Jobs in Rhode Island | Careers in Government

155Jobs found

Senior Investigations Analyst
- Providence, Rhode Island
- Highmark Health
- Full Time
- Public Safety
Strategic Sourcing Analyst
- Providence, Rhode Island
- Oracle
- Full Time
- Federal Government
Ramp Agent- PVD Airport
- Warwick, Rhode Island
- PrimeFlight Aviation Services
- Full Time
- Aviation or Harbor
Lead Agent Ramp Service
- Warwick, Rhode Island
- Trego-Dugan Aviation
- Full Time
- Aviation or Harbor
Airport Ramp Agent PT - PVD
- Warwick, Rhode Island
- Unifi
- Full Time
- Aviation or Harbor
Senior Sourcing Analyst
- Providence, Rhode Island
- Coinbase
- Full Time
- Federal Government
Border Protection Officer: Safeguard Borders & Trade
- Providence, Rhode Island
- Customs and Border Protection
- Full Time
- Public Safety
Airport Operations Specialist
- Warwick, Rhode Island
- Rhode Island Airport
- Full Time
- Aviation or Harbor
Border Patrol Agent
- Warwick, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Border Patrol Agent
- Cranston, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Entry-Level Border Patrol Agent – Up to $50K in Incentives
- Cranston, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Entry-Level Border Patrol Agent – Up to $50K in Incentives
- Warwick, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Entry-Level Border Patrol Agent – Up to $50K in Incentives
- Pawtucket, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Border Patrol Agent
- Providence, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Entry-Level Border Patrol Agent – Up to $50K in Incentives
- Providence, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Border Patrol Agent
- Pawtucket, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Investigative Analyst
- Providence, Rhode Island
- THPP Tufts Health Public Plans
- Full Time
- Public Safety
Drug Diversion Investigator: Federal Compliance & Enforcement
- Providence, Rhode Island
- Drug Enforcement Administration
- Full Time
- Public Safety
Fraud Investigator
- Providence, Rhode Island
- Blue Cross and Blue Shield of Rhode Island
- Full Time
- Public Safety
Border Patrol Agent
- Providence, Rhode Island
- Customs and Border Protection
- Full Time
- Public Safety
Strategic Sourcing Analyst - Memory & Storage
- Providence, Rhode Island
- Oracle
- Full Time
- Federal Government
Signal Support Systems Specialist - Army
- Providence, Rhode Island
- U.S. Army New England Recruiting Battalion
- Full Time
- Federal Government
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Providence, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Warwick, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Pawtucket, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Contract Specialist (Open Continuous)
- Providence, Rhode Island
- Phenom People
- Full Time
- Federal Government
- Legal Services
Field Enumerator
- Providence, Rhode Island
- NASDA - National Association of State Departments of Agriculture
- Full Time
- Clerical and Administrative Support
- Federal Government
Senior Business Intelligence Analyst
- Providence, Rhode Island
- RxVantage
- Full Time
- Federal Government
Field Enumerator
- Providence, Rhode Island
- National Association of State Departments of Agriculture
- Full Time
- Clerical and Administrative Support
- Federal Government
Airline Ramp Agent, (RON)
- Warwick, Rhode Island
- Trego-Dugan Aviation
- Full Time
- Aviation or Harbor
Signal Support Systems Specialist - Army
- Providence, Rhode Island
- US ARMY
- Full Time
- Federal Government
Intelligence Analyst - ARMY
- Providence, Rhode Island
- US ARMY
- Full Time
- Federal Government
Full & Part Time Security Officers
- Providence, Rhode Island
- Securitas
- Full Time
- Public Safety
CHIEF BUDGET AND POLICY ANALYST
- Providence, Rhode Island
- State of Rhode Island
- Full Time
- Clerical and Administrative Support
- Federal Government
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Cranston, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Program Specialist
- Providence, Rhode Island
- US Department of Veterans Affairs
- Full Time
- Clerical and Administrative Support
- Federal Government
