SIU Investigator at Centene

This mid-level role is ideal for investigators with a background in healthcare fraud, criminal justice, or medical auditing. While the minimum requirement is one year of experience, the team is looking for someone skilled in data mining and claims analysis to identify "waste, abuse, and fraud" (WAF). If you have a knack for spotting outliers in complex datasets and can translate technical findings into reports for state or federal agencies, you'll thrive here. This position offers the flexibility of being fully remote, with a specific preference for candidates based in New York. The compensation package is robust, featuring a broad salary range, stock purchase plans, and tuition reimbursement. It is a stable, high-impact opportunity within a massive national healthcare organization where your work directly protects member resources. **You might be a good fit if you:** * Have a Bachelor’s degree and at least one year of experience in medical claim investigations or law enforcement. * Are proficient in data mining and developing queries to detect financial aberrancies. * Can manage an investigation from the initial allegation through to a detailed final report for legal authorities. * Live in New York (highly preferred) and enjoy working independently in a remote environment.