Top 23 work from home fraud Jobs in florida

Corporate Ethics & Compliance Investigator
Centene —Florida
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Surveillance Agent
Marshall Investigative Group —Tampa, FL
- $22 - $32 an hour
- Part-time
- Remote
- Microsoft Word
- 11+ years
- Research
Quick Apply
Fraud Operations Analyst (REMOTE)
BankUnited, N. A. —Miami Lakes, FL
- Remote
- Research
- Mid-level
- Travel
Research & Writing Attorney (REMOTE - FL)
DL Group, LLC —Boca Raton, FL
- $80,000 - $100,000 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- Contracts
- Health insurance
- Dental insurance
Quick Apply
1d
Senior Fraud Analyst
Suncoast Credit Union —Tampa, FL
- $75,000 - $117,000 a year
- Full-time
- Remote
- 6 years
- Computer Science
- Finance
- Paid parental leave
- Paid holidays
5d
Senior Fraud and Waste Investigator
Humana —Florida
- $71,100 - $97,800 a year
- 8 hour shift
- Remote
- Microsoft Word
- Computer literacy
- Mid-level
- Paid parental leave
- Paid holidays
7d
Clinical Investigator I (Special Investigation Unit)
Centene —Florida
- $56,200 - $101,000 a year
- Full-time
- Remote
- RN License
- Medical office experience
- Licensed Clinical Social Worker
- Paid holidays
- Health insurance
Surveillance Investigator
SPi Investigations —Orlando, FL
- $24 - $30 an hour
- Weekends as needed
- Remote
- Spanish
- English
- Mid-level
- Opportunities for advancement
- Flexible schedule
Quick Apply
8d
Program Integrity Auditor
CVS Health —Florida
- $46,988 - $122,400 a year
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Health insurance
- Dental insurance
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Florida
- $46,988 - $122,400 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Health insurance
- Dental insurance
Senior Manager, Sales Investigations
Centene —Florida
- $107,700 - $199,300 a year
- Full-time
- Remote
- CPA
- Master's degree
- Fair chance
- Paid holidays
- Health insurance
Bilingual Junior Healthcare Fraud Investigator-Florida Work at Home
The Cigna Group —Florida
- Online Application
- Remote
- Spanish
- Analysis skills
- Conflict management
- Health insurance
Front-End Investigator
Katch —Florida
- Remote
- HIPAA
- Research
- Mid-level
- Wellness program
- Health savings account
Quick Apply
1d
Auditor, Risk Adjustment
Oscar Health —Miami, FL
- $82,717 - $108,566 a year
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
3d
Senior Manager Forensic Accounting
Fiske, a Springline company —Plantation, FL
- Remote
- Microsoft Excel
- 6 years
- CPA
Quick Apply
Senior Manager, Payments and Fraud
Stellar IT Solutions LLC —Miami, FL
- $65 - $75 a year
- Contract
- Remote
- Microsoft Excel
- 5 years
- Finance
Quick Apply
Construction Compliance & Investigations Attorney/PM
Consilio Services —United States
- From $110 an hour
- Part-time
- Remote
- 5 years
- Analysis skills
- Senior level
Quick Apply

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Corporate Ethics & Compliance Investigator
Centene —Florida
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time…
$107,700 - $199,300 a year
Fraud Operations Analyst (REMOTE)
BankUnited, N. A. —Miami Lakes, FL
Adheres to and complies with applicable, federal and state laws, regulations and guidance, including those related to anti-money laundering (i.e. Bank Secrecy…

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Senior Investigator - Remote in Ohio
UnitedHealthcare —Columbus, OH
Access to reliable transportation & valid US driver's license. Responsible to conduct investigations which may include field work to perform interviews and…
$60,200 - $107,400 a year
Surveillance Manager - Remote (Eastern or Central Time Zones)
Marshall Investigative Group —Columbus, OH
Valid driver’s license and clean driving record. Valid Private Investigator license (or eligibility to obtain based on state regulations).
$60,000 - $80,000 a year
Quick Apply
1d

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Corporate Ethics & Compliance Investigator

Centene -
Florida

Apply Now

Job Details

Full-time
$107,700 - $199,300 a year

Benefits

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

Qualifications

Investigations regulatory compliance
State healthcare regulations

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.

Position Purpose: Responsible for leading and managing the most complex, sensitive, and high-impact internal investigations across the organization. Serves as a strategic advisor and subject matter expert on investigative best practices, regulatory compliance, and risk mitigation. Requires exceptional judgment, discretion, and the ability to influence senior leadership decisions while ensuring adherence to federal and state regulations, internal policies, and ethical standards.

Consults with management, in-house counsel, and/or the Director of Corporate Compliance as needed to resolve difficult, highly sensitive or complex compliance issues.
Independently evaluates and assesses allegations to determine whether domestic laws, regulatory policies, or internal policies, procedures, and standards have been violated.
Plans, scopes, and conducts complex, confidential internal investigations from inception to conclusion. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Conducts, manages, and documents interviews with witnesses, as required for investigatory purposes.
Reviews investigation reports prepared by junior investigators.
Identifies risks, interprets investigation results, and recommends and communicates remedial actions to mitigate future potential risks.
Performs follow up to ensure remedial / disciplinary measures are implemented appropriately and timely.
Plans, develops, leads, and manages multiple projects, including prioritizing and managing through execution.
Maintains meticulous case files and chronologies in accordance with best practices.
Thoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented.
Prepares clear and concise draft investigation plans and reports.
Provides support and guidance to junior investigation staff as applicable.
Attends, actively participates in, and/or leads meetings with various business area managers.
Communicates directly with Federal or State regulators.
Supports the development and maintenance of Corporate Compliance policies and procedures and workflows.
Participates in and leads special projects (e.g., auditing, training, and HIPAA compliance).
Provides support of and guidance to other associates.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience: Bachelor's Degree Criminal Justice/Criminology, Law, Healthcare Administration/Health Policy, or related field, equivalent experience required. Juris Doctorate highly preferred. 7+ years progressive experience in conducting and managing complex investigations or auditing and risk analysis required. 7+ years experience reading, analyzing and interpreting State and Federal laws, rules and regulations required. Prosecutorial experience preferred. Previous experience as an investigator within a large corporation or Federal Agency preferred.

Licenses/Certifications:
Certified Fraud Investigator preferred

Pay Range: $107,700.00 - $199,300.00 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

work from home fraud jobs in florida

Corporate Ethics & Compliance Investigator

Surveillance Agent

Fraud Operations Analyst (REMOTE)

Research & Writing Attorney (REMOTE - FL)

Senior Fraud Analyst

Senior Fraud and Waste Investigator

Clinical Investigator I (Special Investigation Unit)

Surveillance Investigator

Program Integrity Auditor

Senior Investigator, Special Investigations Unit (Aetna SIU)

Senior Manager, Sales Investigations

Bilingual Junior Healthcare Fraud Investigator-Florida Work at Home

Front-End Investigator

Auditor, Risk Adjustment

Senior Manager Forensic Accounting

Senior Manager, Payments and Fraud

Construction Compliance & Investigations Attorney/PM

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