writing skills, ideally including investigative summary memos or other legal documents

+ Strong interviewing skills

+ Knowledge of applicable employment law & practices

+ Ability to interact with individuals at all levels within the firm

+ Maintains professionalism and confidentiality

+ Solid project and time management and ability to coordinate multiple projects simultaneously

+ Attention to detail

+ Ability to quickly learn the business of the firm

+ Ability to influence multiple constituents

+ Solid networking skills and the ability to build relationships

+ Solid understanding of internal practices and procedures

**To qualify for this role, you must have**

+ Ability to interact with individuals at all levels within the firm and maintain professionalism and confidentiality

+ Strong attention to detail, time management and prioritization skills, with solid track record of managing multiple projects/cases simultaneously

+ Excellent written communication skills and an ability to convey complex facts, perspectives, and conclusions in a way that’s clear to any audience; experience with legal writing preferred

+ Strong interviewing skills, investigative interviewing a plus

+ Ability to influence multiple constituents and engage in respectful dialogue in cases of disagreement

+ Solid networking skills and the ability to build relationships

+ Works independently on recurring projects but is not afraid to seek guidance or consult with colleagues for alternative views/suggestions

+ Bachelor’s degree or equivalent work experience; Master’s degree preferred

+ 7+ years related work experience

**Ideally, you’ll also have**

May have Society for Human Resource Management (SHRM) certification, Certified Fraud Examiner (ACFE) certification, or similar investigatory certification, but not required

**Other Requirements**

+ Experience: 7+ years related work experience

+ Education: Bachelor’s degree or equivalent work experience. Advanced degree preferred

+ Travel may be required

**What we offer**

We offer a competitive compensation package where you’ll be rewarded based on your performance and recognized for the value you bring to our business. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options. Under our flexible vacation policy, you’ll decide how much vacation time you need based on your own personal circumstances, as long as it aligns with business needs/expectations. You’ll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.

+ Continuous learning: You’ll develop the mindset and skills to navigate whatever comes next.

+ Success as defined by you: We’ll provide the tools and flexibility, so you can make a meaningful impact, your way.

+ Transformative leadership: We’ll give you the insights, coaching and confidence to be the leader the world needs.

+ Diverse and inclusive culture: You’ll be embraced for who you are and empowered to use your voice to help others find theirs

If you can demonstrate that you meet the criteria above, please contact us as soon as possible.

The exceptional EY experience. It’s yours to build.

**What we offer**

We offer a comprehensive compensation and benefits package where you’ll be rewarded based on your performance and recognized for the value you bring to the business. The base salary range for this job in all geographic locations in the US is $100,000 to $187,000. The salary range for New York City Metro Area, Washington State and California (excluding Sacramento) is $120,000 to $212,500. Individual salaries within those ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options. Join us in our team-led and leader-enabled hybrid model. Our expectation is for most people in external, client serving roles to work together in person 40-60% of the time over the course of an engagement, project or year. Under our flexible vacation policy, you’ll decide how much vacation time you need based on your own personal circumstances. You’ll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.

+ **Continuous learning:** You’ll develop the mindset and skills to navigate whatever comes next.

+ **Success as defined by you:** We’ll provide the tools and flexibility, so you can make a meaningful impact, your way.

+ **Transformative leadership:** We’ll give you the insights, coaching and confidence to be the leader the world needs.

+ **Diverse and inclusive culture:** You’ll be embraced for who you are and empowered to use your voice to help others find theirs.

EY accepts applications for this position on an on-going basis. **If you can demonstrate that you meet the criteria above, please contact us as soon as possible.**

EY exists to build a better working world, helping to create long-term value for clients, people and society and build trust in the capital markets.

Enabled by data and technology, diverse EY teams in over 150 countries provide trust through assurance and help clients grow, transform and operate.

Working across assurance, consulting, law, strategy, tax and transactions, EY teams ask better questions to find new answers for the complex issues facing our world today.

For those living in California, please click here (https://ey-preview.ey.com/content/ey-unified-site/ey-com/local/us/en\_us/home/legal-and-privacy/fair-chance-ordinance.html?token=68cf9ed2-94e5-4db9-83cf-5c6aa14619de) for additional information.

EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law.

EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY’s Talent Shared Services Team (TSS) or email the TSS at ssc.customersupport@ey.com .

