Detectives and Criminal Investigators

At U.S. Bank, we’re on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to bring our shared ambition to life, and each person is unique in their potential. A career with U.S. Bank gives you a wide, ever-growing range of opportunities to discover what makes you thrive at every stage of your career. Try new things, learn new skills and discover what you excel at—all from Day One.

**Job Description**

Job Description

Partners with their assigned Line of Business, other Risk/Compliance/Audit (RCA) professionals, and RCA Managers to, depending on their function, create, implement, maintain, review or oversee an effective risk management framework. Participates in projects and/or activities that ensure compliance with applicable federal, state, and local laws and regulations. Identifies gaps and inform solutions that minimize losses resulting from inadequate internal processes, systems or human errors. Identifies, responds and/or escalates risks as appropriate. Serves as a functional liaison between the Line of Business and the Lines of Defense.

**Basic Qualifications**

- Bachelor's degree, or equivalent work experience

- Typically, more than two years of applicable experience

**Preferred Skills/Experience**

**Previous experience and comfortability making outbound calls to elder and vulnerable adults is strongly preferred**

- Intermediate knowledge of applicable laws, regulations, financial services, and regulatory trends that impact their assigned line of business

- Intermediate understanding of the business line’s operations, products/services, systems, and associated risks/controls

- Basic knowledge of Risk/Compliance/Audit competencies

- Strong analytical, process facilitation and project management skills

- Effective presentation, interpersonal, written and verbal communication skills

- Proficient computer navigation skills using a variety of software packages, including Microsoft Office applications and word processing, spreadsheets, databases, and presentations

**Additional Skills**

Investigators may concentrate on one specific or many different fraud typologies such as external fraud, elder and vulnerable adult financial exploitation, technology related fraud, organized fraud rings and anti-money laundering depending on business needs within Fraud Investigations. External Fraud Investigators perform duties such as investigating multiple fraud typologies in accordance with policies and procedures, performing thorough account transaction analysis for the purpose of identifying suspicious or fraudulent activity, and filing Suspicious Activity Reports (SARs). An investigator may review consumer and commercial DDAs, loans, lines of credit, debit and credit cards, technology products and investment products.

-Maintain thorough and accurate case notes setting forth all required actions in chronological order through utilization of a case management system.

-Conduct and documenting interviews with witnesses, victims and subjects as appropriate.

-Report investigative findings to the appropriate designee within Fraud Investigations with recommendation for SAR or no SAR Determination.

-Prepare complete and accurate SARs for filing.

-Ability to correctly identify when matters are appropriate to escalate to management and/or to law enforcement.

-Ensure case accurate case completion for all case resolutions prior to submission to appropriate designee within Fraud Investigations for case closure approval.

Participation and compliance with internal continuing education and training. Training topics may include: Compliance with the U.S. Bank Code of Ethics and all Anti-Money Laundering, Bank Secrecy Act, information security and suspicious activity reporting requirements, policies and procedures. Participation in any required corporate and business line training in these areas. Understanding and adherences to internal suspicious activity referral requirements and processes as required for this position.

**Preferred Qualifications**

- Bachelor's degree, or equivalent work experience

- 2-3 years of experience in an applicable risk management environment

- Certified Fraud Examiner (CFE) or other professional fraud certification

- Experience interviewing suspects and/or victims

**Preferred Experience**

- SAR writing and quality assurance experience

- Prior investigation experience

- Prior law enforcement experience

- Prior financial/banking sector experience

- Prior accounting/auditing experience

- Computer/digital forensic skills

- Strong analytical skills

- Strong proficiency in MS-Excel and MS-Word

- Excellent written and verbal communication skills

- Ability to maintain high levels of confidentiality and data security standards.

- Ability to handle multiple complex assignments concurrently

- Strong time management skills and high degree of initiative

- Demonstrated positive attitude with results orientation

- Proven track record of meeting tight deadlines

- Experience/comfort in working through change

**This role is considered hybrid and requires working three days a week from a designated U.S. Bank location, with flexibility on work location for the other two working days.**

If there’s anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants (https://careers.usbank.com/global/en/disability-accommodations-for-applicants) .

**Benefits:**

Our approach to benefits and total rewards considers our team members’ whole selves and what may be needed to thrive in and outside work. That's why our benefits are designed to help you and your family boost your health, protect your financial security and give you peace of mind. Our benefits include the following (some may vary based on role, location or hours):

+ Healthcare (medical, dental, vision)

+ Basic term and optional term life insurance

+ Short-term and long-term disability

+ Pregnancy disability and parental leave

+ 401(k) and employer-funded retirement plan

+ Paid vacation (from two to five weeks depending on salary grade and tenure)

+ Up to 11 paid holiday opportunities

+ Adoption assistance

+ Sick and Safe Leave accruals of one hour for every 30 worked, up to 80 hours per calendar year unless otherwise provided by law

**EEO is the Law**

U.S. Bank is an equal opportunity employer committed to creating a diverse workforce. We consider all qualified applicants without regard to race, religion, color, sex, national origin, age, sexual orientation, gender identity, disability or veteran status, among other factors. Applicants can learn more about the company’s status as an equal opportunity employer by viewing the federal **KNOW YOUR RIGHTS (https://eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf)** EEO poster.

