Top 35403 Diversified Jobs

SIU Investigator
Centene —Florida
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Dishwasher
Applebee's —Federal Way, WA
- $17.13 - $24.00 an hour
- 18 years or older
- Casual dining restaurant
- Ability to lift 50 pounds
- Health insurance
- Flexible schedule
Quick Apply
MEDICAL RECORDS CLERK
The GEO Group —Bakersfield, CA
- $21.87 an hour
- Full-time
- Computer literacy
- English
- High school diploma or GED
- Paid training
- Health savings account
PSYCHOLOGIST (PHD, PSY)
The GEO Group —Basile, LA
- From $145,000 a year
- Full-time
- Management
- Doctor of Philosophy
- Psychology
- Paid training
- Health savings account
Instructor of Transportation and Logistics
Diversified Vocational College —Los Angeles, CA
- $30 - $40 an hour
- Full-time
- Classroom
- Forklift
- Microsoft Office
- Health insurance
- Paid time off
Quick Apply
Occupational Therapist (OT)
Virginia Mason Franciscan Health Rehabilitation Hospital —Tacoma, WA
- $50.40 - $70.14 an hour
- Weekends as needed
- Hospital
- Mid-level
- Employee discount
- Gym membership
Quick Apply
Physical Therapist | DOR | Indianola, Mississippi | $15k Sign-On Bonus
Mid South Rehab Services, Inc. —Indianola, MS
- $40 - $52 an hour
- Full-time
- Acute care
- Doctoral degree
- Hospital
- Continuing education credits
- Paid holidays
Quick Apply
Production Manager
PMC Organometallix —Axis, AL
- Full-time
- Oracle
- Bachelor of Science
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Combination Technician
TSC —Auglaize County, OH
- From $18 an hour
- 8 hour shift
- Customer service
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
PSYCHOLOGIST (PHD, Psy)
The GEO Group —Newark, NJ
- $139,360 a year
- Full-time
- Management
- 21 years or older
- Doctor of Philosophy
- Paid training
- Health savings account
Pharmacist
Centra Behavioral Health Hospital —Lynchburg, VA
- $115,000 - $142,000 a year
- Overtime
- CPR Certification
- Management
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
8d
Business Litigation & General Liability Associate - Hybrid - San Diego - Base + Bonus
Klinedinst PC —San Diego, CA
- $120,000 - $165,000 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- 1 year
- Health insurance
- Dental insurance
Quick Apply
9d
Class A Hazmat CDL Driver
Homax Oil Sales, Inc. —Rawlins, WY
- Overtime
- Clean driving record
- Sales
- Hazmat Endorsement
- Paid holidays
- Health insurance
Quick Apply
8d
Speech-Language Pathologist | Meridian & Dekalb, Mississippi | $3k Sign-On Bonus
Mid South Rehab Services, Inc. —Meridian, MS
- $36.00 - $45.05 an hour
- Full-time
- Nursing home
- Master's degree
- Leadership
- Continuing education credits
- Paid holidays
Quick Apply
Sale Application Engineer II
Nortek Air Solutions, LLC —Okarche, OK
- Full-time
- Engineering
- System design
- Mid-level
Quick Apply
Senior Geotechnical Engineer
Geo-Technology Associates Inc. —Nashville, TN
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Research
- Paid holidays
- Disability insurance
Quick Apply
Chiropractor
Thrive Chiropractic | Health —Burnsville, MN
- $72,000 - $125,000 a year
- Email
- Background check
- Mid-level
- Clinic
- Paid parental leave
- Paid time off
Quick Apply
Inspector
Eastman Machine Co —Buffalo, NY
- $29.64 an hour
- Full-time
- Background check
- Computer literacy
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Quality Control Officer
Arrowhead Contracting —Chattanooga, TN
- $65,000 - $80,000 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Health insurance
Quick Apply
Field Technician – Fall Protection Systems
Diversified Fall Protection —Cleveland, OH
- $28 - $32 an hour
- Weekends as needed
- Background check
- Heavy lifting
- Construction site
- Disability insurance
- Health insurance
Quick Apply

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SIU Investigator

Centene -
Florida

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Job Details

Full-time
$56,200 - $101,000 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Healthcare financial misconduct investigations
Data mining
Health data analysis
Bachelor's degree in business
Mid-level
Suspicious activity investigations
Data summary reports
Criminal Justice
Audit Reporting
Investigative data analysis
Insurance investigation report preparation
Outlier detection
Healthcare billing investigations
Case referral
1 year
Insurance claims auditing
Business
Healthcare claims compliance audits
Bachelor's degree in criminal justice

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Please note: candidates who reside in Florida are highly preferred.

Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.

Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party
Perform data mining and analysis to detect aberrancies and outliers in claims
Develop new queries and reports to detect potential waste, abuse, and fraud
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
Assist with complex allegations of healthcare fraud
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
Complete various special projects and audits
Performs other duties as assigned
Complies with all policies and standards

Education/Experience:

Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required
1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation required

Pay Range: $56,200.00 - $101,000.00 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

Apply Now

Refine Your Search

diversified jobs

SIU Investigator

Dishwasher

MEDICAL RECORDS CLERK

PSYCHOLOGIST (PHD, PSY)

Instructor of Transportation and Logistics

Occupational Therapist (OT)

Physical Therapist | DOR | Indianola, Mississippi | $15k Sign-On Bonus

Production Manager

Combination Technician

PSYCHOLOGIST (PHD, Psy)

Pharmacist

Business Litigation & General Liability Associate - Hybrid - San Diego - Base + Bonus

Class A Hazmat CDL Driver

Speech-Language Pathologist | Meridian & Dekalb, Mississippi | $3k Sign-On Bonus

Sale Application Engineer II

Senior Geotechnical Engineer

Chiropractor

Inspector

Quality Control Officer

Field Technician – Fall Protection Systems

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