CRi is seeking a Program Integrity & Investigations Specialist to join our team! Position Summary: The Program Integrity and Investigations Specialist at CRi is responsible for monitoring program ...
CRi is seeking a Program Integrity & Investigations Specialist to join our team! Position Summary: The Program Integrity and Investigations Specialist at CRi is responsible for monitoring program ...
Program Integrity & Investigations Specialist
Chantilly, VA · On-site
$50K - $60K/yr
The Program Integrity and Investigations Specialist at CRi is responsible for monitoring program compliance in alignment with federal and state behavioral health provider regulations and industry ...
Program Integrity & Investigations Specialist
Chantilly, VA · On-site
$50K - $60K/yr
The Program Integrity and Investigations Specialist at CRi is responsible for monitoring program compliance in alignment with federal and state behavioral health provider regulations and industry ...
Manager, Special Investigative Unit/ Program Integrity/ CPC - Remote
Norfolk, VA · On-site
$79 - $132/hr
Manager, Special Investigative Unit/ Program Integrity / CPC - Remote City/State Norfolk, VA Work Shift Multiple shifts available Overview Sentara Health Plan is currently hiring a Manager, Special ...
Manager, Special Investigative Unit/ Program Integrity/ CPC - Remote
Norfolk, VA · On-site
$79 - $132/hr
Manager, Special Investigative Unit/ Program Integrity / CPC - Remote City/State Norfolk, VA Work Shift Multiple shifts available Overview Sentara Health Plan is currently hiring a Manager, Special ...
Translate fraud detection, investigative, oversight, and program integrity objectives into user stories, acceptance criteria, business requirements, and technical artifacts. * Support development and ...
Translate fraud detection, investigative, oversight, and program integrity objectives into user stories, acceptance criteria, business requirements, and technical artifacts. * Support development and ...
Business Analyst (Fraud Analytics & Investigative Support)
Fairfax, VA · On-site
$70 - $100/hr
Translate fraud detection, investigative, oversight, and program integrity objectives into user stories, acceptance criteria, business requirements, and technical artifacts. * Support development and ...
Business Analyst (Fraud Analytics & Investigative Support)
Fairfax, VA · On-site
$70 - $100/hr
Translate fraud detection, investigative, oversight, and program integrity objectives into user stories, acceptance criteria, business requirements, and technical artifacts. * Support development and ...
Senior Investigative Analyst (Fraud Analytics & Investigative Support)
Fairfax, VA · On-site
$80 - $100/hr
... program integrity initiatives. This individual will analyze structured and unstructured data from a wide range of public and non-public sources to identify fraud indicators, develop investigative ...
Senior Investigative Analyst (Fraud Analytics & Investigative Support)
Fairfax, VA · On-site
$80 - $100/hr
... program integrity initiatives. This individual will analyze structured and unstructured data from a wide range of public and non-public sources to identify fraud indicators, develop investigative ...
Business Analyst (Full-time, Remote)
Alexandria, VA · Remote
$55K - $85K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Business Analyst (Full-time, Remote)
Alexandria, VA · Remote
$55K - $85K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Business Analyst (Full-time, Remote)
Alexandria, VA · On-site +1
$55K - $85K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Business Analyst (Full-time, Remote)
Alexandria, VA · On-site +1
$55K - $85K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Program Manager (Fraud Analytics & Investigative Support)
Fairfax, VA · On-site
$110 - $150/hr
The Project Manager will oversee agile teams delivering advanced analytics, fraud detection, investigative support, and program integrity solutions supporting oversight of federal benefit programs.
Program Manager (Fraud Analytics & Investigative Support)
Fairfax, VA · On-site
$110 - $150/hr
The Project Manager will oversee agile teams delivering advanced analytics, fraud detection, investigative support, and program integrity solutions supporting oversight of federal benefit programs.
The Project Manager will oversee agile teams delivering advanced analytics, fraud detection, investigative support, and program integrity solutions supporting oversight of federal benefit programs.
The Project Manager will oversee agile teams delivering advanced analytics, fraud detection, investigative support, and program integrity solutions supporting oversight of federal benefit programs.
Graph Data Scientist (Fraud Analytics & Investigative Support)
Fairfax, VA · On-site
$90 - $120/hr
Design, develop, and maintain graph‑based analytic solutions supporting fraud detection, investigative analysis, and program integrity initiatives. * Build and optimize graph databases, graph ...