**E-Verify**

U.S. Bank participates in the U.S. Department of Homeland Security E-Verify program in all facilities located in the United States and certain U.S. territories. The E-Verify program is an Internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. Learn more about the E-Verify program (https://careers.usbank.com/verification-of-eligibility-for-employment) .

The salary range reflects figures based on the primary location, which is listed first. The actual range for the role may differ based on the location of the role. In addition to salary, U.S. Bank offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase 401(k) contribution and pension (all benefits are subject to eligibility requirements). Pay Range: $75,820.00 - $89,200.00 - $98,120.00

U.S. Bank will consider qualified applicants with arrest or conviction records for employment. U.S. Bank conducts background checks consistent with applicable local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act as well as the San Francisco Fair Chance Ordinance. U.S. Bank is subject to, and conducts background checks consistent with the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA). In addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures.

Applicants must be able to comply with U.S. Bank policies and procedures including the Code of Ethics and Business Conduct and related workplace conduct and safety policies.

**Do you want your voice heard and your actions to count?**

Discover your opportunity with Mitsubishi UFJ Financial Group (MUFG), one of the world’s leading financial groups. Across the globe, we’re 120,000 colleagues, striving to make a difference for every client, organization, and community we serve. We stand for our values, building long-term relationships, serving society, and fostering shared and sustainable growth for a better world.

With a vision to be the world’s most trusted financial group, it’s part of our culture to put people first, listen to new and diverse ideas and collaborate toward greater innovation, speed and agility. This means investing in talent, technologies, and tools that empower you to own your career.

Join MUFG, where being inspired is expected and making a meaningful impact is rewarded.

The selected colleague will work at an MUFG office or client sites four days per week and work remotely one day. A member of our recruitment team will provide more details.

Reporting to the Senior Fraud Prevention Manager (Vice President) of Fraud Operations. The Investigator will complete fraud investigations to ensure that potentially suspicious transactions are appropriately identified within specified timeframes and that decisions to file or not to file Suspicious Activity Reports (SARs) are adequately supported. This is a non-supervisory position, distinguished from the higher-level investigators by the complexity of cases, number of concurrent cases assigned, experience and general level of supervision required by the Senior Fraud Prevention Manager. Individuals on the Fraud Investigation team focus on the investigation and remediation of fraud, theft, embezzlement, and operational losses

**Major Responsibilities:**

+ Participate in the investigation of fraudulent and/or disputed monetary transactions

+ Monitor and detect transaction anomalies to minimize fraud across the company’s portfolio of interests, activities and services ​

+ Contribute to settlement recommendations

+ Coordinate the course of action on cases identified as fraud by taking action based on predefined procedures

+ Minimize losses through recovery and charge back opportunities

+ Utilize industry-leading fraud systems and tools

+ Prepare reports and make recommendations to senior fraud prevention manager on strategic risk control issues

+ Participate in risk analysis for corporate and commercial customers

**Qualifications:**

+ Associates Degree in Criminal Justice, Business or related experience is preferred.

+ Minimum of three years of investigative or related experience with specific emphasis on fraud investigations at a financial institution, regulatory agency or law enforcement agency is preferred.

+ Basic knowledge of Criminal and Commercial laws and procedures, Uniform Commercial codes, penal codes and Bank regulations and standards including Suspicious Activity Reports.

+ Basic knowledge of Interviewing and Interrogating techniques is required prior to conducting interviews.

+ Excellent oral and written communication skills.

+ Excellent interpersonal skills.

+ Professional certifications such as a CFE, CCIP, CCII, CFCI are highly desirable.

The typical base pay range for this role is between $31.25 - $38.46 per hour depending on job-related knowledge, skills, experience and location. This role may also be eligible for certain discretionary performance-based bonus and/or incentive compensation. Additionally, our Total Rewards program provides colleagues with a competitive benefits package (in accordance with the eligibility requirements and respective terms of each) that includes comprehensive health and wellness benefits, retirement plans, educational assistance and training programs, income replacement for qualified employees with disabilities, paid maternity and parental bonding leave, and paid vacation, sick days, and holidays. For more information on our Total Rewards package, please click the link below.

MUFG Benefits Summary (https://careers.mufgamericas.com/sites/default/files/document/2023-01/mb-live-well-work-well.pdf)

We will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws (including (i) the San Francisco Fair Chance Ordinance, (ii) the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, (iii) the Los Angeles County Fair Chance Ordinance, and (iv) the California Fair Chance Act) to the extent that (a) an applicant is not subject to a statutory disqualification pursuant to Section 3(a)(39) of the Securities and Exchange Act of 1934 or Section 8a(2) or 8a(3) of the Commodity Exchange Act, and (b) they do not conflict with the background screening requirements of the Financial Industry Regulatory Authority (FINRA) and the National Futures Association (NFA). The major responsibilities listed above are the material job duties of this role for which the Company reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of conditional offer of employment, if any.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities duties and skills required of personnel so classified.

