Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
Applicants for this role will have the flexibility to work remotely anywhere in the Continental United States.
Position Purpose:
Lead a team of investigators, clinical and coding reviewers, and analysts dedicated to detecting, preventing, and correcting fraud, waste, and abuse (“FWA”) in healthcare billing through investigation and coordination with internal and external stakeholders. Responsible for designing and executing strategies that ensure high-quality, timely, value-generating FWA investigations in compliance with legal, regulatory, and contractual requirements. Provide oversight of FWA investigative activity affecting Centene’s markets and products and partners closely with colleagues throughout the business, as well as external stakeholders, including law enforcement.
Education/Experience:
Licenses/Certifications:
Pay Range: $182,100.00 – $345,600.00 per year
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
Jobicy JobID: 123350...for everyone. We empower students with financial support and supercharge their ability to... ...something great together!The Senior Financial Analyst will report to the Senior Manager,... ....While youll enjoy the flexibility of remote work, we also love to see our Earnies face...
...Job Description Job Description Part-Time Administrative Assistant / Secretary Accounting & Office Support Are you an organized and... ...love to hear from you! Company Description Heavy Highway Construction Company Description Heavy Highway Construction...
...Agent with a background in electrical engineering. This is an entry-level opportunity (03 years) ideal for a recent graduate or early-career... ...work environment: Three days in-office (MonWed), two days remote (ThuFri). Competitive salary and benefits package in line...
...Gallup Exceptional Workplace Award, which recognizes the most engaged workplace cultures in the world.Senior IT HR Systems Analyst (Kronos Pro)The Senior IT HR Systems Analyst will be responsible for enhancing and supporting Allegions implementation of UKG Pro...
...products and services Follow established policies in accordance with the bank and the supervisor s direction Accountable for the personal achievement of monthly new account production as assigned by upper management Participate in an active sales environment that...