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.
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.
3 years Medicaid fraud investigation experience highly preferred.
Knowledge of Microsoft Applications, medical coding and terminology preferred.
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.