Top 178 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
13d
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
Senior Field Security Investigator
GEICO —Orlando, FL
- $32.05 - $49.86 an hour
- Full-time
- 5 years
- Senior level
- Associate's degree
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
Special Agent
National Insurance Crime Bureau —Ocala, FL
- $66,750 a year
- Full-time
- Mid-level
- 3 years
- Driver's License
- 401(k)
- Paid time off
Quick Apply
Senior Financial Investigator
Contact Government Services, LLC —Miami, FL
- $74,156.16 - $107,114.45 a year
- Full-time
- Hybrid work
- Mid-level
- Driver's License
- Presentation skills
- Health insurance
- Dental insurance
Quick Apply
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
Entry-Level Investigator
Ethos Risk Services —Palm Bay, FL
- $20 - $26 an hour
- Weekends as needed
- Computer literacy
- Writing skills
- No experience needed
- Paid training
- Mileage reimbursement
Quick Apply
4d
Special Investigation Unit Manager
South Florida Community Care Network LLC —Sunrise, FL
- $90,000 - $100,000 a year
- Full-time
- Hybrid work
- Background check
- 5 years
- Research
Quick Apply
12d
Auditor/Investigator II
Qlarant —Florida
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Expense Fraud Analyst
Deloitte —Jacksonville, FL
- $63,000 - $105,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Finance
4d
SIU Investigator - Miami, FL
Delta Group —Miami, FL
- $30 - $40 an hour
- Per diem
- Microsoft Outlook
- Organizational skills
- Senior level
Quick Apply
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
As Needed Field Investigator- Bradenton, FL
J T Becker & Co Inc —Bradenton, FL
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
Seeking Sharp Minds: Investigator | Miami, FL & Surrounding Areas | Must Have Class C – Private Investigator License
Alliance Risk Group —Miami, FL
- $25 - $30 an hour
- Part-time
- Mid-level
- Office
- Analysis skills
Quick Apply
Field Claim Investigator - FL
RC Services, LLC —Lake Worth, FL
- $20 - $40 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Computer literacy

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SIU Investigator

Centene -
Florida

Apply Now

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

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

Senior Field Security Investigator

Investigator, Special Investigations Unit (Aetna SIU)

Special Agent

Senior Financial Investigator

Surveillance Investigator II - Experienced

Risk Manager

Entry-Level Investigator

Special Investigation Unit Manager

Auditor/Investigator II

Expense Fraud Analyst

SIU Investigator - Miami, FL

Fraud Investigator I

SIU Investigator

As Needed Field Investigator- Bradenton, FL

Seeking Sharp Minds: Investigator | Miami, FL & Surrounding Areas | Must Have Class C – Private Investigator License

Field Claim Investigator - FL

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