Medicaid Investigations Specialist
Florida
The Agency for Health Care Administration seeks an Inspector Specialist to conduct investigations into fraud, abuse, and waste within the Florida Medicaid program. You will perform on-site visits, prepare investigative reports, and collaborate with multiple units to enforce compliance with state and federal rules. Strong analytical and communication skills are required, along with the ability to handle sensitive information and work in a fast-paced environment. #J-18808-Ljbffr Florida
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Medicaid Investigations Specialist in Miami, FL vacancy
$90.58k - $114.59k
Position InformationNY HELPS: No55-b/c Eligible: NoAgency: Medicaid Inspector General, NYS Office of the Title: Investigative Specialist 2 MedicaidOccupational Category: No PreferenceSalary Grade: 23Bargaining Unit: PS&T - Professional, Scientific, and Technical (PEF)Salary...SuggestedPermanent employmentFull timeWork experience placementInternshipWork at officeRemote workVisa sponsorshipState of New York, USA
Miami, FL5 days ago- HCA Florida Kendall Hospital is seeking a Medicaid Eligibility Advisor to screen and evaluate patients for insurance coverage and government assistance programs. The role supports eligibility determinations, re-verifications, and required documentation, with a hybrid schedule...SuggestedMonday to Friday
- ...Wire Investigation & Processing Specialist The Wire Investigation & Processing Specialist is responsible for daily wire transactions and complex wire investigations. This position ensures that all incoming, outgoing, and internal wires are processed with urgency, accuracy...SuggestedPermanent employmentFull timeTemporary workWork at officeLocal area
- A healthcare technology provider is seeking a Bilingual Medicaid Eligibility Specialist based in Miami, FL. In this role, you will work onsite at Jackson North Medical Center to assist patients with Medicaid eligibility and benefits application processes. Candidates must...SuggestedFull time
- Overview Bilingual Medicaid Eligibility Specialist, Onsite Jackson North Medical Center Join to apply for the Bilingual Medicaid Eligibility Specialist, Onsite Jackson North Medical Center role at Centauri Health Solutions, Inc. Centauri Health Solutions provides technology...SuggestedFull timeWork at officeLocal areaNight shiftWeekend work
- ...ELIGIBILITY SPECIALIST I - 60055865 Date: Oct 5, 2026 The State Personnel System is... ...determine eligibility for Food Assistance, Medicaid, and Cash Assistance. Learning... ...customer service, interviewing, recruiting, investigating, accounting, processing insurance...Work at officeLocal areaRemote workFlexible hours
My Florida Corp Defunct
Miami, FL6 hours ago - eCOB Specialist I Location: This role enables associates to work virtually full-time, except... ...I is responsible for researching and investigating other coverage for all of the company's... ...groups, providers, attorneys, CMS and Medicaid and report to identify members who are...Full timeTemporary workWork at officeLocal area1 day per week
- Elevance Health is seeking an eCOB Specialist I in Florida to research and investigate other coverages for all company groups and members, performing end-to... ...communicate effectively with carriers, members, providers, attorneys, CMS, and Medicaid. #J-18808-Ljbffr Elevance Health
- ...ELIGIBILITY SPECIALIST I - 60055865 Families in need and in crisis require time sensitive... ...eligibility for Food Assistance, Medicaid, and Cash Assistance. Learning numerous... ...customer service, interviewing, recruiting, investigating, accounting, processing insurance...Flexible hours
$1,833.39 per month
...Administration Working Title: 68063482 - INSPECTOR SPECIALIST The Agency for Health Care... ...for administering the Florida Medicaid program, the licensure and regulation of... ...understanding about legal proceedings and investigations related to health care fraud and abuse....Full timeWork at officeLocal areaMonday to FridayWeekend work$15 per hour
...insurance Health insurance Paid time off Profit sharing Vision insurance Job Description KENTECH is seeking a Social Media Investigations Investigative Analyst who is detail-driven, internet-savvy, and confident managing investigative work with limited oversight....Hourly payPermanent employmentFull timeRemote workFlexible hoursShift work- ICONMA is seeking a Case Management Coordinator for our client, a Retail Pharmacy in the Miami area, to coordinate Medicaid Long Term Care/Comprehensive Program enrollees' care. The role requires 1 year of case management experience, bilingual Spanish/English, and proficiency...Work at office
- ...is this where you’re meant to be? As a Safety Coordinator/Specialist, you will play a vital role in partnering with the VP of... ...documentation, and training to employees. Conduct incident investigations and recommend corrective actions. Prepare written communications...Full timeWork at office
GreenArrow
Miami, FL3 days ago - ...timelines are being met for QC and query resolution Assists with retrospective review of clinical data, e.g. in quality deviation investigations, upcoming audits, etc. Assists with activities to support validation of clinical systems Acts as a recorder for clinical...Work at office
Quotient Sciences
Miami, FL4 days ago - United Automobile Insurance Company is seeking an SIU Supervisor in South Florida to lead the Special Investigations Unit, oversee investigators, and drive performance and compliance. The role emphasizes operational leadership, quality assurance, and proactive fraud detection...
