- 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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