Top 15 Siu investigator Jobs in Mississippi

SIU Investigator
Centene —Mississippi
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Mississippi
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
7d
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Jackson, MS
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
10h
SIU Claims Investigator
Lemieux & Associates LLC —Hattiesburg, MS
- $25 - $32 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Flexible schedule
Quick Apply
14d
Mississippi, Biloxi SIU Investigator
Insight Service Group (ISG) —Biloxi, MS
- $20 - $27 an hour
- Part-time
- Mid-level
- Reliable transportation
Quick Apply
SIU - Experienced Field Investigator - Part-Time
Command Investigations, LLC —Jackson, MS
- $28 - $32 an hour
- Overtime
- Bilingual
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Surveillance Investigator
Allied Universal® Compliance and Investigations —Southaven, MS
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
As Needed Field Investigator- Hattiesburg, MS
J T Becker & Co Inc —Hattiesburg, MS
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- Jackson, MS
J T Becker & Co Inc —Jackson, MS
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- Tupelo, MS
J T Becker & Co Inc —Tupelo, MS
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply

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Senior Claim Benefit Specialist - Remote
CVS Health —Mississippi
Conducts outbound calls to obtain required information for claims or reconsideration requests. Trains and mentors as needed to enhance team performance and…
$18.50 - $42.35 an hour
SIU Investigator
Centene —Mississippi
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time…
$56,200 - $101,000 a year

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Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Columbus, OH
Exercises independent judgment and uses available resources and technology to develop evidence in support of case investigations. Knowledge of CDT and ADA.
$43,888 - $93,574 a year
10h
Field Investigator -- SIU
Auto-Owners Insurance Company —Columbus, OH
Able to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company’s underwriting guidelines for coverage.
Quick Apply
1d

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siu investigator jobs near mississippi

SIU Investigator

Centene -
Mississippi

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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
Certified Fraud Examiner
Mid-level
Suspicious activity investigations
Data summary reports
Criminal Justice
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.

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. Strong Excel skills preferred. CFE (Certified Fraud Examiner) preferred.

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

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Refine Your Search

siu investigator jobs in mississippi

SIU Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

Investigator, Special Investigations Unit (Aetna SIU)

SIU Claims Investigator

Mississippi, Biloxi SIU Investigator

SIU - Experienced Field Investigator - Part-Time

Surveillance Investigator

As Needed Field Investigator- Hattiesburg, MS

As Needed Field Investigator- Jackson, MS

As Needed Field Investigator- Tupelo, MS

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