FAQs
What is the primary purpose of the SIU Investigator role?
The primary purpose of the SIU Investigator role is to investigate allegations of potential healthcare fraud and abuse activity, and to assist in planning, organizing, and executing claims investigations or audits.
What qualifications are required for the SIU Investigator position?
A Bachelor’s Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent experience is required, along with 1+ years of experience in medical claim investigation, audit, analysis, or fraud investigation.
What tools or knowledge are preferred for this position?
Knowledge of Microsoft Applications, medical coding, and terminology is preferred for the SIU Investigator position.
Is there an opportunity for career growth within Centene?
Yes, Centene offers a variety of career advancement opportunities as well as a comprehensive benefits package that includes tuition reimbursement.
What is the pay range for this position?
The pay range for the SIU Investigator position is $54,000.00 to $97,100.00 per year, which may vary based on an individual's skills, experience, and education.
What working hours will the SIU Investigator be required to maintain?
The SIU Investigator is a remote position but will require working hours in the Eastern Standard Time (EST) zone.
Are there any specific responsibilities for the SIU Investigator?
Yes, specific responsibilities include conducting investigations of potential fraud, documenting activities, performing data mining and analysis, developing reports, providing updates on cases, and preparing reports for referral to federal and state agencies.
Does Centene prioritize diversity in the workplace?
Yes, Centene is an equal opportunity employer that is committed to diversity and values the various ways in which individuals are different.
Is prior conviction or arrest history a barrier to employment at Centene?
No, qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.
Will the SIU Investigator have to participate in any audits?
Yes, the SIU Investigator will be required to complete various special projects and audits as part of their role.