- ...faculty or staff position, please review this tip sheet.The EHS Specialist 1 assists in maintaining organizational compliance with all... ...on scheduled intervals or more frequent as deemed necessary. Investigates accidents occurring on University campuses, and assists with...Full timeTemporary workWork at office
University of Miami
Miami, FL5 days ago - ...to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal...Full timeLive inWork at officeLocal area
Accenture
Miami, FL3 days ago - ...procedures.Responsible for guiding complaint resolution to ensure that proper and satisfactory closure are obtained for customers. Investigate and bring to resolution disputes.Place purchase orders for products from internal, external and overseas supplies on a needs...Work at officeLocal areaOverseas
Watsco
Miami, FL1 day ago - ...Compliance Associate to support the Transaction Monitoring Manager across divisions. The role involves monitoring alerts, performing investigations, and drafting SARs to help protect the firm from financial crime. You will work with front office, onboarding, operations, and...
- ...OVERVIEW We are currently seeking an HSE Specialist for our Miami Signature Bridge, in Miami, FL. The HSE Specialist coordinates... ...involving injuries or property damages. Conducts accident investigations and completes incident reporting for Project Management...Work experience placementFor subcontractor
The Walsh Group
Miami, FL3 days ago $29 - $40 per hour
...Banking Specialist Sr The Banking Specialist Senior promotes the organization's banking services, recognizes sales opportunities,... ...response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation...For contractorsWork experience placementEverBank
Coral Gables, FL4 days ago$136.24k
...convictions related to its responsibilities and requirements, employment will be contingent upon successful completion of a background investigation including criminal history. Criminal history will not automatically disqualify a candidate. In addition, during employment...Contract workWork experience placementFor subcontractorH1bCDM Smith
Miami, FL18 hours ago- ...Safety Specialist The Safety Specialist enforces safety policies and procedures in order to establish and promote a safety culture... ...Attend scheduled meetings to ensure safety presence Manage and investigate all near misses, incidents, and injuries in coordination with...Work at office
Ozinga
Miami, FL3 days ago - ...maintain daily work queues. Supervise incoming AP email inbox and mail Handle all vendor correspondence via phone or email Investigate and resolve problems associated with the AP processing and vendors/subcontractor issues Perform other duties as required to...For subcontractorFlexible hours
8x8
Miami, FL4 days ago - ...Job Title Job Summary: Assists in the investigation of cases of fraud involving use of electronic/cyber systems, debit and credit cards, new accounts, account abuse, check forgery, elder abuse, check kiting, identity theft and the like. Analyzes various reports to...
Educational Federal Credit Union
Miami, FL18 hours ago - ...HOPWA Housing Specialist Essential Job Responsibilities Coordinates with the City of Miami. Responsible for upholding policies as outlined... ...moving-in/out when authorization from City is received. Investigates alleged incidents of program rule violations and/or abuse by...Work at officeLocal area
Care Resource Community Health Centers, Inc.
Miami, FL3 days ago - ...timelines are being met for QC and query resolution Assists with retrospective review of clinical data, e.g. in quality deviation investigations, upcoming audits, etc. Assists with activities to support validation of clinical systems Acts as a recorder for clinical...Work at officeLocal area
Quotient Sciences Limited
Miami, FL18 hours ago - Department of Children and Families in Miami is seeking a Child Protective Investigator Supervisor - SES. The role leads and mentors investigators and support staff, ensuring effective supervision, training, and performance evaluation to protect children. Current duties...
- Lead, coach, and develop a team of BSA/AML investigators, establishing performance expectations and providing ongoing feedback and guidance. Oversee investigations involving transaction monitoring alerts, suspicious activity referrals, escalations, and other financial crime...
- ...practice of sound financial management in program development and operations, and in the stewardship of public resources. As an Investigative Analyst, you will: Serve as the leader of HUD's CFO Strike Force initiatives, the incumbent focuses on identifying and mitigating...Full timeTemporary workPart timeWork experience placementWork at office
U.S. Department of Housing and Urban Development
Miami, FL3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicaid Investigations Specialist. Be the first to apply!
Related searches
- sewing specialist Miami, FL
- graduation specialist Miami, FL
- technology integration specialist Miami, FL
- vulnerability management specialist Miami, FL
- evaluation specialist Miami, FL
- escalation specialist Miami, FL
- educational technology specialist Miami, FL
- policy specialist Miami, FL
- transition specialist Miami, FL
- performance improvement specialist Miami, FL