We are proud to be an Equal Opportunity Employer and committed to leveraging the diverse backgrounds, perspectives and experience of our workforce to create opportunities for our colleagues and our business. We do not discriminate on the basis of race, color, national origin, religion, gender expression, gender identity, sex, age, ancestry, marital status, protected veteran and military status, disability, medical condition, sexual orientation, genetic information, or any other status of an individual or that individual’s associates or relatives that is protected under applicable federal, state, or local law.

At MUFG, our colleagues are our greatest assets. Our Culture Principles provide a roadmap for how each of our colleagues must think and act to become more client-obsessed, inclusive and innovative. They reflect who we are, who we want to be and what we expect from one another. We are excited to see you take the next step in exploring a career with us and encourage you to spend more time reviewing them!

**Our Culture Principles**

+ Client Centric

+ People Focused

+ Listen Up. Speak Up.

+ Innovate & Simplify

+ Own & Execute

**Position Overview**

At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all of our employees feel respected, valued and have an opportunity to contribute to the company’s success. As a Detection & Investigation Analyst Lead within PNC's Deposit Fraud Investigations/EFR-I organization, you will be based in Pittsburgh, PA, Cleveland, OH, Louisville, KY, or Birmingham, AL. This position is primarily based in a PNC location. Responsibilities require time in the office or in the field on a regular basis. Some responsibilities may be performed remotely, at manager’s discretion.

The shift will be 8:00am-5:00pm EST

**Job Description**

+ Reviews and investigates customer cases, reports and work for potential and actual loss. Minimizes fraud, Anti-Money Laundering and/or organizational risk. Performs early detection of suspicious activity. Controls and prevents losses. May lead the work of and/or train detection and investigation staff.

+ Researches and analyzes bank activities and reports to detect and prevent possible fraudulent and suspicious activities. Recommends disposition. Identifies gaps and control enhancements.

+ Uses defined research procedures to identify and resolve issues. Identifies trends and escalates as appropriate.

+ Follows standards and practices to mitigate fraud, Anti-Money Laundering and other risk exposure and loss. Shares best practices among the team and/or service partners.

+ Prepares and maintains appropriate documentation of analysis performed and coordinates with internal or external stakeholders as appropriate.

PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be:

+ **Customer Focused** - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.

+ **Managing Risk** - Assessing and effectively managing all of the risks associated with their business objectives and activities to ensure they adhere to and support PNC's Enterprise Risk Management Framework.

**Qualifications**

Successful candidates must demonstrate appropriate knowledge, skills, and abilities for a role. Listed below are skills, competencies, work experience, education, and required certifications/licensures needed to be successful in this position.

**Preferred Skills**

Analytical Thinking, Customer Solutions, Decision Making, Operational Risks, Problem Resolution, Researching, Risk Mitigation Strategies

**Competencies**

Anti-money Laundering/Sanctions Policies and Procedures, Business Ethics, Business Process Improvement, Decision Making and Critical Thinking, Effective Communications, Fraud Detection and Prevention, Information Capture, Operational Risk, Problem Solving, Standard Operating Procedures

**Work Experience**

Roles at this level typically require a university / college degree with < 1 year of professional experience and/or successful completion of a formal development program. In lieu of a degree, a comparable combination of education, job specific certification(s), and experience (including military service) may be considered.

**Education**

Bachelors

**Certifications**

No Required Certification(s)

**Licenses**

No Required License(s)

**Benefits**

PNC offers a comprehensive range of benefits to help meet your needs now and in the future. Depending on your eligibility, options for full-time employees include: medical/prescription drug coverage (with a Health Savings Account feature), dental and vision options; employee and spouse/child life insurance; short and long-term disability protection; 401(k) with PNC match, pension and stock purchase plans; dependent care reimbursement account; back-up child/elder care; adoption, surrogacy, and doula reimbursement; educational assistance, including select programs fully paid; a robust wellness program with financial incentives.

In addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 8 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service.

To learn more about these and other programs, including benefits for full time and part-time employees, visit Your PNC Total Rewards (http://yourpnctotalrewards.com) .

**Disability Accommodations Statement**

If an accommodation is required to participate in the application process, please contact us via email at AccommodationRequest@pnc.com . Please include “accommodation request” in the subject line title and be sure to include your name, the job ID, and your preferred method of contact in the body of the email. Emails not related to accommodation requests will not receive responses. Applicants may also call 877-968-7762 and say "Workday" for accommodation assistance. All information provided will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.

At PNC we foster an inclusive and accessible workplace. We provide reasonable accommodations to employment applicants and qualified individuals with a disability who need an accommodation to perform the essential functions of their positions.

**Equal Employment Opportunity (EEO)**

PNC provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or other categories protected by law.

This position is subject to the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA) and, for any registered role, the Secure and Fair Enforcement for Mortgage Licensing Act of 2008 (SAFE Act) and/or the Financial Industry Regulatory Authority (FINRA), which prohibit the hiring of individuals with certain criminal history.

