Special Investigations Unit Senior Investigator Job at CVS Health

Senior Investigator, Special Investigations Unit (Aetna SIU)

We’re building a world of health around every individual — shaping a more connec...

Location

United States

Salary:

46988.00 - 112200.00 USD / Year

CVS Health

Expiration Date

Until further notice

Requirements

3-5 years investigative experience in the area of healthcare fraud, waste and abuse
Experience in in Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research
Ability to travel approximately 10% of time for business purposes

Job Responsibility

Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and abuse
Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers
Research and prepare cases for clinical and legal review
Document all appropriate case activity in case tracking system
Prepare written case summaries and make referrals to State and Federal Agencies within the timeframes required by Law
Facilitate the recovery of company and customer money lost as a result of fraud, waste and abuse
Cooperate with federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud
Demonstrate high level of knowledge and expertise during interactions with internal and external partners
Provide trial testimony in support of criminal or civil proceedings
Give frequent presentations to internal and external customers regarding ongoing case investigations

What we offer

Medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
bonus, commission or short-term incentive program

Fulltime

Aml Senior Investigator I - Special Investigations Unit

The Anti-Money Laundering (AML) Senior Investigator I supports various AML proce...

Location

United States , McLean; Chicago; Wilmington; Plano; Richmond; Riverwoods

Salary:

74200.00 - 93300.00 USD / Year

Capital One

Expiration Date

Until further notice

Requirements

High School Diploma, GED or equivalent certification
At least 2 years of Anti-Money Laundering (AML) or Fraud investigative experience filing Suspicious Activity Reports (SARs)
At least 1 year of Microsoft Office or Google Suite experience

Job Responsibility

Build and maintain awareness of the broader context and implications of the various types of risk affecting the business
Review system generated alerts, assess impact to AML processes, conduct research as required, and document results in written format
Write suspicious activity reports (conducts enterprise wide reviews of the relationship), make closing recommendations, and other applicable AML processes in accordance with regulations and time limitations
Escalate or resolve issues as appropriate for advanced investigation and analysis
Review referrals from various sources (e.g., lines of business, Legal, Senior Management, etc.)
Self-manage a queue of alerts, cases, and closing investigations
Conduct presentations to Senior Leadership and/or Legal
Help maintain operations of a SIU Specialty Desk and actively contributes, which can include keeping desk guides current and decisioning referrals

What we offer

Performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI)
comprehensive, competitive, and inclusive set of health, financial and other benefits

Fulltime

Counsel, Special Investigations, Legal and Compliance

Counsel - Special Investigations, Legal and Compliance will lead and support sen...

Location

United States , Detroit

Salary:

Not provided

General Motors

Expiration Date

Until further notice

Requirements

Juris Doctor from an accredited law school
Active license to practice law in the United States
5+ years of relevant legal experience in a major law firm, in-house legal department, government role, or a combination thereof
Meaningful experience in one or more of the following areas: internal investigations, compliance, white collar matters, employment law, government investigations, or prosecutorial work
Demonstrated experience handling sensitive investigations involving potential misconduct, fraud, or compliance concerns
Working knowledge of U.S. anti-bribery and anti-corruption laws, including the Foreign Corrupt Practices Act, as well as export compliance requirements
Strong analytical, interviewing, writing, and oral communication skills
Ability to assess issues objectively, manage ambiguity, and reach sound, well-supported conclusions
Ability to work independently, manage multiple priorities, and drive matters through to completion
Strong judgment, professionalism, and discretion in handling confidential matters

Job Responsibility

Develop investigative strategies and workplans for allegations of misconduct, fraud, policy violations, and other high-risk matters
Conduct prompt, thorough, and objective investigations in accordance with professional and legal standards
Identify, gather, and assess relevant sources of information, including documents, data, financial records, and witness testimony
Conduct effective informational and interrogatory interviews
Evaluate facts, identify key issues, and determine investigative findings based on evidence and sound legal judgment
Prepare clear, concise, and defensible written investigative materials and present findings to appropriate stakeholders in a timely manner
Recommend corrective actions, process improvements, and internal control enhancements based on investigative outcomes
Maintain strict confidentiality and handle sensitive information with discretion
Continually assess and improve investigative processes to drive efficiency, consistency, and quality
Provide practical legal and compliance counsel on issues involving anti-bribery and anti-corruption, conflicts of interest, export compliance, third-party risk, and related compliance matters

Fulltime

New

Sr. Staff Accountant

We are looking for a skilled Sr. Staff Accountant to support a growing organizat...

