Remote Healthcare Fraud Investigator Job at Centene Corporation, United States

  • Centene Corporation
  • United States

Job Description

Centene Corporation is seeking an investigator to conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, and medical records to identify misconduct and support case resolution.

Responsibilities include documenting investigations, preparing reports, and collaborating with compliance, legal, and external agencies to support corrective actions, recoveries, and case resolution while ensuring compliance with laws and company standards.

#J-18808-Ljbffr

Job Tags

Remote work

Similar Jobs

GPD Optoelectronics

Senior Optical Packaging Engineer Job at GPD Optoelectronics

 ...Senior Optical Packaging Engineer We turn light into insight! Due to EXTENSIVE growth, we are currently looking for folks that share our passion to reveal the invisible! As Senior Optical Packaging Engineer, you will oversee developing advanced packaging solutions... 

Waséyabek Development Company LLC

Environmental Engineering Technician I Job at Waséyabek Development Company LLC

 ...Environmental Scientist/Environmental Engineering Technician BLDI's staff of engineers, geologists, scientists and business professionals have been focused on providing high quality, cost-effective, and timely environmental services in Michigan, Ohio, Indiana, Illinois... 

Cencora

Senior Warehouse Associate Job at Cencora

 ...role. Processes inbound, outbound, and internal warehouse activities to support accurate product movement and effective order fulfillment. Prepares shipments, packaging materials, and staging areas to meet handling requirements and dispatch timelines. Reconciles... 

The GIANT Company

Part-Time Online Grocery Shopper Job at The GIANT Company

The GIANT Company is hiring at its Horsham location to accurately select GIANT Direct orders across the store, while upholding safety, food safety, and sanitation standards. You will engage with customers and help fulfill online orders with care.Ideal candidates demonstrate...

Valvoline Inc

Store Manager Job at Valvoline Inc

 ...LOCATION: 6943 W Broadway, MCCORDSVILLE, IN, 46055 ROLE OVERVIEW: What youll do to drive success When you join us as a Store Manager , your personal and professional goals will be fueled by a friendly and collaborative team environment. Together, well help...