**California Residents**

Refer to the California Consumer Privacy Act Privacy Notice (https://content.pncmc.com/live/pnc/aboutus/HR/Onboarding/PNC\_CCPA\_Privacy\_Disclosure\_Employee.pdf) to gain understanding of how PNC may use or disclose your personal information in our hiring practices.

**JOB DESCRIPTION**

**Job Summary**

The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical determinations as necessary, and applies clinical knowledge to assess the medical necessity, level of services, and/or appropriateness of care in cases. The SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence. The position also entails producing audit reports for internal and external review. The position may also work with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Affairs, in order to achieve and maintain appropriate anti-fraud oversight.

**Job Duties**

• Perform objective desk and onsite medical record audits to verify if services were supported by documentation, to determine if services were appropriately administered, and/or to validate coding/billing accuracy.

• Conduct interviews of providers and/or health plan members in order to determine whether fraud, waste, or abuse may have occurred.

• Coordinate with various internal customers (e.g., Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations.

• Detect potential health care fraud, waste, and abuse through the identification of aberrant coding and/or billing patterns through utilization review.

• Incorporate leadership and communication skills to work with physicians and other health professionals when investigating cases.

• Generate and provide accurate and timely written reports for internal and/external use detailing audit findings.

• Render provider education on appropriate practices (e.g., coding) as appropriate based on national or local guidelines, contractual, and/or regulatory requirements.

• Identify opportunities for improvement through the audit process and provide recommendations for system enhancement in order to augment investigative outcomes and performance.

**JOB QUALIFICATIONS**

**REQUIRED EDUCATION** :

Graduate from an Accredited School of Nursing.

+ **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :

+ Five years clinical nursing experience with broad clinical knowledge.

+ Five years experience conducting medical review and coding/billing audits involving professional and facility based services.

+ Knowledge and understanding of medical terminology along with demonstrated knowledge of CPT, ICD-9, HCPCS and DRG requirements.

+ Two years of managed care experience.

**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** :

Active, unrestricted State Registered Nursing (RN) license in good standing.

**PREFERRED EDUCATION** :

Bachelor’s Degree in Nursing

**PREFERRED EXPERIENCE** :

+ Experience in government programs (i.e., Medicare, Medicaid, & SCHIP).

+ Experience in long-term care.

**STATE SPECIFIC REQUIREMENTS** :

OHIO:

+ Transitions of Care for New Members

+ Molina Healthcare of Ohio follows the transition of care requirements outlined below and in Appendix D of the contract for new members transitioning to the MCO from fee-for-service (FFS) or another MCO. The Transition of Care Coach will coordinate all services with new members to ensure a seamless transition and ensure continuity of care.

+ Provision of Member Information

+ Pre-Enrollment Planning

+ The Molina Transition of Care Coach coordinates with and utilizes data provided by ODM, another MCO, the OhioRISE Plan (when applicable) and or collected by Molina (e.g. through assessments, new member outreach in advance of the member’s enrollment effective date) to identify existing sources of care and to ensure each new member is able to continue to receive existing services without disruption.

+ For OhioRISE Plan enrolled members, Molina will reach out to the OhioRISE Plan and primary care coordination staff to engage the OhioRISE Plan in pre-enrollment planning

+ Continuation of Services for Members

+ Documentation of Transition of Services

+ Transitions of Care Between Health Care Settings

+ Transitions of Care Between Molina Healthcare of Ohio and the OhioRISE Plan

+ Care Coordination Assignment

+ Provision of Member Information

+ Continuation of Services for Members

+ Documentation of Transition of Services

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $128,519 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**JOB DESCRIPTION**

**Job Summary**

The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical determinations as necessary, and applies clinical knowledge to assess the medical necessity, level of services, and/or appropriateness of care in cases. The SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence. The position also entails producing audit reports for internal and external review. The position may also work with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Affairs, in order to achieve and maintain appropriate anti-fraud oversight.

**Job Duties**

• Perform objective desk and onsite medical record audits to verify if services were supported by documentation, to determine if services were appropriately administered, and/or to validate coding/billing accuracy.

• Conduct interviews of providers and/or health plan members in order to determine whether fraud, waste, or abuse may have occurred.

• Coordinate with various internal customers (e.g., Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations.

• Detect potential health care fraud, waste, and abuse through the identification of aberrant coding and/or billing patterns through utilization review.

• Incorporate leadership and communication skills to work with physicians and other health professionals when investigating cases.

• Generate and provide accurate and timely written reports for internal and/external use detailing audit findings.

• Render provider education on appropriate practices (e.g., coding) as appropriate based on national or local guidelines, contractual, and/or regulatory requirements.

• Identify opportunities for improvement through the audit process and provide recommendations for system enhancement in order to augment investigative outcomes and performance.

**JOB QUALIFICATIONS**

**REQUIRED EDUCATION** :

Graduate from an Accredited School of Nursing.

+ **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :

+ Five years clinical nursing experience with broad clinical knowledge.

+ Five years experience conducting medical review and coding/billing audits involving professional and facility based services.

