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Centene is seeking a Senior SIU Investigator to investigate healthcare fraud and abuse. The position requires a bachelor's degree and at least three years of relevant experience, with a strong focus on data analysis and compliance.
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Job Summary
The role involves investigating allegations of healthcare fraud and abuse to protect the integrity of the organization's 28 million members.
Candidates will perform data mining to detect aberrancies in claims 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: 75
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Centene is seeking a Senior SIU Investigator to investigate healthcare fraud and abuse. The position requires a bachelor's degree and at least three years of relevant experience, with a strong focus on data analysis and compliance.
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Salary
Base: $70,100.00 - $126,200.00 per year; Bonus/Equity: Not specified; Benefits: Health insurance, 401K, stock purchase plans, tuition reimbursement
Skills & Requirements
Must-have
Investigate healthcare fraud allegations
Analyze medical claims for anomalies
Document investigation leads and findings
Coordinate with federal and state agencies
Nice-to-have
Data mining and analysis skills
Microsoft Applications proficiency
Flexible work schedule options
Experience with provider meetings
Key Requirements
Bachelor's Degree in Business, Criminal Justice, or Healthcare
3+ years of medical claim investigation experience
Preferred: Certified Professional Coder license
Knowledge of medical coding and claims processing preferred