- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- Molina Healthcare (Tampa, FL)
- …responsible to lead a small team of investigators and provide oversight on daily investigative activities as a back-up to the SIU Manager. This position will be ... complete and signed-off + Provide guidance to investigators as needed on investigative techniques, tools, or strategy. + Effectively investigate and manage complex… 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 ... providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position… more
- 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 ... evidence in support of case investigations. **Required Qualifications** + 3-5 years investigative experience in the area of healthcare fraud, waste and abuse. +… more
- Humana (Tallahassee, FL)
- …of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Begins to influence department's strategy. Makes ... CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate environment and… more
- MyFlorida (Tampa, FL)
- …with healthcare fraud investigative experience working in a Medicaid Fraud Control Unit , or five (5) years of sworn law enforcement experience, or five (5) years ... LAW ENFORCEMENT INVESTIGATOR II - 41001246 Date: Nov 21, 2025...of the Attorney General within the Medicaid Fraud Control Unit in Tampa, Florida. The Attorney General's Medicaid Fraud… more
- Allied Universal (Jacksonville, FL)
- …designated regional area. + Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit (SIU) Compliance knowledge + Ability to ... career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit … more
- Allied Universal (Cape Coral, FL)
- …standards in their home state and within their designated region of the country + Special Investigative Unit (SIU) Compliance knowledge + Ability to type 40+ ... 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...Conduct investigations regarding allegations of abuse, neglect, abandonment and/or special conditions for children. Collect information through interviews with… more
- MyFlorida (Tallahassee, FL)
- …the Office of the Attorney General within the Antitrust Enforcement Unit in Tallahassee, Florida. Pay:$105,238.90 Annually Qualifications: Admission to the Florida ... antitrust violations as specified above. Interviews fact witnesses and/or directs an investigator in conducting such interviews. Obtains evidence in the form of… more
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