- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position… more
- MyFlorida (Miami, FL)
- …with healthcare fraud investigative experience working in a Medicaid Fraud Control Unit , or five (5)years of sworn law enforcement experience, or five (5) years ... LAW ENFORCEMENT INVESTIGATOR II - 41001296 1 Date: Nov 15,...of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida. This position is in the… more