+ Knowledge and understanding of medical terminology along with demonstrated knowledge of CPT, ICD-9, HCPCS and DRG requirements.

+ Two years of managed care experience.

**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** :

Active, unrestricted State Registered Nursing (RN) license in good standing.

**PREFERRED EDUCATION** :

Bachelor’s Degree in Nursing

**PREFERRED EXPERIENCE** :

+ Experience in government programs (i.e., Medicare, Medicaid, & SCHIP).

+ Experience in long-term care.

**STATE SPECIFIC REQUIREMENTS** :

OHIO:

+ Transitions of Care for New Members

+ Molina Healthcare of Ohio follows the transition of care requirements outlined below and in Appendix D of the contract for new members transitioning to the MCO from fee-for-service (FFS) or another MCO. The Transition of Care Coach will coordinate all services with new members to ensure a seamless transition and ensure continuity of care.

+ Provision of Member Information

+ Pre-Enrollment Planning

+ The Molina Transition of Care Coach coordinates with and utilizes data provided by ODM, another MCO, the OhioRISE Plan (when applicable) and or collected by Molina (e.g. through assessments, new member outreach in advance of the member’s enrollment effective date) to identify existing sources of care and to ensure each new member is able to continue to receive existing services without disruption.

+ For OhioRISE Plan enrolled members, Molina will reach out to the OhioRISE Plan and primary care coordination staff to engage the OhioRISE Plan in pre-enrollment planning

+ Continuation of Services for Members

+ Documentation of Transition of Services

+ Transitions of Care Between Health Care Settings

+ Transitions of Care Between Molina Healthcare of Ohio and the OhioRISE Plan

+ Care Coordination Assignment

+ Provision of Member Information

+ Continuation of Services for Members

+ Documentation of Transition of Services

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $128,519 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**JOB DESCRIPTION**

**Job Summary**

The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on allegations of FWA and/or may determine appropriateness of care. The SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence. The position also entails producing audit reports for internal and external review. The position may also work with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Officers in order to achieve and maintain appropriate anti-fraud oversight.

**Job Duties**

+ Responsible for developing leads presented to the SIU to assess and determine whether potential fraud, waste, or abuse is corroborated by evidence.

+ Conducts both preliminary assessments of FWA allegations, and end to end full investigations, including but not limited to witness interviews, background checks, data analytics to identify outlier billing behavior, contract and program regulation research, provider and member education, findings identification and communications development, and recommendations and preparation of overpayment identifications and closure of investigative cases.

+ Completes investigations within the mandated period of time required by either state and/or federal contracts and/or regulations.

+ Conducts both on-site and desk top investigations.

+ Conducts low to medium, and extensive investigations, including reviews of medical records and data analysis, and makes determinations as to whether the investigation and/or audit identified potential fraud, waste, or abuse.

+ Coordinates with various internal customers (e.g., Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations.

+ Detects potential health care fraud, waste, and abuse through the identification of aberrant coding and/or billing patterns through utilization review.

+ Prepares appropriate FWA referrals to regulatory agencies and law enforcement.

+ Documents appropriately all case related information in the case management system in an accurate manner, including storage of case documentation following SIU related requirements. Prepares detailed preliminary and extensive investigation referrals to state and/or federal regulatory and/or law enforcement agencies when potential fraud, waste, or abuse is identified as required by regulatory and/or contract requirements.

+ Renders provider education on appropriate practices (e.g., coding) as appropriate based on national or local guidelines, contractual, and/or regulatory requirements.

+ Interacts with regulatory and/or law enforcement agencies regarding case investigations.

+ Prepares audit results letters to providers when overpayments are identified.

+ Works may be remote, in office, and on-site travel within the state of New York as needed.

+ Ensures compliance with applicable contractual requirements, and federal and state regulations.

+ Complies with SIU Policies as and procedures as well as goals set by SIU leadership.

+ Supports SIU in arbitrations, legal procedures, and settlements.

+ Actively participates in MFCU meetings and roundtables on FWA case development and referral

**JOB QUALIFICATIONS**

**Required Education**

Bachelors degree or Associate’s Degree, in criminal justice or equivalent combination of education and experience

**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES**

+ 1-3 years of experience, unless otherwise required by state contract

+ Proven investigatory skill; ability to organize, analyze, and effectively determine risk with corresponding solutions; ability to remain objective and separate facts from opinions.

+ Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.

+ Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace.

+ Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.

+ Understanding of datamining and use of data analytics to detect fraud, waste, and abuse.

+ Proven ability to research and interpret regulatory requirements.

+ Effective interpersonal skills and customer service focus; ability to interact with individuals at all levels.

+ Excellent oral and written communication skills; presentation skills with ability to create and deliver training, informational and other types of programs.

+ Advanced skills in Microsoft Office (Word, Excel, PowerPoint, Outlook), SharePoint and Intra/Internet as well as proficiency with incorporating/merging documents from various applications.

+ Strong logical, analytical, critical thinking and problem-solving skills.

+ Initiative, excellent follow-through, persistence in locating and securing needed information.

+ Fundamental understanding of audits and corrective actions.

