Healthcare Fraud Investigator I (Hybrid)
Elevance Health
Elevance Health is seeking an Investigator I to analyze cases and investigate fraudulent activities. The ideal candidate should have at least 2 years' experience in healthcare insurance or a related field. This hybrid role involves in-office attendance 1-2 days a week, promoting collaboration and flexibility. The position includes reviewing investigative leads, conducting claims analysis, and drafting findings reports. #J-18808-Ljbffr Elevance Health
- Univista Holdings is searching for a SIU Investigator in Miami, FL. The role involves investigating potential fraudulent claims and offers a hybrid work schedule after the probation period. The ideal candidate will possess strong investigative skills, a high school diploma...SuggestedTrial period
- A government services provider is seeking a Healthcare Fraud Investigator to provide legal support for government projects. The role involves data analysis, reviewing financial records, and preparing case referrals for fraud investigation. Candidates should have a relevant...SuggestedFull timeWork at office
- Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete...SuggestedFull timeWork experience placementWork at officeLocal area
$21.82 - $42.55 per hour
Molina Healthcare is looking for a skilled individual to provide investigative support for the special investigation unit (SIU) focused on medical provider coding fraud, waste, and abuse. The suitable candidate will need to independently evaluate medical claims and maintain...SuggestedHourly pay- A housing consulting firm in Miami is looking for a Program Compliance & Fraud Specialist to ensure compliance with HUD regulations and investigate fraud within affordable housing programs. Responsibilities include conducting audits, analyzing data, and preparing findings...Suggested
- ...Claims Audits. Requirements High School diploma or equivalent. 3 years' work experience in claims operations environment in the healthcare insurance processing Medicare. Hands-on working experience processing medical claims in insurance industry. Knowledge of Medicare...Contract workWork experience placementFlexible hours
- A top accounting firm is looking for experienced accounting professionals specializing in litigation consulting to join their forensic advisory team. Ideal candidates will have at least 3 years of experience in public accounting, a Master's degree preferred, and must possess...Work experience placement
$25k
FRAUD INVESTIGATOR / ANALYST III - 79001459 The Division of Florida Condominiums, Timeshares and Mobile Homes within the Department of Business and Professional Regulation licenses and regulates businesses and professionals related to condominium associations. Responsibilities...Work at office- Fraud Analyst Job Category: Operations Requisition Number: FRAUD001815 Posted: March 6, 2026 Full-Time On-site Kendall Description... ...The Enterprise Fraud Analyst is responsible for identifying, investigating, and mitigating fraud risks across Educational Federal Credit...Full timeWork at office
- The State of Florida is seeking a Fraud Investigator / Analyst III to join the Division of Florida Condominiums. This role focuses on assessing alleged violations, gathering financial documentation, and preparing detailed reports. Ideal candidates will possess a Bachelor...
- Why We Stand Out Seeking a new challenge where your professional and personal aspirations are not only possible but supported ? Kaufman Rossin might be just the place for you! As one of the top accounting firms in the country, our foundation is “people first.” In the words...Work experience placement
$200k - $400k
Nurp LLC. in Miami is seeking a senior AI/ML quantitative researcher to enhance trading strategies and decision-making capabilities. This role involves applying advanced machine learning to quantitative strategies, with a competitive salary of $200,000 to $400,000 plus ...$85k - $105k
J.S. Held LLC is seeking a Senior Consultant to support forensic accounting engagements in family law and matrimonial matters. The role involves analyzing financial information, preparing reports, and supporting litigation phases in a fully remote environment. The ideal...Remote job- Florida Dental As is seeking an Investigator for the ICE Health Service Corps (IHSC) based in Miami, Florida. This role involves conducting... ...and a minimum of five years of relevant experience in healthcare and detention settings. The position offers a full federal benefits...
- Kaufman Rossin in Miami is seeking experienced accounting professionals specializing in litigation consulting to join their forensic advisory team. The role requires a minimum of 3 years in public accounting, a Master's degree in accounting is preferred, and CPA licensure...Work experience placement
- ...private &public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial... ...improvement. Job Summary: Tryfacta is seeking a Forensic Investigator for our client in Miami, FL 33136 . This is a temporary contract...Temporary workWork at officeFlexible hoursWeekday work
- ...Engineer – Industrial/Manufacturing Expert , you will: Investigate incidents involving equipment, safety products/procedures,... ...Gardens, FL, Atlanta, GA, Las Vegas, NV, Dublin, OH, Lancaster, PA (hybrid) REQUIREMENTS : Licensure : Active Professional...
