• Fraud and Waste Investigator

    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
    Humana (06/06/25)
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  • Medical/ Health Care Program Analyst

    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...is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Bureau of Medicaid Program… more
    MyFlorida (06/04/25)
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  • Ops Medical/ Health Care Program…

    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
    MyFlorida (06/04/25)
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  • Investigator

    Highmark Health (Tallahassee, FL)
    …incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud , waste and abuse case, ... + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations...+ 1 year in Financial Analysis in an acute care hospital or health insurance setting +… more
    Highmark Health (05/08/25)
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  • Senior Investigator - 1

    MyFlorida (West Palm Beach, FL)
    …of experience with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance fraud ... of experience with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance fraud more
    MyFlorida (05/31/25)
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  • Ops Sr Human Service Program Spec

    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 (06/06/25)
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  • Corporate ( Health Care Regulatory)…

    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...perform additional duties. Additionally, management reserves the right to review and revise the job description at any time.… more
    Fox Rothschild LLP (06/03/25)
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  • Law Enforcement Investigator II - 1

    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
    MyFlorida (05/28/25)
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  • Investigations Coordinator

    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 ... claims and related documents requiring investigations based on pre-determined criteria, including review of suspect claims, Fraud Hot Line and internal… more
    Highmark Health (06/03/25)
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  • Director, Digital Health Corporate Counsel

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    **About Otsuka Precision Health ** Founded on Otsuka's rich history in delivering breakthrough innovations to solve complex problems for patients, Otsuka Precision ... Health (OPH) is the next step in our evolution. We are a...do our part to fix some of the fragmentation in care delivery. The time is now. **What you will do (Job… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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