- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive ... practices. The Fraud and Waste Professional 2 work assignments are varied...independent determination of the appropriate courses of action. The Fraud and Waste Professional 2 coordinates investigation with law… more
- Bank OZK (Clearwater, FL)
- …and maintains professional working relationships with local law enforcement and peer bank fraud professionals. + Investigates possible elder abuse and reports to ... required. + Certification in a relevant discipline (ie, Certified Fraud Examiner-CFE, Certified Financial Crimes Investigator -CFCI, Certified Anti-Money… more
- MyFlorida (Tampa, FL)
- …judicial proceedings. 65% Conducts routine and complex investigations of possible Medicaid fraud and/or patient abuse , including interviews with witnesses and ... LAW ENFORCEMENT INVESTIGATOR II - 41001248 Date: May 7, 2025...administrative referrals. 10% Assist in the prosecution of Medicaid fraud and/or patient abuse to include testimony… more
- Molina Healthcare (FL)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse . Duties include performing accurate and reliable… more
- Highmark Health (Tallahassee, FL)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... for conducting investigations of organizational or functional activities related to alleged fraud , waste and abuse perpetrated by providers, members, facilities,… more
- MyFlorida (Miami, FL)
- FINANCIAL CRIME INVESTIGATOR I - 43061934 Date: May 22, 2025... Fraud is to aggressively identify and eliminate fraud , waste, and abuse to safeguard the ... . Requisition No: 844434 Agency: Financial Services Working Title: FINANCIAL CRIME INVESTIGATOR I - 43061934 Pay Plan: Career Service Position Number: 43061934… more
- Molina Healthcare (FL)
- …investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse . Duties include performing accurate and reliable ... may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to...and/or health plan members in order to determine whether fraud , waste, or abuse may have occurred.… more
- Meta (Tallahassee, FL)
- …bad actors from abusing the platform. You will investigate holistic networks of abuse to understand and deter adversaries, and then scale solutions that precisely ... to protect Meta users from harm. **Required Skills:** Technical Investigator , Integrity Operations Responsibilities: 1. Apply quantitative skills and incorporate… more
- Elevance Health (Tampa, FL)
- ** Investigator Assistant** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per week, ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Assistant** is responsible for providing administrative support to the… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified ... is to ensure fewer budgeted dollars are lost to fraud , abuse , and waste. The Bureau of...Financial Crimes Investigator ; Certified Insurance Fraud Investigator ; or Certified Compliance and Ethics… more
Recent Jobs
-
Data Engineer- Onsite
- Cognizant (Columbus, OH)
-
Senior Manager, Demand Planning and Logistics
- Mercury Systems (Phoenix, AZ)
-
Sr. Design Engineer - Land Development
- Bohler Engineering (Albany, NY)
-
Retail Sales Associate - Clothing
- North 40 Outfitters (Havre, MT)