Job Summary:
Are you a driven Criminal investigator that puts forth a perfect effort in everything you do? Do you want to help the Arizona Department Of Corrections, Rehabilitation & Reentry reimagine corrections in the State of Arizona? Joining our Agency as a Criminal Special Investigator will allow you to perform critical protective and investigative assignments.
The Arizona Department of Corrections, Rehabilitation & Reentry (ADCRR) is looking to hire a qualified Criminal Special Investigator to join our law enforcement agency. Under the direction of a Special Investigations Supervisor, this position will investigate alleged suspected criminal violations of Federal, State, or local laws to determine if the evidence is sufficient to recommend prosecution. Apply today!

Job Duties:
-Investigates/processes crime scenes, compiles investigative findings and presents findings in reports, testifies in administrative and criminal proceedings
-Searches for evidence and collects, records, and submits evidence for analysis
-Performs executive protection, conducts threat assessment investigations, gathers intelligence, and criminal trends
-Provides advance notice to supervisor, affected persons or agencies of impending situations having a potential risk of harm or adverse effect to the security of the Departments operations
-Develops and uses informants or other sources to get leads to information relating to criminal activity, gang activity, and absconded felons
-Maintains surveillance and performs undercover assignments, debrief of previously validated Security Threat Group (STG) members
-Compiles trend analysis, reports, threat assessments certifications of groups and members
-Makes decisions concerning the validation process of STG members, appeals and court proceedings
-Obtains/verifies evidence or establishes facts by interviewing, observing, and interrogating suspects and witnesses and analyzing records
-Obtains and executes search and arrest warrants
-Assist with state, county, federal and municipal agencies and other department units with investigations of all types of crimes
-Attends AZPOST continuing and proficiency training to maintain peace officer certification
-Attends annual Arizona Department of Corrections, Rehabilitation and Reentry (ADCRR) training/meetings
-Drives on State business with possible overnight stays
-Performs other duties appropriate to the assignment as police officer

Knowledge, Skills & Abilities (KSAs):
Knowledge of:

-Federal, State, and Agency laws, rules, regulations, policies, and codes governing investigations and law enforcement operations as they apply to the investigative processes
-Investigative and interviewing techniques and terminology, principles and practices of case management, rules and traditions
-History of prison gangs within the State
-Inmate management and supervision techniques and strategies
-Personal computers and software, as well as specialized systems used in law enforcement

Skill in:

-Applying techniques and methods of work management
-Applying and interpreting Federal, State and agency laws, rules, regulations, codes and policies governing investigation and law enforcement functions
-Investigative and law enforcement techniques and methods
-Written and verbal communication, including proper sentence structure, grammar and punctuation
-Building and maintaining interpersonal relationships
-Organization and time management
-Public speaking and presentation
-Report writing

Ability to:

-Lift/Carry up to 100+ lbs.
-Push/Pull up to 100+ lbs.
-Walk/Run up to 1.00+ miles
-Effectively communicate ideas, techniques, and information to coworkers, management, and judicial entities
-Review investigative case files for accuracy
-Establish cooperative relationships with other law enforcement agencies and outside entities
-Conduct surveillance

Selective Preference(s):
At least one (1) year of work experience in another law enforcement agency conducting criminal investigations. AZPOST full-authority peace officer certification through completion of a qualified POST secondary certification course of study through a community college or Arizona law enforcement academy

Pre-Employment Requirements:
An active Arizona Peace Officer Standards and Training Board (AZPOST) certification are required within one year of appointment.

Employment is contingent on the selected applicant passing a background investigation, drug test, medical/physical examination, polygraph exam, and psychological evaluation.

In an effort to maintain a safe environment, all employees are required to take a Tuberculosis (TB) test during their New Employee Orientation and every year thereafter.

If this position requires driving or the use of a vehicle as an essential function of the job, then the following requirements apply. Any employee operating a motor vehicle on State business must possess and retain a current, valid class-appropriate driver’s license, complete all required training, and successfully pass all necessary driver’s license record checks. The license must be current, unexpired, and neither revoked nor suspended. Employees who drive on state business are subject to driver’s license record checks, must maintain acceptable driving records, and must complete all required driver training. An employee who operates a personally owned vehicle on state business shall maintain the statutorily required liability insurance (see Arizona Administrative Code (A.A.C.) R2-10-207.11).

