- CVS Health (Tallahassee, FL)
- …are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to a specific self-funded ... plan sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key Responsibilities**… more
- Humana (Tallahassee, FL)
- …help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and ... years of relevant work experience in Fraud & Abuse Investigations required + At least 2 years of healthcare...required + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment… more
- Allied Universal (Jacksonville, FL)
- …career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must… more
- Molina Healthcare (FL)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... or 5+ years of experience working in a FWA / SIU or Fraud investigations + Thorough knowledge of PC based software including Microsoft Word (edit/save documents) and… more
- Molina Healthcare (Tampa, FL)
- …to the SIU Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight and guidance throughout the ... and assignments effectively and timely. + Manage the flow of day-to-day investigations . + Perform assessment that QA measures were complete and signed-off +… more
- MyFlorida (Tampa, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 41001246 Date: Nov 21, 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 - 41001246 Pay Plan: Career Service Position...of the Attorney General within the Medicaid Fraud Control Unit in Tampa, Florida. The Attorney General's Medicaid Fraud… more
- Allied Universal (Cape Coral, FL)
- …in their home state and within their designated region of the country + Special Investigative Unit (SIU) Compliance knowledge + Ability to type 40+ words ... with us and make a difference. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for Insurance claims through scene… more
- MyFlorida (Ocala, FL)
- …11/30/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Senior Child Protective Investigator - CAC Unit Department of Children and ... SENIOR CHILD PROTECTIVE INVESTIGATOR - 60070196 Date: Nov 22, 2025 The...investigations regarding allegations of abuse, neglect, abandonment and/or special conditions for children. Collect information through interviews with… more
- Elevance Health (Tampa, FL)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Clinical Fraud Investigator II - Registered Nurse and CPC -...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… more
- MyFlorida (Tallahassee, FL)
- …Disposal (EOD) Unit + EOD K-9 Unit + Honor Guard + Investigations Unit + Special Operations Team (SOT) + Promotional Opportunities (Sergeant / ... + Uniform Patrol providing 24/7 coverage + Directed Patrol Unit (Bicycle Patrols / Community Policing / Crime Prevention)... Investigator / Lieutenant / Captain) + Protective Operations Detail… more