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

Senior Manager, Prepay Fraud & SIU Investigations (Remote)

Centene Corporation

California, MO
  • Remote job

Centene Corporation in California seeks a dedicated individual to lead strategic fraud, waste, and abuse initiatives within our health plans. In this role, you will manage a team, monitor processes for integrity, and ensure compliance in billing. The ideal candidate holds a Bachelor's degree and has over 4 years of relevant experience, including knowledge of medical terminology and fraud investigation. Join us for competitive pay and a comprehensive benefits package that supports work flexibility. #J-18808-Ljbffr Centene Corporation

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Manager, Prepay Fraud & SIU Investigations (Remote) in California, MO vacancy
  • $87.7k - $157.8k

    Centene Corporation is seeking a qualified candidate to manage strategic fraud, waste, and abuse activities in New York. Responsibilities include...  ...billing integrity and leading a team for pre-payment investigations. Ideal candidates should possess a bachelor’s degree and... 
    Remote job
    Senior
    Fraud

    Centene Corporation

    Florida, NY
    1 day ago
  • Centene Corporation is seeking an Investigator to develop, implement, and manage strategic activities against fraud, waste, and abuse. You will ensure compliance and oversee billing integrity while leading a team in investigations. This role requires a bachelor’s degree... 
    Remote job
    Senior
    Fraud
    Flexible hours

    Centene Corporation

    New York, NY
    1 day ago
  •  ...Corporation in North Carolina is seeking a professional to manage strategic fraud, waste, and abuse activities. This role involves ensuring...  ...with state and federal requirements while leading a team to investigate fraud referrals and preparing saving reports. The ideal... 
    Remote job
    Senior
    Fraud
    Flexible hours

    Centene Corporation

    Raleigh, NC
    1 day ago
  • Centene Corporation is seeking a qualified individual to manage strategic fraud, waste, and abuse activities. This position requires knowledge...  ...compliance, with strong experience in medical claims and investigations. Candidates should have a Bachelor's degree and at least 4... 
    Remote job
    Senior
    Fraud
    Flexible hours

    Centene Corporation

    Brooklyn, NY
    5 days ago
  • $87.7k - $157.8k

     ...Purpose Develop, implement and manage strategic fraud, waste and abuse activities by...  ...Lead a team responsible for investigating fraud, waste and abuse referrals for prepay investigations Develop educational...  ...approach to work with remote, hybrid, field or office work... 
    Remote work
    Fraud
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    Raleigh, NC
    6 days ago
  •  ...a comprehensive anti-fraud program driven by advanced...  ...on identifying, investigating and mitigating fraud,...  ...support consistent case management, reporting, and outcome...  ...performed in an office or remote setting Travel...  ...relevant experience, skills, seniority, performance, shift,... 
    Remote work
    Senior
    Fraud
    Full time
    Work experience placement
    Casual work
    Work at office
    Shift work

    Blue Cross Blue Shield Association

    Oklahoma City, OK
    2 days ago
  • $70k - $117k

    Kemper Corporation is hiring a SIU Investigator III responsible for investigating complex and suspicious...  ...and investigative skills. This remote position primarily targets candidates residing...  ...contacts, and collaborate with state fraud bureaus. A minimum of four years'... 
    Remote job
    Senior
    Fraud
    Work at office

    Kemper Corporation

    Florida, NY
    3 days ago
  • 慨正橡扯 is seeking a Senior Manager to oversee financial crime compliance in New York, NY. This...  ...have extensive experience in AML and Fraud investigations, excellent communication skills, and the ability to work under pressure. Remote work is not permitted for this role.... 
    Remote work
    Senior
    Fraud
    Full time

    慨正橡扯

    New York, NY
    3 days ago
  • GEICO in Los Angeles is seeking a Senior Field Investigator to conduct investigations of suspected fraud involving insurance claims. The role involves interviewing witnesses, gathering evidence, and coordinating with outside agencies, offering an engaging environment focused... 
    Remote job
    Senior
    Fraud

    GEICO

    Los Angeles, CA
    4 days ago
  • ICW Group is seeking a Senior Investigator to join their Special Investigation Unit. The role involves investigating suspected fraudulent claims across various insurance lines. Ideal candidates will have significant experience in investigations, strong analytical abilities... 
    Remote job
    Senior
    Fraud

    ICW Group

    California, MO
    2 days ago
  •  ...Corp. in California is seeking a qualified candidate to develop and manage fraud, waste, and abuse activities. Responsibilities include monitoring compliance and leading a team focused on investigations, along with preparing savings reports. The ideal candidate has a... 
    Senior
    Fraud
    Flexible hours

    Centene Corp.

    California, MO
    1 day ago
  • $155k - $257k

     ...View, CA campus. We are seeking a Senior Manager to be a part of our Trust Investigations team, a group of experts focused...  ...across the Bay Area and remote locations throughout the United States...  ...leading security, threat intelligence, fraud, or investigations teams and... 
    Remote work
    Senior
    Fraud
    For contractors
    Work at office
    Flexible hours

    LinkedIn

    Mountain View, CA
    4 days ago
  • $46.99k - $112.2k

     ...Senior Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate health...  ...investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high... 
    Remote work
    Senior
    Fraud
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area

    Oak St. Health

    United States
    2 days ago
  • $46.99k - $122.4k

     ...family and one community at a time. The SIU Senior Investigator conducts complex investigations to...  ...and prosecution of healthcare fraud and abuse, to recover lost funds, and...  ...multi-disciplinary provider groups in a prepayment environment Investigates to prevent... 
    Senior
    Fraud
    Hourly pay
    Full time
    Temporary work
    Local area

