• Investigator

    Highmark Health (Tallahassee, FL)
    …Contracting **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** (any of the following) + Certified Fraud Examiner ( CFE ) + Certified ... Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment… more
    Highmark Health (05/08/25)
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  • Fraud Investigator

    Bank OZK (Clearwater, FL)
    …and/or Bank Secrecy Act reporting, required. + Certification in a relevant discipline (ie, Certified Fraud Examiner - CFE , Certified Financial Crimes ... Job Purpose & Scope Responsible for performing fraud incident investigations and case management, including collaboration...loss to the Bank. Essential Job Functions + Performs fraud incident management for instances described within the Bank's… more
    Bank OZK (04/24/25)
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  • Join Our Talent Network - Counter Threat Finance…

    Amentum (Macdill AFB, FL)
    …exploitation tools. **Preferred** + CAMS ( Certified Anti-Money Laundering Specialist) or CFE ( Certified Fraud Examiner ) certification. Amentum is ... proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran's status, ancestry, sexual orientation, gender… more
    Amentum (04/19/25)
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  • Ops Sr Human Service Program Spec

    MyFlorida (Tallahassee, FL)
    …given to candidates with a program integrity related professional certification, such as: Certified Fraud Examiner ; Accredited Healthcare Fraud ... Certified Financial Crimes Investigator; Certified Insurance Fraud Investigator; or Certified Compliance and Ethics Professional. LICENSURE,… more
    MyFlorida (06/06/25)
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  • Medical/Health Care Program Analyst

    MyFlorida (Miami, FL)
    …given to candidates with a program integrity related professional certification, such as: Certified Fraud Examiner ; Accredited Healthcare Fraud ... Certified Financial Crimes Investigator; Certified Insurance Fraud Investigator; or Certified Compliance and Ethics Professional. LICENSURE,… more
    MyFlorida (06/04/25)
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  • Ops Medical/Health Care Program Analyst

    MyFlorida (Miami, FL)
    …given to candidates with a program integrity related professional certification, such as: Certified Fraud Examiner ; Accredited Healthcare Fraud ... Certified Financial Crimes Investigator; Certified Insurance Fraud Investigator; or Certified Compliance and Ethics Professional. LICENSURE,… more
    MyFlorida (06/04/25)
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  • Inspector General-Cit

    MyFlorida (Bartow, FL)
    …accountant, certified internal auditor, certified governmental financial manager, certified fraud examiner , certified financial crimes ... of experience as required in paragraph (a);OR + A certified public accountant license issued pursuant to Chapter 473,...accountant license issued pursuant to Chapter 473, or a certified internal audit certificate issued by the institute of… more
    MyFlorida (04/16/25)
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  • Fraud Strategy and Analytics Lead (Hybrid)

    Citigroup (Jacksonville, FL)
    … environment + Bachelor's degree or equivalent experience in a related field + Certified Fraud Examiner designation a plus **Skills:** + Exceptional ... **Job description:** This role will be responsible for developing and managing fraud prevention and detection strategies within the Commercial Cards environment. The… more
    Citigroup (04/03/25)
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  • Investigator Senior

    Elevance Health (Miami, FL)
    …identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on ... background. **Preferred Qualifications, Skills & Capabilities** + Professional certification of CFE , AHFI, CPC, Paralegal, RN, JD or other job related designation… more
    Elevance Health (06/07/25)
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  • Financial Crime Risk Lead Investigator…

    TD Bank (Fort Lauderdale, FL)
    …data analysis and case management + Relevant certifications (eg, CAMS, CFE ). **Customer Accountabilities:** + Leads a variety of complex investigations, including ... AML, Sanctions/ABAC and Financial Crime + Applies sound methodologies to collect, preserve, and analyze evidence while staying current on global emerging risks and technology threats + Assesses and prioritizes files and investigates assigned cases ensuring… more
    TD Bank (06/07/25)
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