Job Overview
Location
Remote-FL
Job Type
Full-time
Category
Other
Date Posted
April 8, 2026
Full Job Description
đź“‹ Description
- • As a SIU Investigator at Centene Corporation, you will play a critical role in safeguarding the integrity of the healthcare system by investigating allegations of fraud, waste, and abuse that impact 28 million members nationwide.
- • Day to day, you will conduct investigations into potential healthcare fraud and abuse, perform data mining and analysis to detect anomalies in claims, develop queries and reports to identify suspicious patterns, document case activities, and prepare detailed reports for referral to federal and state agencies.
- • You will join Centene’s Special Investigations Unit (SIU), a dedicated team within a diversified national healthcare organization committed to transforming community health through integrity, compliance, and innovative fraud detection practices.
- • In this role, you will develop expertise in healthcare fraud investigation, data-driven anomaly detection, regulatory reporting, and cross-functional coordination with health plans and law enforcement, positioning you for advancement in healthcare compliance, auditing, or investigative leadership.
Skills & Technologies
About Centene Corporation
Centene Corporation is a publicly traded managed-care enterprise that arranges health-benefit programs for government-sponsored and privately insured individuals. Operating across all 50 U.S. states and internationally, the company focuses on under-insured and uninsured populations through Medicaid, Medicare, and Marketplace offerings. Its services include behavioral health, pharmacy benefits, vision, dental, telehealth, and in-house clinical programs. Centene partners with physicians, hospitals, and community organizations to coordinate cost-effective care, emphasizing data analytics and value-based reimbursement models. Headquartered in St. Louis, Missouri, it serves more than 25 million members, positioning itself as a leading intermediary between payers and healthcare providers.
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