Program Specialist
- Providence, Rhode Island
- US Government Jobs
- Full Time
- Federal Government
- Public Health
Border Patrol Agent
- Warwick, Rhode Island
- Adzuna
- Full Time
- Public Safety
Border Patrol Agent
- Pawtucket, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Border Patrol Agent
- Pawtucket, Rhode Island
- Adzuna
- Full Time
- Public Safety
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Woonsocket, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Border Patrol Agent
- Cranston, Rhode Island
- Adzuna
- Full Time
- Public Safety
Border Patrol Agent
- Providence, Rhode Island
- Adzuna
- Full Time
- Public Safety
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Cranston, Rhode Island
- Adzuna
- Full Time
- Public Safety
Border Patrol Agent
- Woonsocket, Rhode Island
- Adzuna
- Full Time
- Public Safety
CHIEF BUDGET AND POLICY ANALYST
- Providence, Rhode Island
- RI Council 94
- Full Time
- Clerical and Administrative Support
- Federal Government
Border Patrol Agent
- Cranston, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Border Patrol Agent
- Woonsocket, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Pawtucket, Rhode Island
- Adzuna
- Full Time
- Public Safety
Program Specialist
- Providence, Rhode Island
- Veterans Health Administration
- Full Time
- Federal Government
- Public Health
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Warwick, Rhode Island
- Adzuna
- Full Time
- Public Safety
Border Patrol Agent
- Warwick, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Procurement & Strategic Sourcing Junior Associate - Spring 2027
- Warwick, Rhode Island
- Becton Dickinson NA
- Full Time
- Federal Government
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Providence, Rhode Island
- Adzuna
- Full Time
- Public Safety
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Woonsocket, Rhode Island
- Adzuna
- Full Time
- Public Safety
Acquisitions Specialist
- Providence, Rhode Island
- Peak Cash Offers
- Full Time
- Federal Government
Fraud Investigator Hybrid/Remote, Protect Members
- Providence, Rhode Island
- Blue Cross & Blue Shield of Rhode Island
- Full Time
- Public Safety
Program Specialist
- Providence, Rhode Island
- Veterans Affairs, Veterans Health Administration
- Full Time
- Federal Government
- Public Health
Logistician
- Newport, Rhode Island
- Purvis
- Full Time
- Federal Government
Sr Sourcing Lead
- Johnston, Rhode Island
- Citizens
- Full Time
- Federal Government
Procurement & Sourcing Intern: Drive Cost Savings
- Warwick, Rhode Island
- BD
- Full Time
- Federal Government
Sr Sourcing Lead
- Johnston, Rhode Island
- Citizens Bank
- Full Time
- Federal Government
Entry-Level Border Patrol Agent – Up to $50K in Incentives
- Woonsocket, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
LOGISTICIAN - GM2
- Newport, Rhode Island
- MCLAUGHLIN RESEARCH
- Full Time
- Federal Government
Border Patrol Agent
- Newport, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Border Patrol Agent (BPA) - New Hire Sign-On and Retention Incentives
- Newport, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Deputy Leader
- Newport, Rhode Island
- Veolia North America
- Full Time
- Public Safety
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Newport, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Rhode Island, Providence SIU Investigator PT
- Pawtucket, Rhode Island
- Insight Service Group (ISG)
- Full Time
- Public Safety
Entry-Level Border Patrol Agent – Up to $50K in Incentives
- East Providence, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Public Safety Officer
- Westerly, Rhode Island
- Yale New Haven Hospital
- Full Time
- Public Safety
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- East Providence, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Marine Protected Species Observer - Nearshore Field Ops
- Newport, Rhode Island
- AIS, LLC
- Full Time
- Public Safety
Logistician II
- Newport, Rhode Island
- SEACORP
- Full Time
- Federal Government
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Central Falls, Rhode Island
- LinkUp
- Full Time
- Public Safety
Rhode Island, Providence SIU Investigator PT