    CVS Health

    Home, KS
    5 days ago
  • Root Insurance is looking for a SIU Field Investigator II to conduct field investigations related to insurance fraud. This role requires strong critical thinking and investigative...  ...and provide detailed reports. Root supports remote work across the US, encouraging flexibility... 
    Remote work
    Senior
    Fraud

    Root Insurance

    Los Angeles, CA
    2 days ago
  •  ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct investigations, perform data analysis, and prepare detailed reports while working remotely, preferably from Ohio. Key responsibilities Conduct investigations... 
    Remote work
    Fraud
    Full time

    Virtual Vocations Inc

    United States
    1 day ago
  • Travelers Insurance in North Carolina is seeking a meticulous SIU Investigator to manage insurance investigations focused on uncovering fraudulent activity. The ideal candidate will utilize analytical skills and problem-solving techniques to analyze claims and provide... 
    Senior
    Fraud

    Dormont Manufacturing Co

    Raleigh, NC
    2 days ago
  • $78.68k - $132.69k

    ICW Group is seeking a Senior Special Investigation Unit (SIU) Investigator responsible for detecting and investigating fraudulent claims across various insurance lines. This role requires strong analytical skills and a minimum of 5 years of experience in investigations... 
    Senior
    Fraud

    ICW Group

    California, MO
    3 days ago
  • $70k - $117k

    Kemper is seeking a SIU Investigator III based in Miami, Florida, responsible for investigating complex claims that may involve fraud. This remote position requires the investigator to reside in the Miami Dade area and to conduct comprehensive investigations, collaborate... 
    Remote job
    Fraud

    Kemper

    Miami, FL
    2 days ago
  • $70k - $117k

    Kemper Corporation is hiring a SIU Investigator III in Miami, Florida. This role focuses on investigating complex, suspicious claims and coordinating...  ..., and proficiency in Microsoft products. The position is remote but requires residency in Miami Dade County for assignments.... 
    Remote job
    Fraud

    Kemper Corporation

    Miami, FL
    3 days ago
  • $28.1 - $42.15 per hour

     .../ Days Hybrid or Remote Join a mission‑driven...  ...Audit and the Fraud, Waste and Abuse (...  ...FWA) Committee for investigations and provider...  ...schemes and ensures the SIU processes and...  ...cases resulting in a prepayment review. Maintains...  ...Project, and database management. Maintain... 
    Remote work
    Fraud
    Daily paid
    Full time
    Temporary work
    Flexible hours

    Summa Health

    Cleveland, OH
    2 days ago
  • Centene Corp. is seeking a full-time SIU Investigator to work remotely in California. This role involves investigating healthcare fraud allegations, performing data mining, and analyzing claims to identify potential abuse. Applicants should possess a Bachelor’s degree... 
    Remote job
    Fraud
    Full time

    Centene Corp.

    California, MO
    4 days ago
  •  ...seeking skilled and experienced Field Investigators for a fully remote, as needed position. This role...  ...investigating various insurance claims including fraud and liability, offering flexible...  ...and Special Investigations Unit (SIU) assignments, ensuring adherence to instructions... 
    Remote job
    Fraud
    Flexible hours

    J T Becker & Co Inc

    Brooklyn, NY
    5 days ago
  •  ...Origin is seeking an experienced SIU Investigator to join our growing team in Las Vegas, Nevada...  ...investigators with experience handling insurance fraud investigations, obtaining statements,...  ...working independently in the field, managing multiple investigations simultaneously,... 
    Remote work
    Fraud

    Origin Investigations Inc.

    United States
    3 days ago
  • $60.2k - $107.4k

     ...Senior Investigator At UnitedHealthcare, we're simplifying the health care...  ...prevention of healthcare fraud, waste and abuse. The Senior...  ...Special Investigations Unit's (SIU's) case tracking system...  ...performance rewards, and a management team who demonstrates their... 
    Remote work
    Senior
    Fraud
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Local area

    UnitedHealth Group

    United States
    11 days ago
  • $70.1k - $126.2k

     ...professional on our Medical Management/Health Services...  ...VP of Compliance Investigations this position...  ...and/or senior management regarding...  ...People Relations, SIU, Privacy, Finance,...  ...Certifications Certified Fraud Examiner (CFE) preferred...  ...to work with remote, hybrid, field or... 
    Remote work
    Senior
    Fraud
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    Florida, NY
    1 day ago
  •  ...military spouses. USAA roles may offer remote or hybrid flexibility for active-...  ...needs. The Opportunity As a dedicated SIU Major Case Manager (Medical Provider) , you will be...  ...for operational management of Claims fraud investigative teams. Directs staff in the investigation... 
    Remote work
    Fraud
    H1b

    USAA

    New Braunfels, TX
    16 hours ago
  • Praescient Analytics is seeking a Senior Investigative Analyst to assist in federal fraud detection and program integrity initiatives. Candidates should possess strong analytical problem-solving skills and a minimum of three years of experience investigating complex fraud... 
    Remote job
    Senior
    Fraud

    Praescient Analytics

    Fairfax, VA
    3 days ago
  • Crains Cleveland is seeking an experienced fraud investigator for a role focused on analyzing behaviors related to fraud, waste, and abuse (FWA) in healthcare. The position requires 5+ years of experience in fraud investigations, a high school diploma, and relevant certifications... 
    Remote job
    Senior
    Fraud

    Crains Cleveland

    Minneapolis, MN
    5 days ago
  • $46.99k - $112.2k

    Position Summary We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), Self‑Funded investigations team. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud... 
    Senior
    Fraud
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Local area
    Work from home

    Hispanic Alliance for Career Enhancement

    Hartford, CT
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Manager, Prepay Fraud & SIU Investigations (Remote). Be the first to apply!