Top 2726 Senior case Jobs in Florida

Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Florida
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
VA ASSOCIATE ADVOCATE
Advocacy Solutions —Fort Lauderdale, FL
- $62,943.75 - $104,906.25 a year
- Full-time
- Remote
- Management
- Customer service
- Computer literacy
- Paid holidays
- Disability insurance
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
Senior Compliance Administrator, Medicare Claims & Payment Integrity
Centene —Florida
- $87,700 - $157,800 a year
- Full-time
- Remote
- Master's degree
- Presentation skills
- Bachelor's degree
- 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
Sr Manager, Aircraft Certification & ODA Administrator
Piper Aircraft, Inc. —Vero Beach, FL
- Overtime
- Microsoft Excel
- OSHA
- Ability to walk for extended periods
Quick Apply
Attorney- Real Estate Law
Klauber Goldman, P.A. —Plantation, FL
- $135,000 - $185,000 a year
- Full-time
- Analysis skills
- US work authorization
- In-person
- Health insurance
- Dental insurance
Quick Apply
Senior Attorney - Family Law
Blood Law PLLC —Naples, FL
- $125,000 - $170,000 a year
- Full-time
- Mid-level
- Mentoring
- In-person
- Health insurance
- Dental insurance
Quick Apply
Workers' Compensation Attorney
Baker & DiSalvo, P.A. —Boca Raton, FL
- From $80,000 a year
- Full-time
- Spanish
- Writing skills
- Office
- Profit sharing
- Paid holidays
Quick Apply
Medical Case Mgr-Seasonal
Broadspire Services, Inc. —Tallahassee, FL
- Part-time
- Nursing
- RN License
- Experience working with individuals with disabilities
- Paid parental leave
- Health savings account
Quick Apply
Senior Litigation Attorney
Ghidotti Berger —North Miami, FL
- $185,092 - $250,000 a year
- Full-time
- Hybrid work
- 5 years
- Writing skills
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Nurse Manager Emergency Services
HCA Florida Gulf Coast Hospital —Panama City, FL
- Full-time
- Senior level
- Leadership
- Employee stock purchase plan
- Disability insurance
Quick Apply
Removal Defense Associate Attorney
GF Immigration Law Pa —Miami, FL
- $100,000 - $120,000 a year
- Weekends as needed
- Background check
- Spanish
- Management
- Disability insurance
- Health insurance
Quick Apply
Specialist - Product Engineering
LTM —Tampa, FL
- $90,032 - $134,200 a year
- 5 years
- Java
- SQL
- Paid parental leave
- Paid holidays
Quick Apply
Associate Attorney
Zoecklein Law —Tampa, FL
- $75,000 - $105,000 a year
- Full-time
- Doctoral degree
- Writing skills
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
8h
Home Care Marketing Representative – Florida
Successful Aging Care net of florida —West Palm Beach, FL
- $50,181.08 - $60,433.13 a year
- Part-time
- Microsoft Excel
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
Case Manager
NASSAU COUNTY COUNCIL ON AGING —Hilliard, FL
- $38,000 - $40,000 a year
- Urgently hiring
- Microsoft Word
- Background check
- Nursing
- Mileage reimbursement
- Dental insurance
Quick Apply
6d
Lead Network Engineer
Volusia County School District —DeLand, FL
- $75,993 - $87,353 a year
- Online Application
- Hybrid work
- Background check
- School experience
- 5 years
- Health insurance
- Dental insurance
9d
Sr. Manager, Warehouse Management and Automation Lead
Healthtech Benefits Solutions —Daytona Beach, FL
- $90,000 - $145,000 a year
- Full-time
- Hybrid work
- 6 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Paid time off
Quick Apply
Associate Attorney – Family, Criminal, & Probate Law
Aaron Delgado & Associates —Daytona Beach, FL
- Full-time
- Writing skills
- Mid-level
- Analysis skills
- Health insurance
- Paid time off
Quick Apply

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senior case jobs near florida

Senior Investigator, Special Investigations Unit (Aetna SIU)

CVS Health -
Florida

Apply Now

Job Details

Full-time
$46,988 - $112,200 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Healthcare financial misconduct investigations
Customer communication
Spreadsheets
Research
Suspicious activity investigations
HCPCS
Insurance investigations
Productivity software

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that are complex cases involving or cases involving multiple perpetrators or intricate healthcare fraud schemes.

Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business
Researches and prepares cases for clinical and legal review
Documents all appropriate case activity in case tracking system
Facilitates feedback with providers related to clinical findings
Initiates proactive data mining to identify aberrant billing patterns
Makes referrals, both internal and external, in the required timeframe
Facilitates the recovery of company and customer money lost as a result of fraud matters
Provides on the job training to new Investigators and provides guidance for less experienced or skilled Investigators.
Assists Investigators in identifying resources and best course of action on investigations
Serves as back up to the Team Leader as necessary
Cooperates with federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters.
Demonstrates high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal proceedings
Gives presentations to internal and external customers regarding healthcare fraud matters and Aetna's approach to fighting fraud
Provides input regarding controls for monitoring fraud related issues within the business units

Required Qualifications

3+ years investigative experience in the area of healthcare fraud and abuse matters.

Working knowledge of medical coding; CPT, HCPCS, ICD10
Experience with Microsoft Office with advanced skills in Excel (must know how to do pivot tables).
Ability to travel up to 10% (approx. 2-3x per year, depending on business needs)

Preferred Qualifications

Previous Medicaid/Medicare investigatory experience
Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations for fraud and abuse.
Credentials such as certification from the Association of Certified Fraud Examiners (CFE), or an accreditation from the National Health Care Anti-Fraud Association (AHFI)
Knowledge of Aetna's policies and procedures.
Knowledge and understanding of complex clinical issues.
Competent with legal theories.
Strong communication and customer service skills.
Ability to effectively interact with different groups of people at different levels in any situation.
Strong analytical and research skills.
Proficient in researching information and identifying information resources.
Strong verbal and written communication skills.

Education:

Bachelor's degree or equivalent experience (3+ years of working health care fraud, waste and abuse investigations).

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/01/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

senior case jobs in florida

Senior Investigator, Special Investigations Unit (Aetna SIU)

VA ASSOCIATE ADVOCATE

Senior Compliance Investigator

Senior Compliance Administrator, Medicare Claims & Payment Integrity

Corporate Ethics & Compliance Investigator

Sr Manager, Aircraft Certification & ODA Administrator

Attorney- Real Estate Law

Senior Attorney - Family Law

Workers' Compensation Attorney

Medical Case Mgr-Seasonal

Senior Litigation Attorney

Nurse Manager Emergency Services

Removal Defense Associate Attorney

Specialist - Product Engineering

Associate Attorney

Home Care Marketing Representative – Florida

Case Manager

Lead Network Engineer

Sr. Manager, Warehouse Management and Automation Lead

Associate Attorney – Family, Criminal, & Probate Law

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