- Pawtucket, Rhode Island
- Insight Service Group (ISG)
- Full Time
- Public Safety
Loadmaster Instructor
- North Kingstown, Rhode Island
- Nova Technologies
- Full Time
- Aviation or Harbor
Wargaming Expert All-Source Intelligence
- Newport, Rhode Island
- The Mission Essential Group, LLC
- Full Time
- Federal Government
Entry-Level Border Patrol Agent – Up to $50K in Incentives
- Central Falls, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
NUWC Code 25 Incumbent Employees
- Newport, Rhode Island
- OLH Technical Services
- Full Time
- Federal Government
- Legal Services
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Central Falls, Rhode Island
- Adzuna
- Full Time
- Public Safety
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- East Providence, Rhode Island
- Adzuna
- Full Time
- Public Safety
Flight Dispatcher - Rhode Island
- North Kingstown, Rhode Island
- Helicopter Jobs
- Full Time
- Dispatch and Telecommunications
- Public Safety
Marine Protected Species Observer - Field Data & Safety
- Newport, Rhode Island
- AIS, LLC
- Full Time
- Public Safety
LOGISTICIAN - GM2
- Newport, Rhode Island
- Navstar
- Full Time
- Federal Government
Logistician III Jobs
- Newport, Rhode Island
- ClearanceJobs
- Full Time
- Federal Government
Logistician III
- Newport, Rhode Island
- People Technology & Processes Llc
- Full Time
- Federal Government
Logistician
- Newport, Rhode Island
- PURVIS Systems
- Full Time
- Federal Government
Logistician
- Newport, Rhode Island
- SEACORP
- Full Time
- Federal Government
Border Patrol Agent
- East Providence, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Central Falls, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Border Patrol Agent
- Central Falls, Rhode Island
- Adzuna
- Full Time
- Public Safety
Border Patrol Agent
- Central Falls, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
Border Patrol Agent
- East Providence, Rhode Island
- Adzuna
- Full Time
- Public Safety
Entry-Level Border Patrol Agent - Up to $50K in Incentives
- Warwick, Rhode Island
- LinkUp
- Full Time
- Public Safety
Logistician I Jobs
- Newport, Rhode Island
- ClearanceJobs
- Full Time
- Federal Government
Border Patrol Agent
- Cranston, Rhode Island
- LinkUp
- Full Time
- Public Safety
Protective Service Officer at MNCP Staffing Providence, RI
- Providence, Rhode Island
- MNCP Staffing
- Full Time
- Public Safety
25U Signal Support Systems Specialist
- Warwick, Rhode Island
- Army National Guard
- Full Time
- Federal Government
Border Patrol Agent
- Pawtucket, Rhode Island
- LinkUp
- Full Time
- Public Safety
Security Officer | Part Time | $16/hr
- Providence, Rhode Island
- Securitas
- Full Time
- Public Safety
Border Patrol Agent
- Providence, Rhode Island
- U.S. Customs and Border Protection
- Full Time
- Public Safety
South County GO TEAM Liaison
- Providence, Rhode Island
- Family Service of Rhode Island
- Full Time
- Other
Correctional Officer Academy Class
- Central Falls, Rhode Island
- Central Falls Detention
- Full Time
- CORRECTIONS
Junior Software Engineer - Clearance Required
- Middletown, Rhode Island
- Jobot
85,000
- Full Time
- Information Technology and Communication Services
Customs and Border Protection Officer
- East Providence, Rhode Island
- U.S. Customs and Border Protection
41,863
- Full Time
- Legal Services
Experienced Federal Law Enforcement Officer – Up to $60K in Incentives
- Cranston, Rhode Island
- U.S. Customs and Border Protection
41,863
- Full Time
- Legal Services
CBP Officer – Up to $60K in Incentives
- Woonsocket, Rhode Island
- U.S. Customs and Border Protection
41,863
- Full Time
- Legal Services
Entry-Level Federal Law Enforcement Officer – Up to $50K in Incentives
- East Providence, Rhode Island
- U.S. Customs and Border Protection
51,632
- Full Time
- Legal Services
Senior Advisory Accountant (Hybrid)
- Providence, Rhode Island
- Jobot
95,000
- Full Time
- Accounting and Finance
Software Engineer - C++/Linux | Clearance Required
- Middletown, Rhode Island
- Jobot
125,000
- Full Time
- Information Technology and Communication Services
Experienced Customs and Border Protection Officer – Up to $60K in Incentives