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits:
We offer an excellent and affordable comprehensive benefits package to meet the needs of our employees:
- Vacation and sick days with 10 paid holidays per year
- Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
- Robust and affordable insurance plan to include medical, dental, life, short-term and long-term disability options
- Exceptional retirement program
- Optional employee benefits such as deferred compensation plans, credit union membership, and a wellness program
- An incentivized commuter club and public transportation subsidy program

Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:
Positions in this classification participate in the Corrections Officer Retirement Plan (CORP).

Current ADCRR Employees: Consult with your respective Human Resources Liaison if you are in a different retirement plan than the one indicated above.

As a condition of participation in the CORP, you will be required to undergo a medical evaluation.

Contact Us:
The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 255-2430. Requests should be made as early as possible to allow sufficient time to arrange the accommodation.

Job Summary:
Are you a driven Criminal investigator that puts forth a perfect effort in everything you do? Do you want to help the Arizona Department Of Corrections, Rehabilitation & Reentry reimagine corrections in the State of Arizona? Joining our Agency as a Criminal Special Investigator will allow you to perform critical protective and investigative assignments.
The Arizona Department of Corrections, Rehabilitation & Reentry (ADCRR) is looking to hire a qualified Criminal Special Investigator to join our law enforcement agency. Under the direction of a Special Investigations Supervisor, this position will investigate alleged suspected criminal violations of Federal, State, or local laws to determine if the evidence is sufficient to recommend prosecution. Apply today!

Job Duties:
-Investigates/processes crime scenes, compiles investigative findings and presents findings in reports, testifies in administrative and criminal proceedings
-Searches for evidence and collects, records, and submits evidence for analysis
-Performs executive protection, conducts threat assessment investigations, gathers intelligence, and criminal trends
-Provides advance notice to supervisor, affected persons or agencies of impending situations having a potential risk of harm or adverse effect to the security of the Departments operations
-Develops and uses informants or other sources to get leads to information relating to criminal activity, gang activity, and absconded felons
-Maintains surveillance and performs undercover assignments, debrief of previously validated Security Threat Group (STG) members
-Compiles trend analysis, reports, threat assessments certifications of groups and members
-Makes decisions concerning the validation process of STG members, appeals and court proceedings
-Obtains/verifies evidence or establishes facts by interviewing, observing, and interrogating suspects and witnesses and analyzing records
-Obtains and executes search and arrest warrants
-Assist with state, county, federal and municipal agencies and other department units with investigations of all types of crimes
-Attends AZPOST continuing and proficiency training to maintain peace officer certification
-Attends annual Arizona Department of Corrections, Rehabilitation and Reentry (ADCRR) training/meetings
-Drives on State business with possible overnight stays
-Performs other duties appropriate to the assignment as police officer

Knowledge, Skills & Abilities (KSAs):
Knowledge of:

-Federal, State, and Agency laws, rules, regulations, policies, and codes governing investigations and law enforcement operations as they apply to the investigative processes
-Investigative and interviewing techniques and terminology, principles and practices of case management, rules and traditions
-History of prison gangs within the State
-Inmate management and supervision techniques and strategies
-Personal computers and software, as well as specialized systems used in law enforcement

Skill in:

-Applying techniques and methods of work management
-Applying and interpreting Federal, State and agency laws, rules, regulations, codes and policies governing investigation and law enforcement functions
-Investigative and law enforcement techniques and methods
-Written and verbal communication, including proper sentence structure, grammar and punctuation
-Building and maintaining interpersonal relationships
-Organization and time management
-Public speaking and presentation
-Report writing

Ability to:

-Lift/Carry up to 100+ lbs.
-Push/Pull up to 100+ lbs.
-Walk/Run up to 1.00+ miles
-Effectively communicate ideas, techniques, and information to coworkers, management, and judicial entities
-Review investigative case files for accuracy
-Establish cooperative relationships with other law enforcement agencies and outside entities
-Conduct surveillance

Selective Preference(s):
At least one (1) year of work experience in another law enforcement agency conducting criminal investigations. AZPOST full-authority peace officer certification through completion of a qualified POST secondary certification course of study through a community college or Arizona law enforcement academy

Pre-Employment Requirements:
An active Arizona Peace Officer Standards and Training Board (AZPOST) certification are required within one year of appointment.

Employment is contingent on the selected applicant passing a background investigation, drug test, medical/physical examination, polygraph exam, and psychological evaluation.

In an effort to maintain a safe environment, all employees are required to take a Tuberculosis (TB) test during their New Employee Orientation and every year thereafter.

