Siu Investigator

Centene

California, US
Base: $56,200.00 - $101,000.00 py; bonus/equity: n...
Hybrid
Medical claim investigation experience
Data mining and analysis skills
Fraud detection and reporting
Centene is seeking a Siu Investigator in California to investigate healthcare fraud and abuse, requiring a Bachelor's degree and at least one year of relevant experience. The role offers a competitive salary and benefits, with a hybrid work model

Job Summary

  • The role involves investigating allegations of potential healthcare fraud, abuse, and waste to protect the health of 28 million members.
  • Candidates will conduct claims investigations, perform data mining to detect aberrancies, and prepare detailed reports for referral to Federal and State agencies.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, and flexible work schedules.

Matching Summary

Match Score: 85

Centene is seeking a Siu Investigator in California to investigate healthcare fraud and abuse, requiring a Bachelor's degree and at least one year of relevant experience. The role offers a competitive salary and benefits, with a hybrid work model.

Salary

Base: $56,200.00 - $101,000.00 per year; Bonus/Equity: Not specified; Benefits: Health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off

Skills & Requirements

Must-have

  • Medical claim investigation experience
  • Data mining and analysis skills
  • Fraud detection and reporting

Nice-to-have

  • Complex allegation handling
  • Collaboration with health plans
  • Flexible work schedule preference

Key Requirements

  • Bachelor's Degree in Business, Criminal Justice, Healthcare, or related field
  • 1+ years of medical claim investigation or audit experience
  • Must reside within the state of California

Work Rights

Not specified

Tailored Resume

Cover Letter