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Abuse Investigator Jobs (NOW HIRING)

Meta

Security Engineer, Investigator - GenAI

Seattle, WA · Remote

$122K/yr

Proactively hunt for threats and undetected abuse by leveraging internal data, open-source intelligence, and third party private intelligence * Investigate complex cases to understand how abuse is ...

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Abuse Investigator information

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$32K

$75.3K

$131K

How much do abuse investigator jobs pay per year?

As of Aug 20, 2026, the average yearly pay for abuse investigator in the United States is $75,325.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $98,500.00 per year, depending on experience, location, and employer.

What does an abuse investigator do?

An Abuse Investigator is responsible for examining reports of abuse, neglect, or exploitation involving vulnerable individuals, such as children, the elderly, or people with disabilities. Their work includes gathering evidence, interviewing involved parties, and collaborating with law enforcement and social services to determine if abuse has occurred. They document their findings, recommend actions, and may testify in court to ensure the safety and well-being of victims. Abuse Investigators play a critical role in protecting individuals and upholding the law.

What are the key skills and qualifications needed to thrive as an abuse investigator?

To thrive as an Abuse Investigator, a background in social work, criminal justice, or a related field is typically required, often supplemented by relevant licensure or certification. Familiarity with case management systems, evidence documentation tools, and legal reporting protocols is essential. Strong interpersonal skills, critical thinking, and emotional resilience help investigators build trust with victims and handle sensitive situations. These skills are crucial for ensuring thorough investigations, accurate reporting, and the protection of vulnerable individuals.

What are some common challenges abuse investigators face when collaborating with other agencies or departments?

Abuse Investigators frequently collaborate with law enforcement, social services, medical professionals, and legal teams to ensure thorough case resolution. One common challenge is coordinating communication across different agencies, as each may have its own protocols and priorities. Investigators must balance confidentiality and information-sharing while remaining sensitive to the needs of victims. Building strong, respectful working relationships and staying organized are key to overcoming these challenges and ensuring effective, timely interventions.

What is the difference between Abuse Investigator vs Child Protective Services (CPS) Investigator?

AspectAbuse InvestigatorChild Protective Services (CPS) Investigator
Required CredentialsTypically requires a degree in social work, criminal justice, or related field; certifications vary by stateSimilar educational background; often requires state-specific licensing or certification
Work EnvironmentInvestigates abuse cases across various settings, including schools, healthcare, and community agenciesPrimarily investigates child abuse and neglect reports within social services agencies
Employer & Industry UsageUsed by law enforcement, private agencies, and organizations handling abuse casesEmployed by government child welfare agencies and social services

While both roles focus on investigating abuse, Abuse Investigators often handle a broader range of cases, including adult abuse, whereas CPS Investigators specifically focus on child abuse and neglect cases within child welfare agencies.

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What cities are hiring for Abuse Investigator jobs?

Cities with the most Abuse Investigator job openings:

What states have the most Abuse Investigator jobs?

States with the most job openings for Abuse Investigator jobs include:

What job categories do people searching Abuse Investigator jobs look for?

The top searched job categories for Abuse Investigator jobs are:

Abuse Investigator jobs near you
Infographic showing various Abuse Investigator job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 74% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $75,325 per year, or $36.2 per hour.

Investigator, Special Investigative Unit Coding-Miami Florida

Molina Healthcare

Fort Lauderdale, FL • On-site

$21.82 - $42.55/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

166th of 310 rated insurance

Job description

JOB DESCRIPTION
Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using informational tips from member benefits and medical records following review of post-payment claims. 
Essential Job Duties
  • Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, all relevant and applicable Federal and State regulatory requirements, and Molina policies.
  • Reviews post-pay claims against corresponding medical records to determine accuracy of claims payments. 
  • Manages documents and prioritizes caseloads to ensure timely turnaround. 
  • Ensures adherence to applicable state/federal/internal policies, Current Procedural Terminology (CPT) guidelines and provider contract requirements.
  • Devises clinical summary post-review.
  • Communicates and participates in meetings related to cases.
  • Completes medical review to facilitate referral to law enforcement or payment recovery. 
  • Supports investigation work as necessary and required by the regulatory agency.
Job Requirements
  • At least 2 years CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified
  • Critical-thinking, problem-solving and analytical skills. 
  • Ability to prioritize and manage multiple tasks.
  • Ability to work in a team setting.
  • Strong verbal/written communication skills, and presentation skills.
  • Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
  • In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements). 
  • Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
  • Knowledge of Managed Care and the Medicaid, Medicare, and Marketplace programs.
  • Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
  • Ability to research and interpret regulatory requirements.
Preferred Qualifications
  • Certified Professional Compliance Officer (CPCO). 
  • Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI). 
  • Experience working in group health insurance, particularly within claims processing or operations. 
  • Working knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). 
  • Experience with claims processing systems. 
  • Ability to use Microsoft Excel/Access platforms working with large quantities of data. 
  • Ability to answer questions, identify trends and patterns, and present findings. 
 #PJCorp
#LI-AC1
To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board. 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $21.82 - $42.55 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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