If this position requires driving or the use of a vehicle as an essential function of the job, then the following requirements apply. Any employee operating a motor vehicle on State business must possess and retain a current, valid class-appropriate driver’s license, complete all required training, and successfully pass all necessary driver’s license record checks. The license must be current, unexpired, and neither revoked nor suspended. Employees who drive on state business are subject to driver’s license record checks, must maintain acceptable driving records, and must complete all required driver training. An employee who operates a personally owned vehicle on state business shall maintain the statutorily required liability insurance (see Arizona Administrative Code (A.A.C.) R2-10-207.11).

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits:
We offer an excellent and affordable comprehensive benefits package to meet the needs of our employees:
- Vacation and sick days with 10 paid holidays per year
- Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
- Robust and affordable insurance plan to include medical, dental, life, short-term and long-term disability options
- Exceptional retirement program
- Optional employee benefits such as deferred compensation plans, credit union membership, and a wellness program
- An incentivized commuter club and public transportation subsidy program

Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:
Positions in this classification participate in the Corrections Officer Retirement Plan (CORP).

Current ADCRR Employees: Consult with your respective Human Resources Liaison if you are in a different retirement plan than the one indicated above.

As a condition of participation in the CORP, you will be required to undergo a medical evaluation.

Contact Us:
The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 255-2430. Requests should be made as early as possible to allow sufficient time to arrange the accommodation.

Join the Canacre team in an exciting role working on leading edge infrastructure projects.

We are technical experts in land, energy, and transportation development delivering accurate, innovative, and agile solutions to our partners. We provide land acquisition, geospatial mapping, data management, web-based GIS, community relations, land feasibility studies, and permitting services. Canacre’s clients include developers, large scale service providers, and government entities that are involved in the planning and development of energy projects, rights of way, resources, and infrastructure across Canada and the United States. Canacre works on large-scale wind and solar power projects, high-voltage transmission lines, pipeline projects, municipal roads projects, and groupings of cellular towers and rooftop antennas.

At Canacre, we act with honesty and integrity within a culture where trust, collaboration, and teamwork flourish. We commit to diversity, inclusivity and the celebration of successes. Our vision is to foster an environment that promotes inspired and empowered team members who make an impact.

This position will be field based with approximately 25% of time in the field within the U.S. Southwest.

The Archaeological Principal Investigator will primarily be responsible for conducting desktop-based reviews for historical resource potential, archaeological field assessments, and monitoring in support of energy development projects in compliance with federal, provincial, and local regulations.

In addition, your role will be to:

+ Oversee and assign responsibilities to archaeological field leads

+ Oversee archaeological fieldwork projects ensuring safety and quality standards

+ Direct and position archaeological field leads for archaeological projects including records reviews, surveys, testing, data recovery and monitoring projects

+ Oversee and contribute to written reports including monitoring reports, survey reports, and formal updates on cultural resource efforts

+ Author and/or employ Historic Properties Treatment Plans, Monitoring and Discovery Plans, or Work Plans

+ Coordinate with archaeological field monitors and construction personnel to provide necessary information and facilitate regular communication among all parties

+ Inspect areas of concern identified by field monitors and make appropriate recommendations to construction personnel, as required

+ Review field reports for quality, consistency, and accuracy

+ Assist with level of effort and cost estimates for projects involving archaeology

+ Contribute to cost estimates and written proposals that involve archaeological tasks

Qualifications:

+ Master's degree in archaeology, anthropology, or related field of study and minimum 5 years professional management experience in a archaeology

+ Ability to obtain State and Federal archaeological permits as a (Principal Investigator) within the U.S. Southwest, South, and/or Great Basin

+ Experience leading fieldwork and reporting efforts on State and Federal lands in the southwestern United States related to transmission line construction projects

+ Demonstrated experience overseeing field and reporting work and coordinating other field-based resource teams

+ Strong working knowledge of cultural resource legislation and regulations

+ Strong analytical, problem-solving skills, prioritizing, analytical, communication and decision-making skills

+ Ability to manage multiple projects and staff with minimal supervision

+ Ability to build strong, lasting relationships with key stakeholders

+ Experience authoring documents and data in Microsoft Office, Google Earth, ArcGIS Online, and ArcGIS FieldMaps/Survey123

+ Member of the Register of Professional Archaeologists

+ Valid Driver’s License, with ability to maintain insurability under the company’s insurance carrier

At Canacre, our benefits program is one of the ways in which we reinforce the value we place on employees and the role they play in helping us achieve our goals. Canacre offers comprehensive health and dental coverage, paid time off, and disability insurance. Other benefits include a 401(k) Savings Plan employer matching program, Employee Assistance Program, flexible work arrangement and a variety of wellness programs.