- East Providence, Rhode Island
- U.S. Customs and Border Protection
41,863
- Full Time
- Legal Services
Entry-Level Customs and Border Protection Officer – Up to $60K in Incentives
- Newport County, Rhode Island
- U.S. Customs and Border Protection
41,863
- Full Time
- Legal Services
Senior Software Engineer - C++/Linux | Clearance Required
- Middletown, Rhode Island
- Jobot
155,000
- Full Time
- Information Technology and Communication Services
Border Patrol Agent
- Cranston, Rhode Island
- U.S. Customs and Border Protection
51,632
- Full Time
- Legal Services
Entry-Level Border Patrol Agent – Up to $50K in Incentives
- Woonsocket, Rhode Island
- U.S. Customs and Border Protection
51,632
- Full Time
- Legal Services
Customs and Border Protection Officer
- Newport County, Rhode Island
- U.S. Customs and Border Protection
$41,863 - $127,464
- Full Time
- Legal Services
Aviation Operations & Support
- Providence, Rhode Island
- U.S. Navy
- Full Time
- Transportation or Transit
Registered Nurse
- Central Falls, Rhode Island
- U.S. Navy
- Full Time
- Public Health
Navy Chaplain
- Central Falls, Rhode Island
- U.S. Navy
- Full Time
- Human Resources and Personnel
Special Operations Boat Operator
- Cranston, Rhode Island
- U.S. Navy
- Full Time
- Clerical and Administrative Support
Oceanographer
- East Providence, Rhode Island
- U.S. Navy
- Full Time
- Administration and Management
Cryptologic Technician Interpretive
- East Providence, Rhode Island
- U.S. Navy
- Full Time
- Information Technology and Communication Services
Military Linguist
- Cranston, Rhode Island
- U.S. Navy
- Full Time
- Information Technology and Communication Services
Information Technology Professional (IT Support)
- Woonsocket, Rhode Island
- U.S. Navy
- Full Time
- Information Technology and Communication Services
Entry-Level Border Patrol Agent – Up to $50K in Incentives
- East Providence, Rhode Island
- U.S. Customs and Border Protection
$51,632 - $124,717
- Full Time
- Legal Services
Medical Corps Officer (Physician)
- Providence, Rhode Island
- U.S. Navy
- Full Time
- Public Health
IT Professional
- Providence, Rhode Island
- U.S. Navy
- Full Time
- Information Technology and Communication Services
Surface Warfare Officer
- Pawtucket, Rhode Island
- U.S. Navy
- Full Time
- Administration and Management
Aircraft Handling Specialist
- Cranston, Rhode Island
- U.S. Navy
- Full Time
- Transportation or Transit
Experienced Federal Law Enforcement Officer – Up to $60K in Incentives
- Cranston, Rhode Island
- U.S. Customs and Border Protection
$41,863 - $127,464
- Full Time
- Legal Services
Entry-Level Customs and Border Protection Officer – Up to $60K in Incentives
- Providence, Rhode Island
- U.S. Customs and Border Protection
$41,863 - $127,464
- Full Time
- Legal Services
Special Warfare Combat Crewman
- East Providence, Rhode Island
- U.S. Navy
- Full Time
- Clerical and Administrative Support
Boatswain’s Mate
- Newport County, Rhode Island
- U.S. Navy
- Full Time
- Administration and Management
Electronics Tech/Electrician
- Providence County, Rhode Island
- U.S. Navy
- Full Time
- Engineering
Driver Helper
- Warren, Rhode Island
- United Parcel Service
$21.00/hour
- Full Time
- Transportation or Transit
Seasonal Support Driver
- Middletown, Rhode Island
- United Parcel Service
$23.00/hour
- Full Time
- Tourism and Convention Services
Seasonal Warehouse Worker - Package Handler
- Warwick, Rhode Island
- United Parcel Service
$21.00/hour
- Full Time
- Transportation or Transit
Chaplain Corps Officer
- Providence County, Rhode Island
- U.S. Navy
- Full Time
- Human Resources and Personnel
Aviation Electronics Technician
- Pawtucket, Rhode Island
- U.S. Navy
- Full Time
- Engineering
Pilot
- East Providence, Rhode Island
- U.S. Navy
- Full Time
- Administration and Management
Border Patrol Agent
- Woonsocket, Rhode Island
- U.S. Customs and Border Protection
$51,632 - $124,717
- Full Time
- Legal Services
Information Systems Technician
- Providence, Rhode Island
- U.S. Navy
- Full Time
- Information Technology and Communication Services
SEAL Officer
- East Providence, Rhode Island
- U.S. Navy
- Full Time
- Administration and Management
