JOB DESCRIPTION Leads and manages team responsible for special investigation unit (SIU) activities, specifically the prevention and detection of violation of applicable laws and regulations. Responsible to protect the bu…
Skills: Special Investigations, Law Enforcement, Regulatory Compliance, Fraud Detection, Case Management
Clean Harbors in Loa Porte, TX is seeking a Class B Driver (Retail Technician) to provide comprehensive environmental services including collection and disposal of damaged, discarded, or recalled products; recycling of l…
Security System Commissioning Specialist (Tech Specialist 4) - Haskell, TX
Haskell County, Texas, United States · On-site
Senior+
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Case Manager - (Criminal Justice - Client Monitoring) - Dallas
Dallas, Texas, United States · On-site
$20/hr–$21/hr
Mid level$23M raised
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Skills: Case Management, Criminal Justice, Electronic Monitoring, Compliance Monitoring, Drug Testing
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Installation Technician I Paid Training I Paid Weekly
El Paso, Texas, United States · On-site
Entry level
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Leads the Special Investigative Unit to prevent and detect violations of laws and regulations, protecting the business from fraudulent or abusive practices. Oversees the referral intake process, manages investigations, and collaborates with leadership to maintain fraud, waste, and abuse plans.
Requirements
Requires at least 7 years of experience in special investigations, law enforcement, or a regulatory environment, with at least 1 year of leadership experience. Proficiency in investigative case management systems and Microsoft Office is required.
Full job description
JOB DESCRIPTION
Leads and manages team responsible for special investigation unit (SIU) activities, specifically the prevention and detection of violation of applicable laws and regulations. Responsible to protect the business from liability of fraudulent or abusive practices, and ensure the business understands and complies with applicable laws and regulations pertaining to the health care environment. Accountable for oversight, follow-up and resolution of investigations.
Essential Job Duties
• Provides oversight and review of the special investigation until (SIU) referral intake and investigation process, and provides guidance and direction to team on case investigation steps/actions.
• Collaborates with leadership to maintain and revise policies and procedures, fraud, waste, and abuse (FWA) plans, annual audit work plans - including department guidance memos, and educational materials.
• Identifies opportunities for improvement through the audit process and provides recommendations for system enhancements in order to augment investigative outcomes and performance.
• Accurately tracks, reports, and follows-up on overpayments and recoveries.
• Leads business requirement process and reporting to ensure proper and timely notification of case activity to the appropriate regulatory and/or law enforcement agency.
job Requirements
• At least 7 years of experience in special investigations, law enforcement, and/or experience in a regulatory environment, or equivalent combination of relevant education and experience.
• At least 1 year of management/leadership experience.
• Strong interpersonal skills.
• Strong analytical and critical-thinking abilities.
• Organizational and time-management skills.
• Experience with investigative case management system.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications
• Health Care Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE).
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
Related keywords
Special Investigative UnitSIUFraud Waste And AbuseFWAHCAFAAHFICFEHealthcare Anti-FraudRegulatory ComplianceCase Management SystemOverpaymentsRecoveriesLaw EnforcementAudit Work Plans
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care.
Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
Managed CarePrimary Care ClinicsMedicaidand MedicareHospitalHealth CareManagement Information SystemsMedical
Based on 2370 listings with disclosed salaries, most security & safety jobs in Texas pay between $69k–$183k per year. Individual offers vary with seniority, company size, and specialization.
How many Security & Safety jobs are open in Texas right now?
There are currently 16,087 open security & safety positions in Texas listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Security & Safety roles in Texas?
Companies currently hiring include Allied Universal, UTMB School of Health Professions, Amazon, Texas Health and Human Services, ABM Industries, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Security & Safety jobs in Texas?
Yes — 1355 of the 16087 open security & safety positions offer remote or hybrid work (484 remote, 871 hybrid).
How do I apply for Security & Safety jobs in Texas?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.