Location

United States , Oakville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Accounting, Finance, or a related discipline
At least 3 years of progressive accounting experience, including senior-level responsibilities
Demonstrated experience with month-end close, general ledger activity, journal entries, and account reconciliations
Background supporting multi-entity organizations
exposure to multiple industries is highly preferred
Understanding of fixed assets, bank reconciliations, and financial statement preparation
Strong proficiency with accounting software and Microsoft Excel
Ability to manage deadlines effectively while handling multiple priorities in a dynamic work environment
All applicants applying for U.S. job openings must be legally authorized to work in the United States

Job Responsibility

Oversee day-to-day accounting activities for multiple business entities, ensuring transactions are recorded accurately and consistently across operations
Prepare and reconcile general ledger accounts, investigating discrepancies and resolving issues in a timely manner
Record journal entries and support a smooth monthly close process to help deliver complete financial results on schedule
Maintain fixed asset records, including asset capitalization, tracking, and depreciation calculations
Complete bank reconciliations and other balance sheet reconciliations to confirm accuracy and strengthen financial controls
Produce financial statements and assist with internal reporting needs for management and business leadership
Collaborate with the Controller on budgeting, forecasting, and special financial analysis projects as needed
Review accounting workflows across entities and recommend process improvements that increase efficiency and consistency

What we offer

medical
vision
dental
life and disability insurance
401(k) plan
free online training

Senior Human Resources Business Partner, Southern Region

As the Senior HR Business Partner, you will contribute to the overall department...

Location

United States , Miami

Salary:

120000.00 - 135000.00 USD / Year

Assessfirst

Expiration Date

Until further notice

Requirements

At least 5 years of experience in a HR Business Partner role
Proven HR leadership in multi-unit, high-volume, high-visibility environments
Background in luxury retail or service-oriented organizations
direct store experience preferred
Expertise in full recruitment lifecycle across all organizational levels
Strong capabilities in employee relations, talent development, recruiting, and performance management
Skilled in building lasting relationships and influencing across all levels of organization
Solid knowledge of HR policies, employment laws, compliance, and reporting
Excellent communication, public speaking, and interpersonal skills
adept at coaching and empowering others

Job Responsibility

Manage all aspects of the recruiting process
Foster and maintain employee relationships through coaching, advising, and negotiating in conflict situations
Assist in organizational effectiveness efforts
Deliver HR solutions in recruitment and hiring, internal mobility, employee relations, performance management, labor law compliance, HR operations, and skill development and training
Work closely with store leadership teams and employees within the Southern Region
Partner with other members of the HR team
Serves as a strategic HR Business Partner for the Southern Region
Provides hands-on HR support
Maintains both a physical and virtual presence in boutiques
Monitors morale and general atmosphere of region

What we offer

Commission and bonus incentives based on sales performance
Medical
Dental
Vision
Life Insurance
Disability
Paid time off (annual vacation of 15 days, 11 company holidays, 3 floating holidays, 2 wellbeing days, and sick & safe time)
Paid Parental leave and transition time
401(k) and Roth Retirement plan with company matching and profit sharing
Flexible spending accounts

Fulltime

Regulatory Compliance Manager US Antiboycott

Serves as a product compliance risk officer within Services Independent Complian...

Location

United States , Washington

Salary:

167920.00 - 251880.00 USD / Year

Citi

Expiration Date

July 12, 2026

Requirements

10+ years experience in a compliance, legal, or regulatory role focused on international trade compliance, sanctions, or anti-boycott regulations, preferably within a global financial institution or a regulatory body
Demonstrated deep subject matter expertise in US Anti-Boycott Laws preferred
Excellent written, verbal and analytical skills
Must be a self-starter, flexible, innovative and adaptive
Highly motivated, strong attention to detail, team oriented, organized
Strong presentation skills with the ability to articulate complex problems and solutions through concise and clear messaging
Ability to work collaboratively with regional and global partners in other functional units
ability to navigate a complex organization
to influence and lead people across cultures at a senior level
Experience in managing regulatory exams and relationships with examiners, auditors, etc.

Job Responsibility

Develop, implement, and maintain internal strategies, policies, procedures, and training programs to ensure compliance with all applicable US Antiboycott requirements
Serve as a subject matter expert on US Antiboycott matters, providing real-time, advice and guidance to business units, product and function ICRM, and other stakeholders on the applicability and compliance with the US Antiboycott requirements
Analyzing and scoping the impact of new and complex regulatory developments across senior function/business/product, including cross-border impact
Advising ICRM and function/business/product management and personnel on regulatory and compliance issues and provide credible challenge
Participating in industry groups and trade association working groups or other forums
Leading initiatives and managing high-impact special project work streams with a results-driven focus to deliver solutions, including coordinating the implementation of new regulatory requirements
Managing strategy and responses to regulatory examinations, reviews and inquiries and internal and external investigations, as well as testing and audit
Designing and lead compliance and control reviews
Partnering with other ICRM teams and global functions, including Legal, Risk, Operations and Technology, and Finance to prevent and detect non-compliance issues and promote a culture of compliance
Additional duties as assigned

What we offer

Discretionary and formulaic incentive and retention awards
Medical, dental & vision coverage
401(k)
Life, accident, and disability insurance
Wellness programs
Paid time off packages, including planned time off (vacation), unplanned time off (sick leave), and paid holidays

Fulltime

Principal Employee Relations Partner

Come join Intuit's People & Places team as a Principal Employee Relations Busine...

