Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

SIU Investigator

Centene Management Company LLC

Centene Management Company LLC is seeking a healthcare investigator to conduct fraud, waste, and abuse investigations across claims data, medical records, and provider information. You will prepare reports, refer cases, and coordinate with internal and external partners to support case resolution while ensuring regulatory compliance. The role requires 2+ years of relevant experience, professional certifications where possible, and a focus on program integrity. #J-18808-Ljbffr

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the SIU Investigator in Kansas City, MO vacancy
  • Blue KC’s Special Investigations Unit seeks a Fraud Investigator to conduct reviews identifying fraud, waste and abuse, with cases of moderate complexity and limited oversight. You will perform risk assessments, use data analytics, monitor hotlines, coordinate subpoenas... 
    Suggested

    Blue Cross and Blue Shield of Kansas City

    Kansas City, MO
    1 day ago
  •  ...Special Unit Investigations (Siu) Field Investigator Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights... 
    Suggested
    Casual work
    Local area
    Night shift

    Ethos Risk Services

    Kansas City, KS
    5 days ago
  •  ...adoption financial assistance Employee discount program Job Description Summary: As part of Blue KC's Special Investigations Unit (SIU), the Fraud Investigator conducts reviews to identify potential fraud, waste, and abuse (FWA) and claim overpayments.... 
    Suggested

    Blue Cross and Blue Shield of Kansas

    Kansas City, MO
    4 days ago
  • J T Becker & Co Inc is looking for skilled Field Investigators to join our team on an 'as needed' basis. This role offers flexible hours and...  ...involves conducting various investigations such as surveillance and SIU assignments. The ideal candidate must possess a valid driver's... 
    Suggested
    Flexible hours

    J T Becker & Co Inc

    Kansas City, MO
    4 days ago
  • $70.1k - $126.2k

     ...Purpose: Under the general direction of the VP of Compliance Investigations this position assists with the development, implementation, and...  ...functionally with other departments, including Legal, People Relations, SIU, Privacy, Finance, and Business Operations on investigations... 
    Suggested
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    Kansas City, MO
    2 days ago
  •  ...Criminal Investigator, Gs-13 As a Criminal Investigator, GS-13 you will perform the following duties: # Conducts complex criminal, civil, and administrative investigations requiring an expert level of planning and multi-jurisdictional coordination; # Investigates... 

    U.S. Immigration and Customs Enforcement (ICE)

    Kansas City, MO
    6 hours ago
  •  ...found in this announcement. Organizational Location: These positions are located in the Department of Homeland Security, U.S. Immigration and Customs Enforcement, Homeland Security Investigations. Locations listed below. These are non-bargaining unit positions.... 

    US Government Jobs

    Kansas City, MO
    6 hours ago
  •  ...Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation...  ...leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed... 
    Work experience placement
    Work at office
    Local area

    Allied Universal® Compliance and Investigations

    Kansas City, KS
    13 days ago
  • Centene Corporation is seeking a clinical compliance investigations professional to lead enterprise-wide investigations for all business units...  ...standards. You will collaborate with Legal, People Relations, SIU, Privacy, Finance, and Operations to drive timely remediation... 
    Remote job

    Centene Corporation

    Kansas City, MO
    3 days ago
  •  ...Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation...  ...leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed... 
    Full time
    Work at office
    Local area

    Allied Universal

    Kansas City, KS
    2 days ago
  •  ...J T Becker & Co Inc is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect for a licensed investigator looking for flexible hours while conducting various types of investigations, including surveillance and... 
    Flexible hours

    J T Becker & Co Inc

    Kansas City, MO
    1 day ago
  •  ...A Federal law enforcement agency is seeking experienced Criminal Investigators for their Homeland Security Task Force. Ideal candidates must be U.S. citizens with a commitment to law enforcement. Responsibilities include conducting complex investigations, coordinating... 

    ATF

    Kansas City, MO
    5 days ago
  • $156.6k - $266.7k

     ...client-focused team and make a difference in your career! *This is a 1099 Independent Contractor position.* The Principal Investigator (PI) is responsible for conducting objective clinical research that generates independent, high quality and reproducible results... 
    Temporary work
    For contractors
    Work at office
    Immediate start
    Flexible hours

    Professional Case Management

    Kansas City, KS
    3 hours ago
  • $89.25k - $115.5k

     ...Regulatory Division (the “Division”) is actively seeking a highly motivated and experienced professional to join the Equities Investigations team. The Sr. Investigator performs independent, specialized investigations into the trading activity of Exchange Members to assist... 
    Full time
    Immediate start
    Flexible hours

    Cboe Exchange

    Kansas City, MO
    2 days ago
  •  ...research, & technology. Visit Duties Help This is an Open Continuous Announcement (OCA) that will be used to fill multiple Criminal Investigator (Special Agent) vacancies for the Homeland Security Task Force. Eligible candidates will be referred as long as there are... 
    Permanent employment
    Temporary work
    Work at office
    Local area

    ATF

    Kansas City, MO
    6 days ago
  • J T Becker & Co Inc is seeking skilled and experienced Field Investigators in Missouri to join our team on an as-needed basis. This role offers flexible hours, perfect for licensed investigators providing expert investigative services for various insurance claims. Ideal... 
    Flexible hours

    J T Becker & Co Inc

    Kansas City, MO
    4 days ago
  • U.S. Bank in Overland Park, KS is seeking a Fraud Case Processor to investigate credit card fraud claims, review accounts and transactions, and determine outcomes that protect customers and the bank. This role emphasizes accuracy, sound judgment, and timely decisions across... 

