Medicaid Program Integrity Investigator
$20 per hourFlorida
Agency for Health Care Administration in Florida seeks a full-time OPS Medical/Health Care Program Analyst to support fraud prevention within the MPI. The role involves conducting investigations/audits, visiting providers, preparing reports, and collaborating with regulatory agencies. Travel up to 15% may be required. Background checks are mandatory, and the position is non-negotiable at $20.00 per hour. The Medicaid program in Florida is large, with a multi-billion dollar budget and thousands #J-18808-Ljbffr Florida
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medicaid Program Integrity Investigator in Miami, FL vacancy
$20 per hour
...Health Care Administration in Florida seeks an OPS Medical Health Care Program Analyst to support fraud and abuse prevention within the Medicaid Program Integrity unit. The role involves investigations, audits, and on-site visits to ensure policy compliance and identify...SuggestedHourly payFull time$20 per hour
...289 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 30, 2026 The... ...of employment. The Florida Medicaid program is one of the five largest... ...Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations of healthcare providers, including...SuggestedPermanent employmentFull timeContract workTemporary workWork at officeLocal areaMonday to Friday- ...Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large... ...analyze data using computer software programs such as Microsoft Excel Review financial... ...HCF matters (E.g., Medicare data, Medicaid data, outlier data) Communication skills...SuggestedFull timeWork experience placementWork at officeLocal area
$56.78k - $96.53k
...appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths. The Payment Integrity Program Specialist supports the administration, coordination, and continuous improvement of PacificSource's Payment Integrity program....SuggestedFull timeContract workWork experience placementWork at office- ...alternative application process. Principal Investigator, Clinical Trials (PRN) PRN CPMI-... ...welfare of study subjects, assuring the integrity of data generated at the site. In executing... ...Manager to develop effective programs for studyenrollment. Work with Site Director...SuggestedContract workReliefWork at officeImmediate startNight shift
- ...Clinical Fraud Investigator II Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and... ...increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical...Temporary workWork at officeLocal area2 days per week1 day per week
Elevance Health
Miami, FL3 days ago - ## Senior Asset Protection Investigator - South FL, Field BasedApply: Fully Remote: Field Based... ...loss prevention and asset recovery programs across the region, ensuring the protection... ...Culture**: Join a company that values integrity, trust, and making a positive impact on...Full timeTemporary workLocal areaRemote workNight shift
- ...Workplace Certified 2026 Position Title: International Programs Officer (IPO) Department: Programs, International Programs... ...Programs team for informational needs regarding the promotion of Integral Human Development initiatives of the various fundraising...Full timeWork at officeRemote workOverseas
Cross Catholic Outreach
Miami, FL1 day ago - ...Program Compliance & Fraud SpecialistAt Quadel, we believe great work starts with great... ...affordable housing programs. This role investigates allegations of noncompliance, conducts... ...corrective actions to safeguard program integrity while supporting regulatory compliance....
Quadel
Miami, FL3 days ago - Job TitleSenior Program SpecialistLocationDoral, FL 33122 US (Primary)CategoryIntelligenceJob TypeFull-TimeCareer LevelStaffEducationMaster... .... Benefits:At Prescient Edge, we believe that acting with integrity and serving our employees is the key to everyone's success. To...Contract work
Prescient Edge
Miami, FL2 days ago - ...Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time, Experienced CGS is seeking an experienced ACE Investigator... ...as well as other fraud and abuse of federal public funds and programs. Regularly meets with the ACE attorneys and with designated...Full timeWork at officeLocal areaRemote workFlexible hours
Contact Government Services LLC
Miami, FL1 day ago - ...constraints ~ Ability to work both independently and as part of a team with professionals at all levels ~ Competency in MS Office programs ~ Strong written and verbal communication skills How You’ll Stand Out: Proactivity in identifying areas for...Full timeWork experience placement
Kaufman Rossin
Miami, FLa month ago $116.2k - $229.1k
Position Summary Dayforce Integration Data Management - Senior ConsultantOur Human... ...across HR, payroll, and benefits systems.Investigate interface and data issues, perform root... ...to deliver complex transformation programs for large organizations.QualificationsRequired...Local areaVisa sponsorshipDeloitte
Miami, FL4 days ago$55k
...Program Compliance Specialist – Fraud Department Location: Miami, FL Employment... ...join the Fraud Department and support investigations involving potential fraud, program abuse... ...Experience with fraud investigations, program integrity, HCV compliance, EIV, PHA operations,...Full timeLocal areaSystem One
Miami, FL3 days ago$71.94k - $93.52k
...Clinical Document Integrity Specialist 1 Responsible for improving the overall quality and completeness of clinical documentation through... .... Knowledge of legal aspects of coding; Medicare MS-DRG and Medicaid APR-DRG assignment; severity of illness, risk of mortality;...Full timeLive in- ...Senior Business Analyst Loyalty Program Location: Miami, FL Job Summary Seeking a Senior Business Analyst with strong... ..., rewards, promotions, membership tiers, and partner integrations. Collaborate with Java development teams to translate business...
