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...Job Title: Network Voice Engineer - Tier I & II Location: Plano, TX - 5 days onsite with Rotational Shifts Duration : 6+ Month Job Description: Responsibilities: Expert level hands-on experience with enterprise voice network infrastructure, including...
...BECOME A US FOODS DRIVER This position reports to Fairbanks AK. Retention Bonus $10,000 Our CDL A Delivery Truck Drivers pay is $32.09 to $35.59 per hour. We are looking for Delivery Truck Drivers who relish the chance to push their potential, grow and reap...
...Remote Audit Senior or Audit Manager - Part Time Remote Audit Senior / Manager Part Time - Work Life Balance! Based in Los Angeles, we are a growing Accounting Firm! We are looking to add a Non-Profit Audit Manager to our team! We are a company who values our...
...Catering School, or possess a minimum of five years of relevant experience in a Food and Beverage management role. Previous cruise ship experience is required and candidates must have a deep understanding of food and restaurant service, particularly within the context...
...LanceSoft is seeking a LPN / LVN Long Term Care for a travel job in Ckaremont, New Hampshire. Job Description & Requirements ~... ...Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly...