- Humana (Tallahassee, FL)
- …* Bachelor's Degree * A minimum of 2 years' experience conducting comprehensive health care fraud investigations (Medical Coding or Healthcare (Medical ... part of our caring community and help us put health first** The Fraud and Waste Professional...millions of people we serve to achieve their best health - delivering the care and service… more
- MyFlorida (West Palm Beach, FL)
- …of experience with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance fraud ... with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance fraud investigations, analysis… more
- Fox Rothschild LLP (Sarasota, FL)
- …Abilities:** + Experience with complex health care transactions. + Experience with health care compliance and fraud and abuse matters is preferred. + ... Corporate ( Health Care Regulatory) Associate - Sarasota **Description:** With bold growth in recent years, Fox Rothschild brings together 1,000 attorneys coast… more
- RELX INC (Boca Raton, FL)
- …the quality and timely delivery of information. About the Role: The Senior Fraud Data Analyst position exists to provide investigative support to a federal customer ... limited to analysis of call detail record data provided by the customer, fraud investigations, etc Requirements: + Bachelor's or Master's degree in a relevant field… more
- MyFlorida (Miami, FL)
- …or other criminal violations for law enforcement investigation. This Medical Health Care Program Analyst position will support the fraud and abuse prevention ... 68064378 - MEDICAL/ HEALTH CARE PROGRAM ANALYST Date: Jun...68064378 - MEDICAL/ HEALTH CARE PROGRAM ANALYST Date: Jun 4, 2025 The...is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Bureau of Medicaid Program… more
- MyFlorida (Miami, FL)
- …or other criminal violations for law enforcement investigation. This Medical Health Care Program Analyst position will support the fraud and abuse prevention ... 68900289 - OPS MEDICAL/ HEALTH CARE PROGRAM ANALYST Date: Jun...is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Bureau of Medicaid Program… more
- Highmark Health (Tallahassee, FL)
- …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + ... This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training...1 year in Financial Analysis in an acute care hospital or health insurance setting +… more
- MyFlorida (Tallahassee, FL)
- …. Requisition No: 854573 Agency: Agency for Health Care Administration Working Title: 68900227 ... Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Agency Overview: The Agency for Health Care Administration is Florida's chief health… more
- MyFlorida (Tampa, FL)
- …of patients, investigate the alleged misappropriation of patients private funds in health care facilities. This is independent work conducting investigations of ... the Office of the Attorney General within the Medicaid Fraud Control Unit in Tampa, Florida. This position is...investigate the alleged misappropriation of patients private funds in health care facilities, and safeguarding the privacy… more
- Highmark Health (Tallahassee, FL)
- …This job is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The ... such as claims, customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert Investigators of the need for...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more