SIU Investigator at Centene

This role is ideal for an investigative professional with at least two years of experience in healthcare fraud, waste, and abuse (FWA). You should have a solid foundation in analyzing healthcare claims, understanding medical coding, and utilizing data mining techniques to identify outliers and suspicious activity. While the role is primarily remote, it offers the stability of a major national healthcare organization with a dedicated focus on the Ohio market. The compensation package is robust, featuring a wide salary range, stock purchase options, and tuition reimbursement, making it a strong choice for those looking to build a long-term career in healthcare compliance. **You might be a good fit if you...** * Reside in Ohio or within driving distance of an Ohio office. * Have a background in Criminal Justice, Business, or Healthcare with a knack for data analysis. * Are comfortable preparing detailed investigative reports for federal and state agencies. * Can develop custom queries to detect complex fraudulent billing patterns.