- Elevance Health (Tampa, FL)
- **Clinical Fraud Investigator II** **Location** : _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... unless an accommodation is granted as required by law. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may pose… more
- Bank OZK (Apollo Beach, FL)
- …related cases + Certification in a relevant discipline (ie, Certified Fraud Examiner-CFE, Certified Financial Crimes Investigator -CFCI, Certified Anti-Money ... Job Purpose & Scope Responsible for performing complex fraud incident investigations and case management, including collaboration with internal and external… more
- Allied Universal (St. Petersburg, FL)
- …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with red… more
- Highmark Health (Tallahassee, FL)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of … more
- MyFlorida (Tallahassee, FL)
- …(EG), R, and Excel. Preferred Qualifications: Industry certifications, eg, Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... Financial Crimes Investigator ; Certified Insurance Fraud Investigator , Certified Compliance and Ethics Professional. Our Organization and Mission: Under the… more
- MUFG (Tampa, FL)
- …details. Reporting to the Senior Fraud Prevention Manager (Vice President) of Fraud Operations. The Investigator will complete fraud investigations to ... and general level of supervision required by the Senior Fraud Prevention Manager. Individuals on the Fraud ...Senior Fraud Prevention Manager. Individuals on the Fraud Investigation team focus on the investigation and remediation… more
- CVS Health (Tallahassee, FL)
- …every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- MyFlorida (Miami, FL)
- …OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY CLASS TITLE: LAW ENFORCEMENT INVESTIGATOR II (SWORN INSURANCE FRAUD DETECTIVE) DIVISION: ... LAW ENFORCEMENT INVESTIGATOR II - 43001780 Date: Aug 23, 2025...forces + Community Outreach + Honor Guard + Disaster Fraud Action Strike Team (DFAST) Minimum Qualifications for this… more
- MyFlorida (Orlando, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 41000797 Date: Aug 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41000797 Pay Plan: Career Service Position...the Office of the Attorney General within the Medicaid Fraud Control Unit in Orlando, Florida. Pay:$60,000.20 - $62,425.00… more
- MyFlorida (Miami, FL)
- FINANCIAL CRIME INVESTIGATOR I - 43061934 Date: Aug 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 844434 Agency: Financial Services Working Title: FINANCIAL CRIME INVESTIGATOR I - 43061934 Pay Plan: Career Service Position Number: 43061934… more
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