+ Ability to multi-task and operate effectively across geographic and functional boundaries.

+ Detail-oriented, self-motivated, able to meet tight deadlines.

+ Ability to develop realistic, motivating goals and objectives, track progress and adapt to changing priorities.

+ Energetic and forward thinking with high ethical standards and a professional image.

+ Collaborative and team-oriented

**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** :

+ Valid driver’s license required.

**PREFERRED EXPERIENCE** :

At least 5 years of experience in FWA or related work.

**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :

+ Health Care Anti-Fraud Associate (HCAFA).

+ Accredited Health Care Fraud Investigator (AHFI).

+ Certified Fraud Examiner (CFE).

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $19.64 - $42.55 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**JOB DESCRIPTION**

**Job Summary**

The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on allegations of FWA and/or may determine appropriateness of care. The SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence. The position also entails producing audit reports for internal and external review. The position may also work with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Officers in order to achieve and maintain appropriate anti-fraud oversight.

**Job Duties**

+ Responsible for developing leads presented to the SIU to assess and determine whether potential fraud, waste, or abuse is corroborated by evidence.

+ Conducts both preliminary assessments of FWA allegations, and end to end full investigations, including but not limited to witness interviews, background checks, data analytics to identify outlier billing behavior, contract and program regulation research, provider and member education, findings identification and communications development, and recommendations and preparation of overpayment identifications and closure of investigative cases.

+ Completes investigations within the mandated period of time required by either state and/or federal contracts and/or regulations.

+ Conducts both on-site and desk top investigations.

+ Conducts low to medium, and extensive investigations, including reviews of medical records and data analysis, and makes determinations as to whether the investigation and/or audit identified potential fraud, waste, or abuse.

+ Coordinates with various internal customers (e.g., Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations.

+ Detects potential health care fraud, waste, and abuse through the identification of aberrant coding and/or billing patterns through utilization review.

+ Prepares appropriate FWA referrals to regulatory agencies and law enforcement.

+ Documents appropriately all case related information in the case management system in an accurate manner, including storage of case documentation following SIU related requirements. Prepares detailed preliminary and extensive investigation referrals to state and/or federal regulatory and/or law enforcement agencies when potential fraud, waste, or abuse is identified as required by regulatory and/or contract requirements.

+ Renders provider education on appropriate practices (e.g., coding) as appropriate based on national or local guidelines, contractual, and/or regulatory requirements.

+ Interacts with regulatory and/or law enforcement agencies regarding case investigations.

+ Prepares audit results letters to providers when overpayments are identified.

+ Works may be remote, in office, and on-site travel within the state of New York as needed.

+ Ensures compliance with applicable contractual requirements, and federal and state regulations.

+ Complies with SIU Policies as and procedures as well as goals set by SIU leadership.

+ Supports SIU in arbitrations, legal procedures, and settlements.

+ Actively participates in MFCU meetings and roundtables on FWA case development and referral

**JOB QUALIFICATIONS**

**Required Education**

Bachelors degree or Associate’s Degree, in criminal justice or equivalent combination of education and experience

**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES**

+ 1-3 years of experience, unless otherwise required by state contract

+ Proven investigatory skill; ability to organize, analyze, and effectively determine risk with corresponding solutions; ability to remain objective and separate facts from opinions.

+ Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.

+ Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace.

+ Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.

+ Understanding of datamining and use of data analytics to detect fraud, waste, and abuse.

+ Proven ability to research and interpret regulatory requirements.

+ Effective interpersonal skills and customer service focus; ability to interact with individuals at all levels.

+ Excellent oral and written communication skills; presentation skills with ability to create and deliver training, informational and other types of programs.

+ Advanced skills in Microsoft Office (Word, Excel, PowerPoint, Outlook), SharePoint and Intra/Internet as well as proficiency with incorporating/merging documents from various applications.

+ Strong logical, analytical, critical thinking and problem-solving skills.

+ Initiative, excellent follow-through, persistence in locating and securing needed information.

+ Fundamental understanding of audits and corrective actions.

+ Ability to multi-task and operate effectively across geographic and functional boundaries.

+ Detail-oriented, self-motivated, able to meet tight deadlines.

+ Ability to develop realistic, motivating goals and objectives, track progress and adapt to changing priorities.

+ Energetic and forward thinking with high ethical standards and a professional image.

+ Collaborative and team-oriented

**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** :

+ Valid driver’s license required.

**PREFERRED EXPERIENCE** :

At least 5 years of experience in FWA or related work.

**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :

+ Health Care Anti-Fraud Associate (HCAFA).

+ Accredited Health Care Fraud Investigator (AHFI).

+ Certified Fraud Examiner (CFE).

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $19.64 - $42.55 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**JOB DESCRIPTION**

**Job Summary**

The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical determinations as necessary, and applies clinical knowledge to assess the medical necessity, level of services, and/or appropriateness of care in cases. The SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence. The position also entails producing audit reports for internal and external review. The position may also work with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Affairs, in order to achieve and maintain appropriate anti-fraud oversight.

