You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.
Education/Experience: Bachelor’s Degree in Business, Criminal Justice, Healthcare, related field or equivalent experience. 1+ years of medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation experience.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
...Overview Houlihan Lokey, Inc. (NYSE:HLI) is a global investment bank with expertise in mergers and acquisitions, capital solutions... ...advisor for all U.S. transactions. Job Description As an Analyst, you will work on corporate finance engagements. The group's...
...frame and post frame walls, roofs and floor systems, siding, roofing, window and door install, interior finish work and miscellaneous odds and ends jobs related to general construction. These tasks should be performed in a timely manner and up to code. Must be able and...
...outcomes. Preparing reports for the leadership team that identifies trends, patterns, and predictions using relevant data. Analyze fraud and transactions reports. Dispute chargeback. Communicate with third-party vendors to solve problems. Work across multiple...
...Job Description We are seeking an experienced Plant Operator to work on our construction projects. The successful candidate will be responsible for operating and maintaining various plant equipment and machinery, ensuring the efficient and safe production of asphalt...
...213 9th St N, Oakes, ND 58474, USA Shift: 12 Hours - Night Shifts Job Schedule: Full time... ...establishing and maintaining effective working relationships with resident, health care... ...time off package to maintain a healthy home-work balance. For more information about...