Clinical Investigator I (Special Investigation Unit) at Centene

This role is designed for a clinical professional with at least two years of experience who holds a coding certification or medical license like an RN or LCSW. You should have a sharp eye for spotting billing irregularities and fraud by comparing provider claims against medical records and state regulations. **What makes it worth a look...** The position offers full remote flexibility across several states and a wide salary range that can reach six figures depending on your background. You also get access to robust corporate benefits like a stock purchase plan and tuition reimbursement while working in a specialized unit focused on healthcare integrity. **You might be a good fit if you...** * Hold a CPC or CPMA certification and understand the nuances of medical coding. * Have a clinical background as an RN, LPN, or specialized therapist. * Enjoy investigative work and identifying patterns in complex datasets. * Can translate medical record findings into clear recommendations for policy changes.