Tror AI for everyone
Miami, FL2 days ago $71.94k - $93.52k
...wellness resources that go beyond traditional benefits A wellness program that can help employees eliminate their medical plan deductible... .... Knowledge of legal aspects of coding, Medicare MS-DRG, Medicaid APR-DRG assignments, utilization management, case management, discharge...- ...and remote on Friday's Start Dates: August 2027 About the Program: The Supply Chain Rotational Program is a two-year rotational... ...performance and business need. Sample Rotation Preview: Integrated Business Planning (IBP) - In this rotation, analysts support...Rotational programPermanent employmentFull timeWork at officeRemote work
Royal Carribean Group
Miami, FL2 days ago - Become an integral part of the Corporate Responsibility (CR) team, working alongside dedicated professionals committed to generating authentic... ...opportunity as part of the U.S. Philanthropy team. As a Program Officer within Global Philanthropy, you will develop and execute...Work experience placementLocal areaFlexible hours
- ...CME Program Compliance Specialist This position ensures the enforcement of the Accreditation Council for Continuing Medical Education (ACCME) accreditation criteria, Standards for Integrity and Independence in Accredited Continuing Education, and CME Program policies...
- Supervisory Criminal InvestigatorThis vacancy is for a GS-1811-14, Supervisory Criminal Investigator located in the Department of Homeland Security, U.S. Coast Guard, CGIS POLYGRAPH DIVISION in WASHINGTON, District of Columbia. Duty location is negoitable.
US Government Jobs
Miami, FL3 days ago - ...Work You’ll Do As a Project - Senior Consultant, Forensics and Investigations,on the project, you will: Work independently to solve complex... .... From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to...Local area
Deloitte
Miami, FL3 days ago - Criminal InvestigatorThis vacancy is for a GS-1811-13, Criminal Investigator located in the Department of Homeland Security, U.S. Coast Guard, COAST GUARD INVESTIGATIVE SERVICE-CG-CGIS. This is a re-announcement to Job Announcement Number 26-13047603-HQ-PW-DE. You MUST...
US Government Jobs
Miami, FL5 days ago - ...Job Title: Part-Time Private Investigator – Surveillance Specialist Location: South Florida Area (West Palm Beach to Miami) Job... ...experienced professionals dedicated to uncovering the truth with integrity and precision. We're currently seeking a Full-Time...Hourly payFull timePart timeInternshipRemote workFlexible hoursShift workNight shift
SPi Investigations
Miami, FLmore than 2 months ago $4,000 per month
...chance to get paid and receive a guaranteed Navy commissioning program while finishing school through the Nuclear Propulsion Officer... ...Must pass a medical examination. Must pass a background investigation. Education Requirements Candidates must be graduates or students...Local areaImmediate startRelocation packageUS Navy
Miami, FL1 day ago- CHEP UK Ltd. in the United States (South Florida) seeks a Senior Asset Protection Investigator to lead complex investigations and proactive loss-prevention programs in a field-based, remote-capable role. You will manage undercover ops, data-driven investigations, and asset...Remote work
$46.7k - $60.7k
...Industry Operations Investigator This position is an entry-level Industry Operations Investigator responsible for conducting investigations... ..., from a qualifying educational institution or certificate program. You must apply within two years of getting your degree or...Permanent employmentFull timeTemporary workWork at officeRemote workRelocationTrial period- An excellent opportunity for a Principal Investigator/ Medical Director to join Quotient Sciences - Miami, a dedicated, state-of-the-art,... ...of Florida Maintains BLS and ACLS certificationMaintains CITI Program certificationJob Demands:The job may involve the following: Very...Interim roleNight shiftDay shift
Quotient Sciences
Miami, FL19 hours ago $65k - $80k
...As the Children's Therapeutic and Program Specialist for the NWSN, you will be responsible for assisting with a wide range of duties pertaining to the programming, supportive services, research, education, and policy initiatives of the NWSN and other initiatives of the...Full timeWork experience placementLocal areaThe National Women's Shelter Network
Miami, FL2 days ago$52.28k - $58.82k
...The Good Stuff) ~3 WKS+ Vacation Paid* ~12 Paid Holidays ~12 PTO Paid Days ~ Competitive Health Benefits Package ~ Wellness Program Reimbursements up to $50/month ~ Short Term Disability at NO COST ~ Life Insurance & AD&D 2X Annual Salary at NO COST ~...Temporary workLocal areaUnited Way Miami
Miami, FL15 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicaid Program Integrity Investigator. Be the first to apply!
Related searches
- defense investigator Miami, FL
- human rights investigator Miami, FL
- compliance investigator Miami, FL
- corporate security investigator Miami, FL
- housing investigator Miami, FL
- case investigator Miami, FL
- aml investigator Miami, FL
- opm background investigator Miami, FL
- special investigator Miami, FL
- insurance investigator Miami, FL