Lead SIU Investigator at Centene
This leadership role is designed for an experienced investigator with a deep background in healthcare fraud, waste, and abuse (FWA). You should have at least 5
Work type: remote
Location: Remote-KY
Salary: $68,700 – $123,700/yr
Type: Full-time
This leadership role is designed for an experienced investigator with a deep background in healthcare fraud, waste, and abuse (FWA). You should have at least 5 years of investigative experience and hold a professional certification like a CFE or AHFI. Since this role serves as the single point of contact for the Kentucky Department of Medicaid, strong regulatory knowledge and the ability to manage complex case workloads are essential.
The position offers a competitive salary range up to $123k and the stability of a major national healthcare organization. While the role is fully remote, it is strictly location-dependent; you must reside in Kentucky to qualify. You’ll enjoy comprehensive benefits, including a stock purchase plan, tuition reimbursement, and a high degree of workplace flexibility.
**You might be a good fit if you:**
* Reside in the state of Kentucky (this is a firm requirement).
* Hold an active CFE, AHFI, or Certified Pharmacy Technician license.
* Have 5+ years of experience in healthcare fraud investigations and risk analysis.
* Are an expert in Medicare/Medicaid laws and managed care claims processing.
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