Given the volume of applications we typically receive, we are unable to respond to all applicants, however, you will be contacted if your experience is a suitable match with one of our upcoming projects.

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Summary ATF is a law enforcement agency in the U.S. Department of Justice that protects our communities from violent criminals/criminal organizations, illegal use/trafficking of firearms, illegal use/storage of explosives, acts of arson/bombings, acts of terrorism, and illegal diversion of alcohol/tobacco products. We partner with communities, industries, law enforcement, and public safety agencies to safeguard the public through information sharing, training, research, & technology. Visit www.atf.gov Responsibilities This position is located under the This position is located under the Office of Field Operations, Phoenix Field Division, Tucson II FO located in Tucson, Arizona. Serves as a Supervisory Criminal Investigator assigned to a field division of the Bureau. Responsible for the prevention, detection, and investigation of substantive and conspiracy type violations of laws enforced by ATF. Supervises a group of criminal investigators stationed at field offices where group size ranges from small to moderate, who are engaged in substantive criminal investigation work and the work must be greater than average in difficulty. Responsible for the detection and investigation of criminal cases that may require the gathering and piecing together of complex evidence often difficult to secure; result in precedent-setting court decisions; require substantial coordination with other agencies in tracing leads and gathering intelligence; involve illegal activities conducted under cover of legal enterprise; be extremely sensitive due to the suspects involved and have the potential for jurisdictional problems. Requirements Conditions of Employment The time-in-grade requirement must be met by the closing date of this announcement. The qualification requirements listed below must be met by the closing date of the announcement. MOBILITY PLAN: New employees hired pursuant to this vacancy announcement must sign a mobility agreement. The purpose of ATF's mobility policy is to enhance career development and progression, and achieve mission and business effectiveness. To accomplish these objectives, the mobility plan will facilitate the movement of employees through special short-term assignments or permanent reassignments throughout the Bureau. Applicants who decline to sign a mobility agreement, as required, will be removed from the hiring process. Key Requirements: Pass drug screening and subject to random drug test. Requires proficiency with a firearm per ATF's Standard. May be required to serve a 1-year probationary period. Qualifications To qualify for GS-14, candidates must also have at least one year of specialized experience equivalent to the next lower grade level GS-13. This is a non-bargaining unit position. Specialized experience is demonstrated experience, which has equipped the applicant with the particular knowledge, skills and abilities to perform successfully the duties of this position. Experience must be in the normal line of progression or must be related to the work of the position advertised and must be reflected in resume. Examples of specialized experience include: Experience providing accurate information and guidance regarding procedures (i.e. arrest and processing; arrest principles); and handling of evidence and dangerous material;AND Experience applying relevant laws, regulations and policies to investigative resources and techniques (i.e. ATF Giglio Policy); AND Experience providing leadership to others such as workgroups, teams or special projects;AND Experience communicating orally and in writing (i.e. reports and briefings); AND Experience negotiating and collaborating with others (i.e. interacting with other law enforcement agency (state, local or federal) Please do not cut and paste the position description, specialized experience, or occupational assessment questionnaire from this announcement into your resume, as this will not be considered a demonstration of your qualifications for this position. The Career Transition Assistance Plan (CTAP) provides eligible surplus and displaced competitive service employees in the Department of Justice with selection priority over other candidates for competitive service vacancies. If your Department of Justice component has notified you in writing that you are a surplus or displaced employee eligible for CTAP consideration, you may receive selection priority if: 1) this vacancy is within your CTAP eligibility, 2) you apply under the instructions in this announcement, and 3) you are found well-qualified for this vacancy. To be well qualified, you must satisfy all qualification requirements for the vacant position and (for scored examining) score 85 or better on established ranking criteria. You must provide a copy of your written notification of CTAP eligibility with your application. Additional information about CTAP eligibility is at:https://www.usajobs.gov/Help/working-in-government/unique-hiring-paths/federal-employees/career-transition/ Education Additional Information Selective Service: If you are a male applicant born after December 31, 1959, you must certify that you have registered with the Selective Service System, or are exempt from having to do so under the Selective Service Law. See www.sss.gov. EEO Statement: The United States Government does not discriminate in employment on the basis of race, color, religion, sex, national origin, political affiliation, sexual orientation, marital status, status as a parent, genetic information, disability, age, membership or non-membership in an employee organization, or on the basis of personal favoritism. If you believe you have been subjected to discrimination, you must contact the ATF EEO office within 45 calendar days of when the alleged harm occurred at 202-648-8760 or eeointakemailbox@atf.gov. Please see DOJ Equal Employment Opportunity (EEO) Policy. Reasonable Accommodation Statement: ATF provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the job application and hiring process, and you meet the eligibility requirements listed above, please notify the human resources specialist listed on the vacancy announcement, or contact the ATF's Office of Equal Employment Opportunity at (202) 648-8760 or send an email to reasonableaccommodations@atf.gov. The decision on granting a reasonable accommodation is handled on a case-by-case basis. "Federal Regulations state no ATF employee, his/her spouse, or his/her minor child shall have, directly or indirectly, any financial interest, including compensated employment, stock, or proprietary interest in the alcohol, tobacco, firearms or explosives industries. You should be aware that you may be asked to relinquish any ownership of or interests in the alcohol, tobacco, firearms or explosives industries before a determination can be made whether access to ATF information, information technology systems, and/or facilities can be authorized." Additional vacancies may be filled from this vacancy announcement. A one year probationary period is required for new supervisors and managers.