Location

Canada , Toronto

Salary:

133000.00 - 180000.00 CAD / Year

Intuit

Expiration Date

Until further notice

Requirements

10+ years of Employee Relations, HR Business Partner, workplace investigations, organizational consulting, or related experience, including significant experience handling highly complex and sensitive employee matters
Deep expertise navigating executive-level situations, organizational change, workforce reductions, complex performance matters, and culture-related escalations
Bachelor's degree required
J.D., Master's degree, or equivalent experience preferred
Demonstrated ability to influence and partner effectively with senior executives, HR leadership, and cross-functional stakeholders in highly ambiguous and high-stakes environments
Strong strategic thinking skills with the ability to balance employee experience, business priorities, organizational risk, and long-term cultural impact
Proven ability to design scalable programs, frameworks, playbooks, and operational models that improve consistency and effectiveness across a global organization
Exceptional executive communication skills, including the ability to synthesize complex information into clear recommendations, stakeholder updates, and leadership communications
Strong critical thinking, judgment, and organizational diagnosis capabilities, including the ability to identify root causes and connect trends across teams and business units
Experience leveraging data and insights to inform strategy, assess organizational health, and influence decision-making

Job Responsibility

Serve as a strategic advisor to senior leaders, People & Places leadership, and People & Places partners on complex employee relations, organizational health, culture, and workforce matters
Lead the company's approach to highly sensitive, high-risk, and precedent-setting situations, including executive escalations, organizational disruption, large-scale job eliminations, complex exits, and reputationally sensitive matters
Design and evolve enterprise-wide ER frameworks, standards, operating models, and playbooks that improve consistency, scalability, and effectiveness across the function
Shape how ER partners with HRBPs and other functions to proactively identify organizational risks, employee sentiment trends, and emerging workforce challenges through data, insights, and business context
Lead mission-based and cross-functional initiatives that require enterprise coordination across ER, HRBPs, Ethics & Investigations, Employment Legal, Work-Life Events, and other Centers of Excellence
Influence and guide organizational strategy by anticipating external trends and internal shifts related to performance expectations, workplace culture, organizational disruption, employee engagement, and workforce transformation
Drive enterprise consistency in how Intuit navigates complex employee situations, including defining standards for executive matters, job eliminations, facilitated conversations, performance-related exits, and organizational health interventions
Lead and mentor ER team members by building capability across specialized ER domains and helping scale expertise throughout the team
Build strong partnerships and influence across all levels of the organization, including executives, HRBPs, legal partners, and business leaders
Use quantitative and qualitative data to diagnose organizational health trends, identify root causes, and recommend strategic actions that improve culture, engagement, inclusion, and performance

Fulltime

Senior Accountant

Kimberly Casey with Robert Half is seeking a Senior Accountant for a manufacturi...

Location

United States , Eugene

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous accounting experience within a manufacturing environment is strongly preferred
Bachelor's degree in Accounting, Finance, or a related field is highly desirable
Candidates with an Associate degree and a proven track record of relevant accounting experience will also be considered
Minimum of five years of progressively responsible accounting experience
Strong proficiency in Microsoft Excel, including advanced spreadsheet and data analysis capabilities
Comfortable leveraging technology to improve efficiency, including the use of AI-powered tools
All applicants applying for U.S. job openings must be legally authorized to work in the United States

Job Responsibility

Partner with finance leadership in the preparation and review of monthly and annual financial statements
Work alongside management to improve financial processes and support organizational objectives
Recommend and implement efficiencies that enhance reporting accuracy and reduce close-cycle timelines
Record and review journal entries to support accurate monthly and year-end financial reporting
Maintain the integrity of the general ledger through account analysis, reconciliations, and ongoing financial record maintenance
Oversee intercompany accounting activities, ensuring transactions are properly recorded and reconciled
Assist with cash management functions, banking relationships, and treasury-related activities
Ensure compliance with multi-state sales and use tax requirements, including timely filings and payments
Reconcile corporate credit card activity and investigate any variances or outstanding items
Evaluate and manage customer credit risk while adhering to established company policies

What we offer

medical
dental
vision
PTO
holiday pay
life and disability insurance
401(k) plan
free online training

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Special Investigations Unit Senior Investigator

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