Bomb Squad (EOD)
- East Providence, Rhode Island
- U.S. Navy
- Full Time
- Legal Services
Dental Hygienist
- Warwick, Rhode Island
- U.S. Navy
- Full Time
- Public Health
Meteorologist
- Providence County, Rhode Island
- U.S. Navy
- Full Time
- Administration and Management
Avionics Technician
- Central Falls, Rhode Island
- U.S. Navy
- Full Time
- Engineering
Medical Assistant
- East Providence, Rhode Island
- U.S. Navy
- Full Time
- Public Health
Medical Technician
- Central Falls, Rhode Island
- U.S. Navy
- Full Time
- Public Health
Naval Flight Officer
- East Providence, Rhode Island
- U.S. Navy
- Full Time
- Administration and Management
Aircrew Rescue Swimmer & Navy Diver
- Cranston, Rhode Island
- U.S. Navy
- Full Time
- Administration and Management
Entry-Level Federal Law Enforcement Officer – Up to $50K in Incentives
- Woonsocket, Rhode Island
- U.S. Customs and Border Protection
$51,632 - $124,717
- Full Time
- Legal Services
Nuclear Engineer
- East Providence, Rhode Island
- U.S. Navy
- Full Time
- Administration and Management
Security & Law Enforcement
- Central Falls, Rhode Island
- U.S. Navy
- Full Time
- Legal Services

FEATURED JOBS

Featured Employers

Senior Investigations Analyst
- Providence, Rhode Island 02912 United States
- Highmark Health
- Nov 13, 2026
- Full Time
Highmark Health

Government jobs offer stability, competitive benefits, and the chance to make a meaningful impact on your community and country. Whether you’re starting your career or seeking new opportunities, these roles provide pathways for growth, security, and service. Explore positions across a wide range of fields and take the first step toward a rewarding future in public service.
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Job Details
- Full Time
- Nov 13, 2026
Job Description
Company :
Highmark Health
Job Description :
JOB SUMMARY
This role serves a critical function within Enterprise Incident Management, leading the coordination and execution of enterprise-wide response activities forlarge-scale incidents that require engagement across multiple business and operational areas. The position also conducts and supports internal investigations related to employee misconduct, including fraud, theft, privacy and security violations, and other breaches of enterprise policies and the Code of Conduct. Responsibilities include ensuring investigations are performed consistently and in accordance with organizational standards, as well as conducting fraud-related audits and forensic reviews.
ESSENTIAL RESPONSIBILITIES
Reviews risk assessment results to perform investigations into potential and existing threats. Responsible for the investigation of reports of real or potential instances of non-compliance and/or fraud in accordance with established standards/policies. Reviews and interprets information provided and assist with performing qualitative and quantitative impact assessments.
Collaborates on engagement initiation and planning activities for fraud-related audits and monitoring activities within Highmark Health Enterprise; including approving audit programs to support the audit objectives of identified audits.
Facilitates collaboration efforts with Senior Risk Partners, Risk Operations and Internal Audit team members to facilitate the execution of internal investigations and fraud related audits based on reports or identified fraud risks.
Defines when additional information gathering and risk assessments is necessary to formulate conclusions; ensuring documentation to support investigative conclusions is sufficient and in accordance with department standards.
Uses appropriate fraud investigation tools, applications, and systems to continually enhance fraud detection strategies and to identify trends.
Analyzes assessment results against physical, technical, and administrative safeguards and company-specific contractual requirements in the evaluation of risk.
Provides consultation in development of assurance plans (e.g., on-site audit, contract review, financials assessment) to address relevant risk areas and to ensure proper controls are implemented.
Other duties as assigned or requested.