$22 per hour
OPS MEDICAL DISABILITY EXAMINER - 64858446 Location: MIAMI / DADE COUNTY Salary: $22.00 per hour Position #: 64858446 Entry‑level professional position responsible for researching, developing, compiling, analyzing, and rendering independent decisions on Social Security...Hourly payExtra incomeWork experience placement$50k - $70k
EXL Insurance is hiring an Experienced Premium Insurance Field Auditor based in Miami, FL. This remote position involves conducting insurance audits for various policies while meeting clients. The ideal candidate will have at least 2 years of experience and reliable transport...Remote jobWork at officeWork from home- ...position in which the incumbent’s responsibilities include performing physical and remote audits of insured’s business. Interviews, investigates, collects, and records information to be used in a written report that is provided to the insurance carrier. Compensation Pay...Hourly payWork at officeRemote workWork from homeWorldwide
$50k - $70k
Experienced Premium insurance Field Auditor Be the First to Apply Job Info Job Identification 15051 Posting Date 06/02/2026, 03:51 PM Job Role Back Office-Premium Audit Support Experience (In Years) 0-3 Job Location Miami, FL Job Description About the EXL Insurance...Hourly payWork from homeWorldwideHome office$33.5 - $38.5 per hour
ReSource Pro Growth Solutions is looking for a Premium Insurance Field Auditor (1099/Contractor) based in the Miami area. In this role, you will conduct remote audit interviews, gather financial data, and ensure accurate insurance premium calculations. Candidates should...Hourly payFor contractorsRemote work$33.5 - $38.5 per hour
Are you a detail-oriented and independent professional ready to take on a challenging and rewarding role? Come Join ReSource Pro! Your Role ReSource Pro is seeking a Premium Insurance Field Auditor (1099/Contractor) to play a vital role in ensuring accurate insurance policy...Hourly payContract workFor contractorsWork experience placementLocal areaImmediate startRemote work- The State of Florida is seeking a Law Enforcement Investigator II in Miami, responsible for conducting investigations in the Bureau of Insurance Fraud. Candidates must have at least three years of law enforcement experience and hold valid law enforcement certifications...Work at office
- ...; release information only to authorized individuals. Conduct investigations and gather evidence. Conduct interviews with relevant parties.... .... Conduct investigations and gather evidence related to theft/fraud or lost items, noise complaints, assault complaints, food poisoning...Hourly payFull timeTemporary workWork experience placementLocal areaImmediate startShift work
$60k - $90k
EXL is seeking an Elite Premium Auditor based in Miami, Florida. This advanced-level role involves conducting remote and physical audits of insured businesses, requiring a minimum of 5 years' experience. The position offers a competitive hourly rate plus production bonuses...Remote jobHourly pay- ...the Federal government with outstanding services in the areas of Program Management, Information Technology Enterprise Management, Healthcare Administration and Test & Evaluation. OFS is resolute in our commitment to delivering unparalleled performance by simply...Full timeWork at officeLocal areaImmediate startShift work
- ...confidentiality of all Security/Loss Prevention and property reports/documents; release information only to authorized individuals. Conduct investigations and gather evidence. Conduct interviews with relevant parties. Follow all company policies and procedures; report accidents,...Full timeWork experience placementRemote workShift workDay shiftAfternoon shift
$185k - $225k
...create ingenious solutions that ignite patient turnarounds. Our relentless commitment to patients and strong legacy of innovation in healthcare are the foundation of our future. If you're looking for a new chance, a new beginning, a new trajectory, LivaNova is where your...Remote workWorldwideFlexible hoursShift work$25.37 - $30.7 per hour
Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Fraud Investigator I (Hybrid). Be the first to apply!
- fraud investigator Miami, FL
- bank fraud investigator Miami, FL
- work from home fraud jobs Miami, FL
- fraud associate Miami, FL
- fraud manager Miami, FL
- anti fraud Miami, FL
- fraud specialist Miami, FL
- fraud prevention Miami, FL
- project manager healthcare construction Miami, FL
- marketing manager healthcare Miami, FL


