Role Description We are seeking a Senior Investigator to join our team. In this role, the Senior Investigator will conduct investigations that support healthcare program integrity initiatives by identifying potential fraud, waste, and abuse (FWA), analyzing complex information, and developing investigative findings. The Senior Investigator will use a variety of investigative techniques and analytical tools to identify subjects, develop cases, document findings, and recommend appropriate administrative or enforcement actions. This position works both independently and collaboratively with investigators, analysts, subject matter experts, and program leadership. Responsibilities - Conduct background research to identify relevant information regarding individuals, organizations, or entities under review. - Conduct investigations involving potential fraud, waste, and abuse. - Analyze healthcare and operational data to identify trends, anomalies, and potential indicators of fraud. - Review applicable laws, regulations, policies, and guidance to support investigative activities. - Collect, review, and analyze records and documentation relevant to investigations. - Conduct interviews and maintain accountability for evidentiary materials in accordance with established procedures. - Document investigative findings and prepare clear, well-supported reports and recommendations. - Coordinate with internal staff, legal counsel, government stakeholders, and law enforcement agencies, as appropriate. - Collaborate with investigators, analysts, program managers, and subject matter experts to develop investigative strategies and resolve cases. - Enter and maintain investigative information in case management and tracking systems. - Present investigative findings and recommendations to management and clients. - Assist with identifying emerging fraud schemes and recommending new investigative priorities. - Prepare recurring and ad hoc reports regarding investigative activities and case status. - Meet established quality standards and project deadlines. Qualifications - Bachelor's degree in criminal justice, law enforcement, healthcare administration, data analysis, or a related field, or equivalent combination of education and relevant experience. - Two or more years of experience supporting healthcare program integrity, fraud investigations, Medicare, Medicaid, commercial healthcare, or other government healthcare programs. - Experience conducting fraud, waste, and abuse investigations preferred. - Strong investigative, analytical, and problem-solving skills. - Experience reviewing healthcare claims, enrollment records, medical records, or other complex documentation. - Experience analyzing complex data and identifying patterns or anomalies. - Strong written, verbal, and interpersonal communication skills. - Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI) preferred (or may be required based on contract requirements). - Ability to maintain confidentiality and exercise sound judgment. - Ability to work independently and collaboratively within a team environment. - Strong organizational skills with the ability to prioritize multiple assignments and meet deadlines. - Proficiency with Microsoft Office applications, including Word and Excel. - Passion for supporting healthcare program integrity and IntegrityM's mission, vision, and values. Benefits - Vacation - Sick leave - Paid holidays - Health insurance - Dental insurance - Vision insurance - Short- and long-term disability - Life insurance - Employee assistance plan - 401(K) retirement plan - Educational benefits

• Conduct background research to identify relevant information regarding individuals, organizations, or entities under review. • Conduct investigations involving potential fraud, waste, and abuse. • Analyze healthcare and operational data to identify trends, anomalies, and potential indicators of fraud. • Review applicable laws, regulations, policies, and guidance to support investigative activities. • Collect, review, and analyze records and documentation relevant to investigations. • Conduct interviews and maintain accountability for evidentiary materials in accordance with established procedures. • Document investigative findings and prepare clear, well-supported reports and recommendations. • Coordinate with internal staff, legal counsel, government stakeholders, and law enforcement agencies, as appropriate. • Collaborate with investigators, analysts, program managers, and subject matter experts to develop investigative strategies and resolve cases. • Enter and maintain investigative information in case management and tracking systems. • Present investigative findings and recommendations to management and clients. • Assist with identifying emerging fraud schemes and recommending new investigative priorities. • Prepare recurring and ad hoc reports regarding investigative activities and case status. • Meet established quality standards and project deadlines.

• Conduct investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse • Recover lost funds • Comply with federal and state regulations mandating fraud plans and practices

Role Description The Office of Civil Rights Compliance at the University of Southern California (USC) is seeking a Senior Investigator to join their team. This is an exciting time at USC when the successful candidate will have an opportunity to contribute their knowledge, skills, and abilities in a fast-paced environment working on a variety of civil rights issues in higher education. In this role, the successful candidate will: - Assess reports of discrimination, harassment, and retaliation regarding protected classes. - Timely conduct and document fair, thorough investigations. - Assist with identifying the need for supportive measures. - Conduct alternative resolutions where appropriate. - Work collaboratively with campus partners, including students, on training, investigations, projects, and initiatives. If you are an experienced investigator with a demonstrated commitment to non-discrimination and equal opportunity for all, who is able to build collaborative relationships, drive change through excellence, and desire a role where you can have a significant impact, we encourage you to send us your resume for consideration. Qualifications - 9 years of experience and Juris Doctor (JD) - Demonstrated commitment to fairness and fostering a culture of belonging and engagement. Requirements - Minimum Education: Master's degree - Minimum Experience: 6 years - Minimum Skills: - Directly related investigation experience in civil rights in employment and/or education at or for an educational institution, large organization, and/or government agency. - Ability to conduct interviews and investigations as an unbiased and neutral party. - Thorough knowledge of state and federal laws (e.g., Title IX, Title VI, Section 504, the ADA, Title VII, FERPA, FEHA), regulations, and policies and procedures governing discriminatory practices and equal opportunity. - Experience developing and presenting educational materials. - Excellent writing skills. - Excellent time management skills, with the demonstrated ability to effectively manage the pressure of multiple, competing deadlines. - Strong interpersonal skills, judgment and independence. - Knowledge of applicable nondiscrimination policies and procedures. - Demonstrated analytical and problem-solving capabilities. - Ability to build trust and rapport easily; strong, compassionate and straightforward. - Demonstrable sound judgment and skill in applying equal opportunity principles and prevailing legal standards to solve complex problems fairly and decisively. - Ability to collaborate with a diverse group of colleagues and stakeholders to resolve case-related challenges. - Ability to present ideas clearly and effectively, both oral and written. - Exceptional interpersonal, communication and emotional intelligence skills. - Ability to manage and work with conflict and with individuals who may be experiencing high levels of stress. - Ability to work independently and efficiently and balance workload. - Ability and desire to work actively, collaboratively and creatively as part of a team. - Ability to accept and implement constructive feedback. Preferred Qualifications - Preferred Education: Juris Doctor (JD) - Preferred Experience: 9 years - Preferred Skills: - Demonstrated commitment to fairness and fostering a culture of belonging and engagement. - Direct involvement or familiarity in work related to investigative reporting, journalism or law enforcement practices. Benefits - Excellent benefits and perks. - Opportunity to work in a dynamic and diverse environment. - Be a member of the Trojan Family – the faculty, staff, students, and alumni who make USC a great place to work. Salary Information The annual base salary range for this position is $98,776 - $139,000. When determining an offer, the University of Southern California considers factors such as the scope and responsibilities of the role, the candidate’s experience, education, training, key skills, internal peer alignment, applicable laws, contractual requirements, grant funding, and market condition.