Senior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorFL$70,100–$126,200 / yearLeads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions. Education/Experience: A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.
Compliance Investigator City of GainesvilleCompliance InvestigatorGainesville, FLAll 'regular' employees are eligible for traditional benets such as health insurance, life insurance, paid leave, 11 paid a holidays a year, a pension plan and a deferred compensation plan, but we also oer great things like on-site tness centers, tuition reimbursement, on-site medical sta and a wellness program to keep you healthy and happy. Ability to interact collaboratively and productively and to build effective relationships with individuals of diverse backgrounds, including elected officials, charter officers, department heads, representatives of other agencies, other city employees, and the general public.
Clinical Research Physician (Principal Investigator/Sub-Investigator) - Part Time Thermo Fisher Scientific IncClinical Research Physician (Principal Investigator/Sub-Investigator) - Part TimeThe Villages, FLDemonstrated ability to collaborate effectively across a matrixed organization, partnering with clinical operations, recruitment, regulatory, pharmacy, laboratory, and sponsor-facing teams to achieve study objectives. As a business of PPD, we are committed to optimizing each step in the patient journey and delivering best-in-class site performance to bring our customers greater certainty to clinical trial delivery.
Fraud Investigator I Space Coast Credit UnionFraud Investigator IMIRAMAR, FL$28.13–$29.79 / hourThis role partners with law enforcement and internal teams, including Legal, Compliance, and Operations, to identify fraudulent activity, mitigate risk, and strengthen fraud detection and prevention processes. Stays current with fraud trends in the market by monitoring data from the Fraud Analysts and attending meetings/or conferences in order to prevent fraud losses to the organization and our membership.
Healthcare Fraud Investigator CONTACT GOVERNMENT SERVICESHealthcare Fraud InvestigatorTampa, FL$85,000–$105,000 / yearCommunication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client.
DoW SkillBridge Fellowship - Senior Fraud Investigator Navy Federal Credit UnionDoW SkillBridge Fellowship - Senior Fraud InvestigatorPensacola, FL$78,400–$123,200 / yearAccommodations: If you need accommodation or assistance for a qualifying condition to complete the online application (or during any stage of the hiring process), you can contact Navy Federal''s Medical Accommodations team at medicalaccommodations@navyfederal.org or by calling 1-888-503-6013. Help identify indicators involving account takeover, identity theft, first-party fraud, debit card fraud, credit card fraud, loan fraud, and organized fraud schemes.
SIU Investigator Centene Corporation GroupSIU InvestigatorFL$56,200–$101,000 / yearCollaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.
SIU Investigator - Tampa Bay Area Allied UniversalSIU Investigator - Tampa Bay AreaTampa, FloridaAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . Florida applicants must either hold a C Private Investigators' License or independently complete the 40-hour course necessary to successfully apply for a CC Private Investigator’s license (apprenticeship) before applying .
Vice President, AML Investigator - Digital Assets The Bank of New York Mellon CorpVice President, AML Investigator - Digital AssetsLake Mary, FLConduct complex investigations covering fiat currency in BNY's traditional products and services and digital assets (internal and external to the bank) across multiple blockchains (coins, tokens, tokenized RWA) involving potential money laundering, terrorist financing, fraud, and other financial crimes. Experience working for a financial institution on AML/ KYC/ anti-fraud related projects and/or ACAMS (Association of Certified Anti-Money Laundering Specialists) or CFE (Certified Fraud Examiner) certification and intelligence work in the private or public sector, is preferred.
Clinical Trial Manager - Investigator Initiated Studies HeartFlowClinical Trial Manager - Investigator Initiated StudiesOrlando, FL$90,000–$130,000 / yearHeartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). The flagship product-an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis-provides a color-coded, 3D model of a patient's coronary arteries indicating the impact blockages have on blood flow to the heart.