EDUCATION
Required
Bachelor's Degree in Accounting, Finance, Business Administration, Information Systems or related field
Substitutions
6 years of related and progressive experience in lieu of Bachelor's degree
Preferred
Master's Degree in Fraud and Forensics
EXPERIENCE
Required
5 years in Accounting, Finance, Audit, Information Systems or related field
To Include:
3 years of conducting internal ethics, fraud, privacy and security investigations
Preferred
1 years in Operational and/or IT auditing OR Privacy/Information security
LICENSES or CERTIFICATIONS
Required
None
Preferred (any of the following)
Certified Public Accountant (CPA)
Certified Internal Auditor (CIA)
Certified Fraud Examiner (CFA)
Certified Information Systems Auditor (CISA)
Certified Information Privacy Professional ?(CIPP)
SKILLS
Excellent written and verbal communication skills. Ability to appropriate package information and tailor message to respective audiences.
Broad understanding of fraud/privacy/security risks, business issues, key metrics and organizational linkages.
Excellent analytical skills with a demonstrated ability to identify unusual trends/circumstances and solve problems.
Working knowledge of standard investigative procedures/protocols
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$68,400.00
Pay Range Maximum:
$105,900.00
Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J284594

Company :
Highmark Health
Job Description :
JOB SUMMARY
This role serves a critical function within Enterprise Incident Management, leading the coordination and execution of enterprise-wide response activities forlarge-scale incidents that require engagement across multiple business and operational areas. The position also conducts and supports internal investigations related to employee misconduct, including fraud, theft, privacy and security violations, and other breaches of enterprise policies and the Code of Conduct. Responsibilities include ensuring investigations are performed consistently and in accordance with organizational standards, as well as conducting fraud-related audits and forensic reviews.
ESSENTIAL RESPONSIBILITIES
Reviews risk assessment results to perform investigations into potential and existing threats. Responsible for the investigation of reports of real or potential instances of non-compliance and/or fraud in accordance with established standards/policies. Reviews and interprets information provided and assist with performing qualitative and quantitative impact assessments.
Collaborates on engagement initiation and planning activities for fraud-related audits and monitoring activities within Highmark Health Enterprise; including approving audit programs to support the audit objectives of identified audits.
Facilitates collaboration efforts with Senior Risk Partners, Risk Operations and Internal Audit team members to facilitate the execution of internal investigations and fraud related audits based on reports or identified fraud risks.
Defines when additional information gathering and risk assessments is necessary to formulate conclusions; ensuring documentation to support investigative conclusions is sufficient and in accordance with department standards.
Uses appropriate fraud investigation tools, applications, and systems to continually enhance fraud detection strategies and to identify trends.
Analyzes assessment results against physical, technical, and administrative safeguards and company-specific contractual requirements in the evaluation of risk.
Provides consultation in development of assurance plans (e.g., on-site audit, contract review, financials assessment) to address relevant risk areas and to ensure proper controls are implemented.
Other duties as assigned or requested.
EDUCATION
Required
Bachelor's Degree in Accounting, Finance, Business Administration, Information Systems or related field
Substitutions
6 years of related and progressive experience in lieu of Bachelor's degree
Preferred
Master's Degree in Fraud and Forensics
EXPERIENCE
Required
5 years in Accounting, Finance, Audit, Information Systems or related field
To Include:
3 years of conducting internal ethics, fraud, privacy and security investigations
Preferred
1 years in Operational and/or IT auditing OR Privacy/Information security
LICENSES or CERTIFICATIONS
Required
None
Preferred (any of the following)
Certified Public Accountant (CPA)
Certified Internal Auditor (CIA)
Certified Fraud Examiner (CFA)
Certified Information Systems Auditor (CISA)
Certified Information Privacy Professional ?(CIPP)
SKILLS
Excellent written and verbal communication skills. Ability to appropriate package information and tailor message to respective audiences.
Broad understanding of fraud/privacy/security risks, business issues, key metrics and organizational linkages.
Excellent analytical skills with a demonstrated ability to identify unusual trends/circumstances and solve problems.
Working knowledge of standard investigative procedures/protocols
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$68,400.00
Pay Range Maximum:
$105,900.00
Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J284594
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