**Job Duties**

• Perform objective desk and onsite medical record audits to verify if services were supported by documentation, to determine if services were appropriately administered, and/or to validate coding/billing accuracy.

• Conduct interviews of providers and/or health plan members in order to determine whether fraud, waste, or abuse may have occurred.

• Coordinate with various internal customers (e.g., Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations.

• Detect potential health care fraud, waste, and abuse through the identification of aberrant coding and/or billing patterns through utilization review.

• Incorporate leadership and communication skills to work with physicians and other health professionals when investigating cases.

• Generate and provide accurate and timely written reports for internal and/external use detailing audit findings.

• Render provider education on appropriate practices (e.g., coding) as appropriate based on national or local guidelines, contractual, and/or regulatory requirements.

• Identify opportunities for improvement through the audit process and provide recommendations for system enhancement in order to augment investigative outcomes and performance.

**JOB QUALIFICATIONS**

**REQUIRED EDUCATION** :

Graduate from an Accredited School of Nursing.

+ **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :

+ Five years clinical nursing experience with broad clinical knowledge.

+ Five years experience conducting medical review and coding/billing audits involving professional and facility based services.

+ Knowledge and understanding of medical terminology along with demonstrated knowledge of CPT, ICD-9, HCPCS and DRG requirements.

+ Two years of managed care experience.

**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** :

Active, unrestricted State Registered Nursing (RN) license in good standing.

**PREFERRED EDUCATION** :

Bachelor’s Degree in Nursing

**PREFERRED EXPERIENCE** :

+ Experience in government programs (i.e., Medicare, Medicaid, & SCHIP).

+ Experience in long-term care.

**STATE SPECIFIC REQUIREMENTS** :

OHIO:

+ Transitions of Care for New Members

+ Molina Healthcare of Ohio follows the transition of care requirements outlined below and in Appendix D of the contract for new members transitioning to the MCO from fee-for-service (FFS) or another MCO. The Transition of Care Coach will coordinate all services with new members to ensure a seamless transition and ensure continuity of care.

+ Provision of Member Information

+ Pre-Enrollment Planning

+ The Molina Transition of Care Coach coordinates with and utilizes data provided by ODM, another MCO, the OhioRISE Plan (when applicable) and or collected by Molina (e.g. through assessments, new member outreach in advance of the member’s enrollment effective date) to identify existing sources of care and to ensure each new member is able to continue to receive existing services without disruption.

+ For OhioRISE Plan enrolled members, Molina will reach out to the OhioRISE Plan and primary care coordination staff to engage the OhioRISE Plan in pre-enrollment planning

+ Continuation of Services for Members

+ Documentation of Transition of Services

+ Transitions of Care Between Health Care Settings

+ Transitions of Care Between Molina Healthcare of Ohio and the OhioRISE Plan

+ Care Coordination Assignment

+ Provision of Member Information

+ Continuation of Services for Members

+ Documentation of Transition of Services

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $128,519 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**JOB DESCRIPTION**

**Job Summary**

The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on allegations of FWA and/or may determine appropriateness of care. The SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence. The position also entails producing audit reports for internal and external review. The position may also work with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Officers in order to achieve and maintain appropriate anti-fraud oversight.

**Job Duties**

+ Responsible for developing leads presented to the SIU to assess and determine whether potential fraud, waste, or abuse is corroborated by evidence.

+ Conducts both preliminary assessments of FWA allegations, and end to end full investigations, including but not limited to witness interviews, background checks, data analytics to identify outlier billing behavior, contract and program regulation research, provider and member education, findings identification and communications development, and recommendations and preparation of overpayment identifications and closure of investigative cases.

+ Completes investigations within the mandated period of time required by either state and/or federal contracts and/or regulations.

+ Conducts both on-site and desk top investigations.

+ Conducts low to medium, and extensive investigations, including reviews of medical records and data analysis, and makes determinations as to whether the investigation and/or audit identified potential fraud, waste, or abuse.

+ Coordinates with various internal customers (e.g., Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations.

+ Detects potential health care fraud, waste, and abuse through the identification of aberrant coding and/or billing patterns through utilization review.

+ Prepares appropriate FWA referrals to regulatory agencies and law enforcement.

+ Documents appropriately all case related information in the case management system in an accurate manner, including storage of case documentation following SIU related requirements. Prepares detailed preliminary and extensive investigation referrals to state and/or federal regulatory and/or law enforcement agencies when potential fraud, waste, or abuse is identified as required by regulatory and/or contract requirements.

+ Renders provider education on appropriate practices (e.g., coding) as appropriate based on national or local guidelines, contractual, and/or regulatory requirements.

+ Interacts with regulatory and/or law enforcement agencies regarding case investigations.

+ Prepares audit results letters to providers when overpayments are identified.

+ Works may be remote, in office, and on-site travel within the state of New York as needed.

+ Ensures compliance with applicable contractual requirements, and federal and state regulations.

+ Complies with SIU Policies as and procedures as well as goals set by SIU leadership.

+ Supports SIU in arbitrations, legal procedures, and settlements.