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 Manager, Colleague Relations, you are responsible for the execution and ownership of investigating Employee Relations concerns and providing expert consultant and guidance to managers and employees. You will work to proactively support and maintain a positive employment climate, during the course of your investigation. You will lead complex and sensitive cases including Title VII, workplace violence, and other concerns.

As directed by the Director of the Colleague Relations Investigator Team, you will partner and provide guidance, as necessary, to the Employee Relations Advisors who also oversee cases in the same business units.

This role will also be expected to have market oversight and report on ER activity and trends. In addition, you will be expected to identify root causes and recommend appropriate solutions to assist with improving workplace culture.

This role also has responsibility to give recommendations on keeping applicable CVS policies up to date, compliant, maintained, and appropriate for the achievement of business needs and CVS culture.

You will accomplish this through:

+ Conducting a fair and unbiased, thorough, independent, and timely investigation that meets the standards of CVS expectations, principles, and practices

+ Objectively making credibility assessments and determinations based on evidence gathered.

+ Investigating workplace complaints of violations of policy for which failure to investigate might subject CVS to serious legal or financial risk

+ Applying knowledge of employment harassment and discrimination laws, whistle-blowing laws, rules of evidence, and other laws pertaining to investigation plans, investigations, reports and recommendations

+ Timely responding to inquiries from employees and managers regarding matters involving employment practices, policies, employment laws and compliance guidelines

+ Providing guidance and mentorship to leaders and colleagues on all Employee Relations issues, policy interpretation and questions

+ Responding to employee issues and questions, providing feedback to managers to ensure appropriate action is taken

+ Navigating a case management system and working with appropriate partners to ensure consistency of recommendations and guidance provided.

+ Employee Relations Process Delivery

+ Employee Relations Tracking and Solutions

+ Participate and facilitate training and education, as needed

**Required Qualifications**

+ At least 7 years of relevant overall experience

+ At least 5 years Human Resources experience

+ Willingness to travel up to 10%

**Preferred Qualifications**

+ 5-10 yeas of Employee Relations experience

+ PHR/SPHR certification(s)

**Education**

Bachelor's Degree or equivalent relevant Employee Relations or Human Resources work experience

**Pay Range**

The typical pay range for this role is:

$75,400.00 - $182,549.00

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. This position also includes an award target in the company’s equity award program.

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 https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 04/12/2025

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.

**Why USAA?**

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

**The Opportunity**

As a dedicated Fraud Investigator II, you will conduct internal or external fraud investigations and files regulatory reports according to legal requirements while ensuring adherence to all applicable deadlines. Completes interviews with internal and external parties. Performs mitigation and remediation activities while utilizing multiple applications and platforms in support of fraud operation activities to alleviate any potential negative impact to members and/or the organization.

We offer a flexible work environment that requires an individual to be **in the office 4 days per week.** This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Charlotte, NC, Tampa, FL or Colorado Springs, CO.

Relocation assistance is **not** available for this position.

**What you'll do:**

+ Conducts less complex fraud investigations of suspected or known criminal activity, which includes cases of less severity, cases with less member accounts and transactions, or limited to one fraud type.

