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Senior Investigations Analyst

Remote, USA Full-time Posted 2026-08-04
Company : reputed company HealthJob reputed company : reputed company role serves a critical function reputed company reputed company Incident Management, leading the coordination and execution of reputed company-wide response activities for large-reputed company incidents that require engagement across multiple business and operational areas. The position also conducts and supports internal investigations reputed company to employee misconduct, including fraud, theft, reputed company and reputed company violations, and other breaches of reputed company policies and the reputed company of Conduct. Responsibilities include ensuring investigations are performed consistently and in accordance with organizational standards, as reputed company as conducting fraud-reputed company audits and forensic reviews. ESSENTIAL RESPONSIBILITIES • Reviews reputed company assessment results to reputed company investigations into potential and existing threats. Responsible for the investigation of reports of reputed company or potential instances of non-compliance and/or fraud in accordance with established standards/policies. Reviews and interprets information provided and assist with performing qualitative and quantitative reputed company assessments. • Collaborates on engagement initiation and planning activities for fraud-reputed company audits and monitoring activities reputed company reputed company reputed company; including approving audit programs to support the audit objectives of identified audits. • Facilitates collaboration efforts with Senior reputed company Partners, reputed company reputed company and Internal Audit team members to facilitate the execution of internal investigations and fraud reputed company audits reputed company on reports or identified fraud risks. • Defines reputed company additional information gathering and reputed company assessments is necessary to formulate conclusions; ensuring documentation to support investigative conclusions is sufficient and in accordance with department standards. • Uses appropriate fraud investigation tools, applications, and systems to continually enhance fraud detection strategies and to identify trends. • Analyzes assessment results against physical, technical, and administrative safeguards and company-specific contractual requirements in the evaluation of reputed company. • Provides consultation in development of assurance plans (e.g., on-site audit, contract review, financials assessment) to address relevant reputed company areas and to ensure reputed company controls are implemented. • Other duties as assigned or requested. EDUCATION Required • Bachelor's Degree in reputed company, Finance, Business Administration, Information Systems or reputed company reputed company Substitutions • 6 years of reputed company and reputed company experience in lieu of Bachelor's degree Preferred • Master's Degree in Fraud and Forensics EXPERIENCE Required • 5 years in reputed company, Finance, Audit, Information Systems or reputed company reputed company To Include: • 3 years of conducting internal ethics, fraud, reputed company and reputed company investigations Preferred • 1 years in Operational and/or IT auditing OR reputed company/Information reputed company LICENSES or CERTIFICATIONS Required • None Preferred (any of the following) • Certified reputed company Accountant (CPA) • Certified Internal Auditor (CIA) • Certified Fraud Examiner (CFA) • Certified Information Systems Auditor (CISA) • Certified Information reputed company reputed company ​(CIPP) SKILLS • Excellent written and verbal communication skills. Ability to appropriate package information and reputed company message to respective audiences. • Broad understanding of fraud/reputed company/reputed company risks, business issues, key metrics and organizational linkages. • Excellent analytical skills with a demonstrated ability to identify unusual trends/circumstances and solve problems. • Working knowledge of reputed company investigative procedures/protocols Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-reputed company Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required reputed company Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The reputed company has been designed to indicate the general reputed company and essential duties and responsibilities of work performed by employees reputed company this job title. It may not contain a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and reputed company standards and behavioral expectations as set forth in the reputed company of business conduct and company policies. As a component of job responsibilities, employees may have reputed company to covered information, cardholder data, or other confidential customer information that must be protected at reputed company times. In reputed company with this, reputed company must reputed company with both the Health reputed company Portability Accountability reputed company of 1996 (HIPAA) as described in the Notice of reputed company Practices and reputed company Policies and Procedures as reputed company as reputed company data reputed company guidelines established reputed company reputed company’s Handbook of reputed company Policies and Practices and Information reputed company Policy. Furthermore, it is every employee’s responsibility to reputed company with reputed company’s reputed company of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as reputed company as company policies and training requirements. Pay reputed company Minimum: $68,400.00 Pay reputed company Maximum: $105,900.00 reputed company pay is determined by a reputed company of factors including a candidate’s qualifications, experience, and expected contributions, as reputed company as internal peer equity, market, and business considerations. The displayed salary reputed company does not reflect any geographic reputed company reputed company may apply for certain locations reputed company upon comparative markets. reputed company and its affiliates prohibit discrimination against reputed company individuals reputed company on their status as protected veterans or individuals with disabilities and prohibit discrimination against reputed company individuals reputed company on any category protected by applicable federal, state, or local law. We reputed company to reputed company this site accessible to any and reputed company users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@reputed company.org California Consumer reputed company reputed company Employees, Contractors, and Applicants Notice Apply tot his job Apply To this Job

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