+ Actively participates in MFCU meetings and roundtables on FWA case development and referral

**JOB QUALIFICATIONS**

**Required Education**

Bachelors degree or Associate’s Degree, in criminal justice or equivalent combination of education and experience

**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES**

+ 1-3 years of experience, unless otherwise required by state contract

+ Proven investigatory skill; ability to organize, analyze, and effectively determine risk with corresponding solutions; ability to remain objective and separate facts from opinions.

+ Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.

+ Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace.

+ Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.

+ Understanding of datamining and use of data analytics to detect fraud, waste, and abuse.

+ Proven ability to research and interpret regulatory requirements.

+ Effective interpersonal skills and customer service focus; ability to interact with individuals at all levels.

+ Excellent oral and written communication skills; presentation skills with ability to create and deliver training, informational and other types of programs.

+ Advanced skills in Microsoft Office (Word, Excel, PowerPoint, Outlook), SharePoint and Intra/Internet as well as proficiency with incorporating/merging documents from various applications.

+ Strong logical, analytical, critical thinking and problem-solving skills.

+ Initiative, excellent follow-through, persistence in locating and securing needed information.

+ Fundamental understanding of audits and corrective actions.

+ Ability to multi-task and operate effectively across geographic and functional boundaries.

+ Detail-oriented, self-motivated, able to meet tight deadlines.

+ Ability to develop realistic, motivating goals and objectives, track progress and adapt to changing priorities.

+ Energetic and forward thinking with high ethical standards and a professional image.

+ Collaborative and team-oriented

**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** :

+ Valid driver’s license required.

**PREFERRED EXPERIENCE** :

At least 5 years of experience in FWA or related work.

**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** :

+ Health Care Anti-Fraud Associate (HCAFA).

+ Accredited Health Care Fraud Investigator (AHFI).

+ Certified Fraud Examiner (CFE).

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $19.64 - $42.55 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**JOB DESCRIPTION**

**Job Summary**

The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical determinations as necessary, and applies clinical knowledge to assess the medical necessity, level of services, and/or appropriateness of care in cases. The SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence. The position also entails producing audit reports for internal and external review. The position may also work with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Affairs, in order to achieve and maintain appropriate anti-fraud oversight.

**Job Duties**

• Perform objective desk and onsite medical record audits to verify if services were supported by documentation, to determine if services were appropriately administered, and/or to validate coding/billing accuracy.

• Conduct interviews of providers and/or health plan members in order to determine whether fraud, waste, or abuse may have occurred.

• Coordinate with various internal customers (e.g., Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations.

• Detect potential health care fraud, waste, and abuse through the identification of aberrant coding and/or billing patterns through utilization review.

• Incorporate leadership and communication skills to work with physicians and other health professionals when investigating cases.

• Generate and provide accurate and timely written reports for internal and/external use detailing audit findings.

• Render provider education on appropriate practices (e.g., coding) as appropriate based on national or local guidelines, contractual, and/or regulatory requirements.

• Identify opportunities for improvement through the audit process and provide recommendations for system enhancement in order to augment investigative outcomes and performance.

**JOB QUALIFICATIONS**

**REQUIRED EDUCATION** :

Graduate from an Accredited School of Nursing.

+ **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :

+ Five years clinical nursing experience with broad clinical knowledge.

+ Five years experience conducting medical review and coding/billing audits involving professional and facility based services.

+ Knowledge and understanding of medical terminology along with demonstrated knowledge of CPT, ICD-9, HCPCS and DRG requirements.

+ Two years of managed care experience.

**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** :

Active, unrestricted State Registered Nursing (RN) license in good standing.

**PREFERRED EDUCATION** :

Bachelor’s Degree in Nursing

**PREFERRED EXPERIENCE** :

+ Experience in government programs (i.e., Medicare, Medicaid, & SCHIP).

+ Experience in long-term care.

**STATE SPECIFIC REQUIREMENTS** :

OHIO:

+ Transitions of Care for New Members

+ Molina Healthcare of Ohio follows the transition of care requirements outlined below and in Appendix D of the contract for new members transitioning to the MCO from fee-for-service (FFS) or another MCO. The Transition of Care Coach will coordinate all services with new members to ensure a seamless transition and ensure continuity of care.

+ Provision of Member Information

+ Pre-Enrollment Planning

+ The Molina Transition of Care Coach coordinates with and utilizes data provided by ODM, another MCO, the OhioRISE Plan (when applicable) and or collected by Molina (e.g. through assessments, new member outreach in advance of the member’s enrollment effective date) to identify existing sources of care and to ensure each new member is able to continue to receive existing services without disruption.

+ For OhioRISE Plan enrolled members, Molina will reach out to the OhioRISE Plan and primary care coordination staff to engage the OhioRISE Plan in pre-enrollment planning

+ Continuation of Services for Members

+ Documentation of Transition of Services

+ Transitions of Care Between Health Care Settings

+ Transitions of Care Between Molina Healthcare of Ohio and the OhioRISE Plan

+ Care Coordination Assignment

+ Provision of Member Information

+ Continuation of Services for Members

+ Documentation of Transition of Services

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $128,519 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.