• Law Enforcement Investigator II

    MyFlorida (Orlando, FL)
    …II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Orlando, Florida. Pay:$60,000.20 - $62,425.00 Annually ... to candidates with healthcare fraud investigative experience working in a Medicaid Fraud Control Unit, or five (5) years of sworn law enforcement experience,… more
    MyFlorida (08/27/25)
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  • Special Investigation Unit Lead Review Analyst…

    CVS Health (Tallahassee, FL)
    …Care Anti- Fraud Association (AHFI), or have a minimum of three years Medicaid Fraud , Waste and Abuse investigatory experience. * Billing and Coding ... effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to...lost funds, and to comply with state regulations mandating fraud plans and practices. What you will do -… more
    CVS Health (08/20/25)
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  • Citizen Services Operations Manager

    MyFlorida (Tallahassee, FL)
    …of Florida, including in areas of criminal appeals, civil litigation, consumer protection, Medicaid fraud , and victims and civil rights. We invite you to ... to a broad range of topics including consumer issues, Lemon Law, Medicaid Fraud , identify theft, and more. This experience is valuable for promotion into… more
    MyFlorida (08/22/25)
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  • Senior Licensed Practical Nurse

    MyFlorida (Gainesville, FL)
    …APD and other agencies, such as law enforcement, DCF Adult Protective Services, Medicaid Fraud Unit, and the Agency for Healthcare Administration. Administrative ... + Assists in the development and monitoring of nursing service objectives. + Participates as appropriate in all objectives developed for the individuals assigned. + Works in conjunction with the registered nurse to assure continuity of care and adherence to… more
    MyFlorida (08/08/25)
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  • Ops Senior Licensed Practical Nurse

    MyFlorida (Gainesville, FL)
    …and other agencies, such as law enforcement, DCF Adult Protective Services, Medicaid Fraud Unit, and the Agency for Healthcare Administration. Administrative: ... + Assists in the development and monitoring of nursing service objectives. + Participates as appropriate in all objectives developed for the individuals assigned. + Works in conjunction with the registered nurse to assure continuity of care and adherence to… more
    MyFlorida (08/08/25)
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  • Ops Registered Nurse

    MyFlorida (Gainesville, FL)
    …APD and other agencies, such as law enforcement, DCF Adult Protective Services, Medicaid Fraud Unit, and the Agency for Healthcare Administration. Maintains and ... documents direct care workers competency as it relates to nursing delegated functions. Delivers, attends and participates in Staff Development programs, Continuing Education programs, staff meetings, standing committee meetings, and other meetings as assigned.… more
    MyFlorida (07/07/25)
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  • Investigation Specialist I

    MyFlorida (Orlando, FL)
    …of Public Benefits Integrity (OPBI) is responsible for investigating public assistance fraud or misuse regarding the SNAP (Food Assistance), D-SNAP (Disaster Food ... Assistance), TANF (Cash Assistance), and Medicaid programs by individuals or merchants. TO BE CONSIDERED...investigates referrals for potential overpayment(s) as a result of fraud , inadvertent household error or agency error. + Analyzes… more
    MyFlorida (08/13/25)
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  • Senior Human Services Program Specialist

    MyFlorida (Orlando, FL)
    …of Public Benefits Integrity (OPBI) is responsible for investigating public assistance fraud or misuse regarding the SNAP (Food Assistance), D-SNAP (Disaster Food ... Assistance), TANF (Cash Assistance), and Medicaid programs by individuals or merchants. TO BE CONSIDERED...least 4 years' experience determining eligibility for Food Assistance, Medicaid , and Cash Assistance programs + Must have a… more
    MyFlorida (08/28/25)
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  • Senior Analyst, Special Investigative Unit

    CVS Health (Tallahassee, FL)
    …day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's ... will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
    CVS Health (08/24/25)
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  • Senior Coding Data Quality Auditor, Coding Quality…

    CVS Health (Tallahassee, FL)
    …the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... education opportunities for peers. + Extensive knowledge of medical documentation, fraud , abuse and penalties for documentation and coding violations based on… more
    CVS Health (08/24/25)
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