    Us Bank

    Overland Park, KS
    3 days ago
  • Centene Corp. in the United States seeks a Fraud, Waste, and Abuse (FWA) Investigator to review referrals, claims data, medical records, and provider information to identify misconduct and support case resolution. This role documents activities, prepares reports and referrals... 
    Remote job

    Centene Corp.

    Kansas City, MO
    2 days ago
  • J T Becker & Co Inc is searching for skilled Field Investigators to work on an 'as needed' basis across Missouri. The ideal candidate will have flexible hours to provide expert investigative services for various insurance claims, including fraud and liability. Key responsibilities... 
    Flexible hours

    J T Becker & Co Inc

    Kansas City, MO
    4 days ago
  • $72.25k - $93.5k

     ...Position Summary The Cboe Regulatory Division (the "Division") is actively seeking a motivated professional to join the Equities Investigations team. The Investigator conducts investigations into the trading activity of Exchange Members to assist in determinations... 

    Cboe Global Markets

    Kansas City, MO
    2 days ago
  •  ...6 Base Salary table and will be augmented by locality pay as authorized for the duty location of the position. Duties Diversion Investigators enforce the Controlled Substances Act (CSA) and the Chemical Diversion and Trafficking Act (CDTA) regarding the manufacture, distribution... 
    Full time
    Interim role
    Local area
    Relocation

    Drug Enforcement Administration

    Kansas City, MO
    3 days ago
  •  ...Summary   One of our clients in the financial exchange industry is actively seeking a motivated professional to join the Equities Investigations team. The Investigator conducts investigations into the trading activity of Exchange Members to assist in determinations... 
    Work at office

    Insight Global

    Overland Park, KS
    4 hours ago
  • $22.96 per hour

     ...and customer focus to the business.***Department:** Prosecutor**Grade:** 170**Salary:** $22.96/hour**Job Duties:*** Responsible investigative support to the attorney and support staff in the office.* responsible for obtaining prior conviction record information from courts... 
    Work experience placement
    Work at office

    jacksongov

    Kansas City, MO
    3 days ago
  • The State of Missouri’s Division Of Workers’ Compensation / Fraud And Noncompliance Unit seeks a Senior Non-Commissioned Investigator to conduct investigations into workers’ compensation fraud and noncompliance. The role involves interviewing suspects, victims, and witnesses... 
    Work at office
    Night shift

    State of Missouri

    Kansas City, MO
    3 days ago
  • U.S. Bank is seeking a Fraud Case Processor to investigate credit card fraud claims, review account activity, and determine outcomes with careful analysis. The role requires strong attention to detail and the ability to balance quality with productivity across multiple... 

    U.S. Bank

    Overland Park, KS
    3 days ago
  •  ...Responsibilities Successfully complete a full‑time, 6‑7 week new Investigator training both virtually and in person in order to be certified in the Federal Investigative Standards for government background investigations. Travel daily when conducting in person background... 
    Full time
    Temporary work
    Work experience placement
    Home office
    Night shift

    Jobtailor

    Kansas City, MO
    2 days ago
  • $47k - $49k

    KVC Health Systems, Inc. in Olathe, KS is seeking a Missing Youth Specialist to support permanency staff in locating missing youth and ensuring safety and coordination with partners. The role requires a Bachelor's degree (Master's preferred), 2 years in children and family...
    Full time

    KVC Health Systems

    Olathe, KS
    6 days ago
  •  ...JCPenney is seeking an Asset Protection/Shrink Investigator to detect theft and fraud, collect evidence, and document all stages of investigations across stores. You will follow AP directives, conduct external interviews when needed, and report to AP leadership. The role... 

    JCPenney

    Overland Park, KS
    2 days ago
  • $150k - $240k

     ...other infrastructure projects that require compliance with the NHPA and the National Environmental Policy Act. As the Principal Investigator you will plan, oversee, and support cultural resources investigations and overall responsibility for archaeological... 
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    Olsson

    Overland Park, KS
    5 days ago
  • Shelter Insurance Companies is seeking a Casualty Adjuster in Missouri. The role involves investigating, analyzing and settling liability and bodily injury insurance claims, with emphasis on coverage verification and settlements within authority. You will coordinate among... 

    Shelter Insurance Companies

    Kansas City, MO
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to SIU Investigator. Be the first to apply!