Senior Field Security Investigator GEICO GENERAL INSURANCE COMPANYSenior Field Security InvestigatorFL$32.05–$49.86 / hourAs a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating sources of information and witnesses. Experience handling in-person or phone statements from various parties in an investigation in a way that builds GEICO's customer base and promotes customer satisfaction through efficient, accurate, and courteous interactions.
NewSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)FL$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Investigator I, Fraud Claim Investigations CardWorksInvestigator I, Fraud Claim InvestigationsOrlando, FloridaA wholly owned subsidiary of CardWorks Financial Group, Merrick Bank serves roughly five million cardmembers and more than 100,000 merchant customers, offering credit cards, recreational loans, deposit accounts, merchant services and bank sponsorships to consumers and businesses. Assesses incoming card fraud cases to determine impact to client and cardholder, prioritizing those cases that have particular monetary or reputational impact, and taking action to ensure those cases are worked accurately, comprehensively, and timely so that no opportunities are missed.
SIU Desk Investigator - Tampa AssuranceAmerica CorporationSIU Desk Investigator - TampaTAMPA, FLA commitment to continuous learning, whether through professional development courses, industry certifications, or networking opportunities, is essential for career growth and staying ahead of industry trends. A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial role in assisting the SIU and claims departments with fraudulent activities related to insurance claims.
SIU Desk Investigator - Miami AssuranceAmerica CorporationSIU Desk Investigator - MiamiMiami, FLA commitment to continuous learning, whether through professional development courses, industry certifications, or networking opportunities, is essential for career growth and staying ahead of industry trends. A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial role in assisting the SIU and claims departments with fraudulent activities related to insurance claims.
Senior Field Security Investigator Geico InsuranceSenior Field Security InvestigatorOrlando, FL$32.05–$49.86 / hourAs a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating sources of information and witnesses. Experience handling in-person or phone statements from various parties in an investigation in a way that builds GEICO's customer base and promotes customer satisfaction through efficient, accurate, and courteous interactions.
SIU Field Investigator - Orlando AssuranceAmerica CorporationSIU Field Investigator - OrlandoOrlando, FLActively affiliates and maintains network of SIU, claims, law enforcement, attorney and related contacts to ensure investigation methods are current and proper operating procedures are utilized. Excellent communication/interpersonal skills and ability to work with all levels within the organization and deal tactfully and diplomatically with public and outside authorities.
Sub-Investigator (APRN) Nova Medical ServicesSub-Investigator (APRN)Miami, FLOverview The Sub-Investigator (APRN) supports the Principal Investigator (PI) in the safe, ethical, and compliant conduct of clinical research studies. Assess, document, and report adverse events (AEs) and serious adverse events (SAEs) in accordance with the protocol and applicable requirements.
Principal Investigator- Internal Medicine Research Centers of AmericaPrincipal Investigator- Internal MedicineHollywood, FLPart timeMedical knowledge and ability to provide clinical information to study teams; Knowledge of medications and general medical conditions; Knowledge and Understanding of GCP/ICH guidelines. Evaluate participants for clinical research trials based on their past medical history in comparison to the protocol specific inclusion and exclusion criteria.
LAW ENFORCEMENT INVESTIGATOR II - 41001296 Government of FloridaLAW ENFORCEMENT INVESTIGATOR II - 41001296MIAMI, FLThis work includes but is not limited to, entering upon the premises of healthcare providers participating in the Medicaid program(excluding physicians) to examine all accounts and records relevant to investigation, subpoena witnesses and materials, making arrests, serving search warrants, collecting of evidence, analyzing evidence, conducting interviews, preparing reports and exhibits to include testimony in courts, and collecting evidence for possible use in either administrative, civil or criminal judicial proceedings. 112.18 while employed with an employing agency, a law enforcement officer, correctional officer, or correctional probation officer must have successfully passed the physical examination required by this subsection upon entering into service as a law enforcement officer, correctional officer, or correctional probation officer with the employing agency, which examination must have failed to reveal any evidence of tuberculosis, heart disease, or hypertension.