+ Reviews monetary and non-monetary fraud transactions, conducts interviews, and analyzes transaction data to detect fraudulent or unusual patterns and trends in support of the investigative process.

+ Performs thorough analysis of evidence; assesses veracity of information compiled, to include documentary materials and results of interviews, to develop investigative conclusions.

+ Utilizes knowledge of the Bank Secrecy Act, USA Patriot Act, applicable laws and regulations, company policies and best practices in the investigative field to organize investigative results,

+ Prepares cases for criminal prosecution, obtains and preserves evidence, and presents evidence to appropriate law enforcement agencies for prosecution.

+ May provide testimony to the grand jury and trial courts and file regulatory reports as necessary.

+ Identifies and partners with tenured Investigators to resolve issues; identifies appropriate issues for escalation such as fraudulent trends, vulnerabilities causing increased fraudulent activity and/or larger than normal losses.

+ Serves as a liaison with law enforcement agencies and other institutions to ensure USAA is informed of all relevant potential risks.

+ Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

**What you have:**

+ Bachelor’s Degree; OR 4 years of related financial services or federal, state, local, or military law enforcement investigations experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.

+ 2 years of experience in financial services, investment or financial crimes.

+ Basic understanding of the Bank Secrecy Act, USA Patriot Act, and other applicable laws and regulations.

+ Intermediate knowledge of Microsoft Office.

+ Strong oral and written communication skills.

+ Strong analytical experience.

**What sets you apart:**

+ 1+ years of experience with Suspicious Activity Reports (SAR).

+ Previous/Current experience with SaFire and ECAMS.

+ Federal, State, or Local Law Enforcement experience.

+ Certified Fraud Examiner (CFE).

+ US military experience through military service or a military spouse/domestic partner.

**Compensation range:** The salary range for this position is: $63,590 - $121,530 **.**

**Compensation:** USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

**Benefits:** At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.

_Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting._

_USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran._

**If you are an existing USAA employee, please use the internal career site in OneSource to apply.**

**Please do not type your first and last name in all caps.**

**_Find your purpose. Join our mission._**

USAA is unlike any other financial services organization. The mission of the association is to facilitate the financial security of its members, associates and their families through provision of a full range of highly competitive financial products and services; in so doing, USAA seeks to be the provider of choice for the military community. We do this by upholding the highest standards and ensuring that our corporate business activities and individual employee conduct reflect good judgment and common sense, and are consistent with our core values of service, loyalty, honesty and integrity.

USAA attributes its long-standing success to its most valuable resource: our 35,000 employees. They are the heart and soul of our member-service culture. When you join us, you'll become part of a thriving community committed to going above for those who have gone beyond: the men and women of the U.S. military, their associates and their families. In order to play a role on our team, you don't have to be connected to the military yourself – you just need to share our passion for serving our more than 13 million members.

USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.

California applicants, please review our HR CCPA - Notice at Collection (https://statmcstg.usaa.com/mcontent/static\_assets/Media/enterprise\_hr\_cpra\_notice\_at\_collection.pdf) here.

USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.

**Become a part of our caring community and help us put health first**

The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Fraud and Waste Professional coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

**Use your skills to make an impact**

**WORK STYLE:** 100% remote/work at home

**WORK HOURS:** Typical business hours are Monday-Friday, 8 hours/day, 5 days/week in the associate's home time zone.

**Required Qualifications**

+ Bachelor’s degree or higher

+ At least five years’ experience in pharmacy health care investigations working an investigation end-to-end (experience with government referrals, on-site visits, collaborating with law enforcement, testifying, etc.)

+ Experience with manipulating and analyzing large datasets

+ Ability to be concise, independent and provide defensible decisions in high-pressure situations

+ Detail oriented with excellent communication skills (oral presentations and written) and interpersonal skills

**Preferred Qualifications**

+ Medicaid experience/expertise

+ Graduate degree and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI).

+ Understanding of healthcare industry, claims processing and investigative process development.

+ Experience in a corporate environment and understanding of business operations

**Additional Information**

**Work at Home Requirements**

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

• Satellite, cellular and microwave connection can be used only if approved by leadership

• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

**Interview Format**

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

**Scheduled Weekly Hours**

40

**Pay Range**

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$71,100 - $97,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

**Description of Benefits**

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 04-10-2025

**About us**

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

**Equal Opportunity Employer**

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.