Herndon or Alexandria or Norfolk or Arlington or Washington or Hampton or Virginia or Chesapeake or Virginia Beach or Newport News or Portsmouth or Fairfax or Langley AFB or Chantilly or Crystal City or Falls Church or Manassas or McLean or Vienna or Ashland or Clintwood or Dahlgren or Dam Neck or Dumfries or Dunbar or Fort Belvoir or Fort Eustis or Fort Gregg-Adams or Fort Lee or Fort Myer or Fort Story or Fredericksburg or Gainesville or Glen Allen or Glen Jean or Harrisonburg or Kearneysville or Potomac Falls or Quantico or Reston or Richmond or Rosslyn or Shepherdstown or Springfield or Suffolk or West Virginia or Williamsburg or Yorktown
OnsiteFull Time
SercoLondon Stock Exchange: SRP: Provides professional outsourcing services to governments worldwide.
7+ YOE5+ MgmtU.S. citizenship, bachelor\u0002s degree, 7+ years in healthcare compliance/fraud investigations (5+ years leading teams), professional credentials (CFE/CIA/AHFI/CIFI), experience with compliance technology and data analytics, strong communication and stakeholder management.
PNC Financial ServicesNYSE: PNC: Provides banking, lending, and investment services to customers.
1+ YOE1+ years related experience; coaching and leadership skills; customer service, transaction handling, fraud detection, and sales/referral abilities; no degree required.
PNC Financial ServicesNYSE: PNC: Provides banking, lending, and investment services to customers.
No degree or prior experience required; must provide accurate customer service, detect fraud, handle transactions, use digital banking tools, and identify sales opportunities.
Commence: Delivers AI-powered data solutions for healthcare quality and integrity.
5+ YOEFive+ years in healthcare fraud, waste and abuse, payment integrity, or SIU within commercial health plans; strong domain knowledge; ability to translate domain into technology use cases.
JCPenney: Retailer of apparel, home goods, and beauty products.
1+ YOEDetect and investigate theft/fraud using CCTV and floor observations; 1+ years retail/asset protection experience preferred; high school diploma or equivalent; reliable transportation; age 18+.
Langley Federal Credit Union: Member-owned cooperative providing banking and lending services.
2+ YOE2 years financial institution experience required; experience with EFT disputes or fraud preferred. Knowledge of Regulation E and NACHA; strong communication and investigative skills. Visa Dispute/AAP certification preferred.
Medical Review Manager-Program Integrity ( RN, BSN, or MSN required )
United States or Virginia Beach or Arizona or Arkansas or Delaware or Florida or Georgia or Illinois or Indiana or Kansas or Kentucky or Massachusetts or Maryland or Michigan or Mississippi or Missouri or Montana or North Carolina or Nebraska or Nevada or New York or Ohio or Oklahoma or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or District of Columbia or Wisconsin or West Virginia or Puerto Rico
RemoteFull Time
Commence: Provides clinical review and data transformation services for healthcare.
5+ YOE3+ MgmtActive RN licensure, 5+ years clinical and medical review experience, 3+ years management, strong knowledge of Medicare/CMS program integrity, QA experience, and ability to lead nationwide fraud-focused medical reviews.
Allied Universal: Provides security personnel, technology, and facility management services.
5+ YOEPrivate Investigator license, valid driver's license with driving experience, 5+ years complex insurance or law enforcement investigative experience, typing 40+ WPM, ability to complete training; knowledge of anti-fraud laws and insurance regulations.