Graph Data Scientist (Fraud Analytics & Investigative Support)
Fairfax, VA · On-site
$90 - $120/hr
Design, develop, and maintain graph‑based analytic solutions supporting fraud detection, investigative analysis, and program integrity initiatives. * Build and optimize graph databases, graph ...
Design, develop, and maintain graph-based analytic solutions supporting fraud detection, investigative analysis, and program integrity initiatives. * Build and optimize graph databases, graph schemas ...
Design, develop, and maintain graph-based analytic solutions supporting fraud detection, investigative analysis, and program integrity initiatives. * Build and optimize graph databases, graph schemas ...
... and investigative initiatives for a federal oversight organization. These positions will develop ... Develop, test, validate, and maintain fraud detection and program integrity analytics. * Design ...
... and investigative initiatives for a federal oversight organization. These positions will develop ... Develop, test, validate, and maintain fraud detection and program integrity analytics. * Design ...
Data Scientist (Fraud Analytics & Investigative Support)
Fairfax, VA · On-site
$80 - $120/hr
... and investigative initiatives for a federal oversight organization. These positions will develop ... Develop, test, validate, and maintain fraud detection and program integrity analytics. * Design ...
Data Scientist (Fraud Analytics & Investigative Support)
Fairfax, VA · On-site
$80 - $120/hr
... and investigative initiatives for a federal oversight organization. These positions will develop ... Develop, test, validate, and maintain fraud detection and program integrity analytics. * Design ...
Technical Writer (Full-time, Remote)
Alexandria, VA · On-site +1
$55K - $85K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Technical Writer (Full-time, Remote)
Alexandria, VA · On-site +1
$55K - $85K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Technical Writer (Full-time, Remote)
Alexandria, VA · Remote
$55K - $85K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Technical Writer (Full-time, Remote)
Alexandria, VA · Remote
$55K - $85K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Training Instructor II (Full-time, Remote)
Alexandria, VA · Remote
$55K - $85K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Training Instructor II (Full-time, Remote)
Alexandria, VA · Remote
$55K - $85K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Training Instructor II (Full-time, Remote)
Alexandria, VA · On-site +1
$55K - $85K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Training Instructor II (Full-time, Remote)
Alexandria, VA · On-site +1
$55K - $85K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Test Engineer (Full-time, Remote)
Alexandria, VA · On-site +1
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Test Engineer (Full-time, Remote)
Alexandria, VA · On-site +1
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Helpdesk Analyst (Full-time, Remote)
Alexandria, VA · Remote
$35K - $55K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
Helpdesk Analyst (Full-time, Remote)
Alexandria, VA · Remote
$35K - $55K/yr
... integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation ...
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Program Integrity & Investigations Specialist
Chantilly, VA • On-site
Full-time
Re-posted 11 days ago
Job description
CRi is seeking a Program Integrity & Investigations Specialistto join our team!
Position Summary:
The Program Integrity and Investigations Specialist at CRi is responsible for monitoring program compliance in alignment with federal and state behavioral health provider regulations and industry standards. This role involves conducting thorough investigations into violations of Human Rights to ensure the protection and dignity of individuals served. Additionally, the Specialist performs comprehensive audits across all service programs, identifying areas for improvement and strengthening organizational oversight.
By driving adherence to regulatory requirements and best practices, this position plays a critical role in enhancing service quality, promoting accountability, and supporting continuous improvement within the organization.
Principal Duties and Responsibilities:
Program Compliance Monitoring: Reviews program files (medical, financial, service planning) and conducts environmental inspections to ensure compliance with regulations and the Clinical Policy and Procedure Manual.
Audit and Review: Conducts audits, identifies areas for improvement, and supports corrective action plan development and implementation.
Investigations: Leads internal investigations into compliance issues (e.g., abuse, neglect) and prepares accurate reports.
Quality Improvement and Compliance (QIC) Oversight: Supports internal QIC reviews, prepares quarterly reports, and helps monitor and improve service delivery processes.
Recommendations and Systemic Improvements: Prepares recommendations for program and systemic improvements and evaluates the impact of changes on compliance and performance.
Regulatory Inspections and Reporting: Participates in inspections, contributes to compliance reports, and prepares monthly, quarterly, and annual QIC activity reports.
ICF Manual Maintenance: Maintains and updates the agency's ICF manual to ensure it reflects current regulatory standards.
Operational Support: Assists with audits and creates tools, templates, and guidance documents to improve operational efficiency.
Additional Duties: Performs other duties as needed to support departmental and organizational goals.