Top 181 Siu 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
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
SIU Field Investigator - Brevard County, FL
GEICO —Melbourne, FL
- $32.05 - $49.86 an hour
- Full-time
- 5 years
- Mid-level
- Associate's degree
12d
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Tallahassee, FL
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Surveillance Agent
Marshall Investigative Group —Fort Lauderdale, FL
- $22 - $32 an hour
- Part-time
- Remote
- Microsoft Word
- 11+ years
- Research
Quick Apply
14d
Senior Field Security Investigator
GEICO —Orlando, FL
- $32.05 - $49.86 an hour
- Full-time
- 5 years
- Senior level
- Associate's degree
SIU Desk Investigator - Miami
AssuranceAmerica —Florida
- Full-time
- Customer service
- Mid-level
- Office
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
Fraud Investigator I
Space Coast Credit Union —Miramar, FL
- $28.13 - $29.79 an hour
- Hybrid work
- Pass drug screening
- Mid-level
- Office
- Health savings account
- Disability insurance
Quick Apply
14d
SIU Investigator
Loyalty MGA LLC —Casselberry, FL
- $45,000 - $65,000 a year
- Spanish
- English
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
6d
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
Surveillance Investigator II - Experienced
Command Investigations, LLC —Pensacola, FL
- $25 - $30 an hour
- 8 hour shift
- Microsoft Word
- Background check
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
Risk Manager
Robert Half —Sunrise, FL
- $43.70 - $50.60 an hour
- Temporary
- Mid-level
- Analysis skills
- US work authorization
- Disability insurance
- Dental insurance
Quick Apply
12d
SIU Investigator - Tampa Bay
Allied Universal® Compliance and Investigations —Tampa, FL
- Weekends as needed
- Military
- Computer literacy
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
9d
Auditor/Investigator II
Qlarant —Florida
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
SIU Investigator - Miami, FL
Delta Group —Miami, FL
- $30 - $40 an hour
- Per diem
- Microsoft Outlook
- Organizational skills
- Senior level
Quick Apply
SIU Desk Investigator - Tampa
AssuranceAmerica —Tampa, FL
- Full-time
- Customer service
- Mid-level
- Office
Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida
CVS Health —Plantation, FL
- $46,988 - $102,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
12d
Surveillance Agent - Part-time or Full-time
MARSHALL INVESTIGATIVE GROUP LLC —Daytona Beach, FL
- $22 - $32 a year
- Part-time
- Remote
- Microsoft Word
- 11+ years
- Research
Quick Apply
22h
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
7d

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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

siu jobs in florida

SIU Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

SIU Field Investigator - Brevard County, FL

Investigator, Special Investigations Unit (Aetna SIU)

Surveillance Agent

Senior Field Security Investigator

SIU Desk Investigator - Miami

Senior Compliance Investigator

Fraud Investigator I

SIU Investigator

Manager, Sales Investigations

Surveillance Investigator II - Experienced

Risk Manager

SIU Investigator - Tampa Bay

Auditor/Investigator II

SIU Investigator - Miami, FL

SIU Desk Investigator - Tampa

Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida

Surveillance Agent - Part-time or Full-time

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

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