Top 15 Criminal justice online 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
Corporate Ethics & Compliance Investigator
Centene —Florida
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Nurse Reviewer - Medicaid
Peraton —Macdill AFB, FL
- $66,000 - $106,000 a year
- Remote
- Nursing
- RN License
- Physical & Rehabilitation Medicine
- Health savings account
- Paid holidays
1d
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
Auditor/Investigator II
Qlarant —Florida
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Surveillance Investigator
SPi Investigations —Miami, FL
- $24 - $30 an hour
- Part-time
- Remote
- Spanish
- English
- Mid-level
- Opportunities for advancement
- Flexible schedule
Quick Apply
14d
Project Associate, Cyber Breach
Contact Discovery Services LLC —Miami, FL
- $70,000 - $110,000 a year
- Extended hours
- Remote
- Heavy lifting
- Customer service
- Data analysis skills
Quick Apply
Senior Fire Investigator, IAAI-CFI
EFI Global, Inc. —Miami, FL
- 4 hour shift
- Remote
- Ability to walk for extended periods
- 5 years
- Computer literacy
4d
Sales Executive - Financial Crimes Solutions
Jack Henry & Associates —United States
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
12d

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Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Florida
Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations for fraud and abuse.
$46,988 - $112,200 a year
Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida
CVS Health —Plantation, FL
The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse,…
$46,988 - $102,000 a year
13d

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Sales Executive - Financial Crimes Solutions
Jack Henry & Associates —United States
Jack Henry is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring,…
12d

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criminal justice online 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

criminal justice online jobs in florida

SIU Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

Corporate Ethics & Compliance Investigator

Nurse Reviewer - Medicaid

Manager, Sales Investigations

Auditor/Investigator II

Surveillance Investigator

Project Associate, Cyber Breach

Senior Fire Investigator, IAAI-CFI

Sales Executive - Financial Crimes Solutions

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