Top 58 Investigator remote Jobs in Florida

SIU Investigator
Centene —Florida
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Corporate Ethics & Compliance Investigator
Centene —Florida
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Manager, Special Investigations Unit – Healthcare Fraud
CVS Health —Florida
- $54,300 - $159,120 a year
- Full-time
- Remote
- Management
- Finance
- Analysis skills
- Health insurance
- Dental insurance
4d
Auditor/Investigator II
Qlarant —Florida
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Senior Compliance Investigator
Centene —Florida
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
Regulatory Analyst - Remote
University of Miami —Miami, FL
- Full-time
- Remote
- Databases
- Bachelor's degree
- Continuous improvement
- Health insurance
- Dental insurance
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Florida
- $46,988 - $112,200 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Florida
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
13d
Regulatory Analyst 1 - Remote
University of Miami —Miami, FL
- Full-time
- Remote
- Word processing
- Writing skills
- HIPAA
- Health insurance
- Dental insurance
Ethics and Compliance Specialist (Investigations and Audit)
Chromalloy —Palm Beach Gardens, FL
- $79,200 - $103,950 a year
- Overtime
- Remote
- Up to 50% travel
- 5 years
- Pass drug screening
- Wellness program
- Paid holidays
Quick Apply
Manager, Sales Investigations
Centene —Florida
- $87,700 - $157,800 a year
- Full-time
- Remote
- High school diploma or GED
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Regulatory Analyst 1
University of Miami —Miami, FL
- Full-time
- Remote
- HIPAA
- Bachelor's degree
- Organizational skills
- Health insurance
- Dental insurance
SPONSORED RESEARCH ADMIN III
Moffitt Cancer Center —Tampa, FL
- Full-time
- Remote
- 6 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Bilingual Junior Healthcare Fraud Investigator-Miami Work at Home
The Cigna Group —Miami, FL
- Online Application
- Remote
- Spanish
- Analysis skills
- Conflict management
4d
Clinical Research Associate (CRA) - Cardiovascular (Remote)
Merck —Miami, FL
- $96,200 - $151,400 a year
- Full-time
- Remote
- Spanish
- English
- Mid-level
- Paid holidays
- Health insurance
Senior Medical Science Liaison (Southeast Remote)
Thermo Fisher Scientific —Florida
- $110,000 - $160,000 a year
- Full-time
- Remote
- Doctor of Philosophy
- Travel
- Training & development
- Commuter assistance
- Paid parental leave
Clinical Research Associate II / Sr. CRA (MDD Experience), Florida
Rho Inc —Florida
- $100,000 - $145,000 a year
- Full-time
- Remote
- Nursing
- Computer literacy
- Bachelor of Science
- Health savings account
- Paid holidays
Quick Apply
6d
Private Investigator (Insurance Fraud) C license REQUIRED
All American Investigations, LLC —Florida
- $25 - $35 an hour
- Part-time
- Remote
- Background check
- Writing skills
- Mid-level
Quick Apply
1d
Warranty Claims Investigator
Amrize —Florida
- Full-time
- Remote
- 6 years
- Mid-level
- Project management
- Travel reimbursement
- Paid parental leave
10d
Clinical Research Regulatory Coordinator (Brandon, Florida)
Cardiovascular Associates of America —Brandon, FL
- Full-time
- Remote
- Mid-level
- Continuous improvement
- Associate's degree
Quick Apply

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investigator remote jobs near florida

SIU Investigator

Centene -
Florida

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Job Details

Full-time
$56,200 - $101,000 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Healthcare financial misconduct investigations
Data mining
Health data analysis
Bachelor's degree in business
Mid-level
Suspicious activity investigations
Data summary reports
Criminal Justice
Audit Reporting
Investigative data analysis
Insurance investigation report preparation
Outlier detection
Healthcare billing investigations
Case referral
1 year
Insurance claims auditing
Business
Healthcare claims compliance audits
Bachelor's degree in criminal justice

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Please note: candidates who reside in Florida are highly preferred.

Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.

Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party
Perform data mining and analysis to detect aberrancies and outliers in claims
Develop new queries and reports to detect potential waste, abuse, and fraud
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
Assist with complex allegations of healthcare fraud
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
Complete various special projects and audits
Performs other duties as assigned
Complies with all policies and standards

Education/Experience:

Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required
1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation required

Pay Range: $56,200.00 - $101,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

investigator remote jobs in florida

SIU Investigator

Corporate Ethics & Compliance Investigator

Manager, Special Investigations Unit – Healthcare Fraud

Auditor/Investigator II

Senior Compliance Investigator

Regulatory Analyst - Remote

Senior Investigator, Special Investigations Unit (Aetna SIU)

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Regulatory Analyst 1 - Remote

Ethics and Compliance Specialist (Investigations and Audit)

Manager, Sales Investigations

Regulatory Analyst 1

SPONSORED RESEARCH ADMIN III

Bilingual Junior Healthcare Fraud Investigator-Miami Work at Home

Clinical Research Associate (CRA) - Cardiovascular (Remote)

Senior Medical Science Liaison (Southeast Remote)

Clinical Research Associate II / Sr. CRA (MDD Experience), Florida

Private Investigator (Insurance Fraud) C license REQUIRED

Warranty Claims Investigator

Clinical Research Regulatory Coordinator (Brandon, Florida)

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