Top 337 Senior case Jobs in Kentucky

Corporate Ethics & Compliance Investigator
Centene —Kentucky
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Kentucky
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Senior Compliance Investigator
Centene —Kentucky
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
Senior Clinical Research Associate (level dependent on experience)
CTI Clinical Trial Services, Inc —Covington, KY
- Hybrid work
- Nursing
- Mid-level
- Master's degree
- Paid parental leave
- Tuition reimbursement
Quick Apply
Case Manager
Integrated Financial Settlements, Inc —Highland Heights, KY
- $40,000 - $45,000 a year
- Remote
- Bilingual
- Inventory management
- Computer literacy
- Life insurance
Quick Apply
Business Support Senior Analyst, Revenue Cycle
CVS Health —Kentucky
- $46,988 - $122,400 a year
- Full-time
- Remote
- Microsoft Outlook
- SQL
- Bachelor's degree
- Health insurance
- Dental insurance
Senior Counsel-Labor and Employment
Humana —Louisville, KY
- $168,000 - $231,000 a year
- Full-time
- 7 years
- Mentoring
- Organizational skills
- Paid parental leave
- Paid holidays
9d
Clinical Director of Virtual Care Programs
Planned Parenthood GNHI —Lexington, KY
- $117,769 - $257,311 a year
- Full-time
- 5 years
- Certified Nurse Practitioner
- Travel
- Disability insurance
- Health insurance
Senior Claims Adjuster - Workers' Compensation
MSIG North America —Georgetown, KY
- $95,000 - $105,000 a year
- Full-time
- Hybrid work
- 5 years
- High school diploma or GED
- Senior level
- Profit sharing
- Paid parental leave
Senior Intake Coordinator
Paradigm Corp —Kentucky
- $19 - $21 an hour
- Full-time
- Remote
- Microsoft Outlook
- Word processing
- Mid-level
- Health savings account
- Paid holidays
12d
Principle Clinical Specialist
Abbott Laboratories —Lexington, KY
- $86,700 - $173,300 a year
- Full-time
- 6 years
- Senior level
- Health insurance
- Tuition reimbursement
Contractor Installation Manager
Strategic Resources Inc —Fort Campbell, KY
- Full-time
- Military
- Bachelor's degree
- Travel
Senior Trainer/Facilitator
CALIBRE Systems, Inc. —Fort Knox, KY
- Full-time
- Classroom
- Microsoft Excel
- Microsoft Outlook
Senior Benefits Specialist
UofL Health —Louisville, KY
- Full-time
- HIPAA
- Office
- Bachelor's degree
- Dental insurance
- Retirement plan
12d
Housing & Senior Focused Program Director
NORTHERN KENTUCKY COMMUNITY ACTION COMMISSION INC —Covington, KY
- $55,000 - $60,000 a year
- Full-time
- 3 years
- Bachelor's degree
- Social Work
Quick Apply
Senior Director Education
NORTHERN KENTUCKY COMMUNITY ACTION COMMISSION INC —Newport, KY
- $75,000 - $80,000 a year
- Full-time
- Spanish
- 7 years
- Teaching Certification
Quick Apply
Director of Nursing
Morning Pointe Senior Living —Lexington, KY
- Full-time
- Background check
- Mid-level
- Residential
- Health savings account
- Disability insurance
Quick Apply
Director of Nursing
Morning Pointe Senior Living —Owensboro, KY
- Full-time
- Background check
- RN License
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Certified Occupational Therapy Assistant (COTA)
Senior Community Care of Northern Kentucky —Florence, KY
- $24 - $29 an hour
- Weekends as needed
- Customer service
- Travel
- Computer skills
- Paid holidays
- Health insurance
Quick Apply
8d
Adult Day Center Director (RN/LPN) Lexington, KY
Freedom Senior Services —Lexington, KY
- Full-time
- LMFT
- Spanish
- RN License
- Health insurance
- Dental insurance
Quick Apply

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Corporate Ethics & Compliance Investigator

Centene -
Kentucky

Apply Now

Job Details

Full-time
$107,700 - $199,300 a year

Benefits

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

Qualifications

Investigations regulatory compliance
State healthcare regulations

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: Responsible for leading and managing the most complex, sensitive, and high-impact internal investigations across the organization. Serves as a strategic advisor and subject matter expert on investigative best practices, regulatory compliance, and risk mitigation. Requires exceptional judgment, discretion, and the ability to influence senior leadership decisions while ensuring adherence to federal and state regulations, internal policies, and ethical standards.

Consults with management, in-house counsel, and/or the Director of Corporate Compliance as needed to resolve difficult, highly sensitive or complex compliance issues.
Independently evaluates and assesses allegations to determine whether domestic laws, regulatory policies, or internal policies, procedures, and standards have been violated.
Plans, scopes, and conducts complex, confidential internal investigations from inception to conclusion. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Conducts, manages, and documents interviews with witnesses, as required for investigatory purposes.
Reviews investigation reports prepared by junior investigators.
Identifies risks, interprets investigation results, and recommends and communicates remedial actions to mitigate future potential risks.
Performs follow up to ensure remedial / disciplinary measures are implemented appropriately and timely.
Plans, develops, leads, and manages multiple projects, including prioritizing and managing through execution.
Maintains meticulous case files and chronologies in accordance with best practices.
Thoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented.
Prepares clear and concise draft investigation plans and reports.
Provides support and guidance to junior investigation staff as applicable.
Attends, actively participates in, and/or leads meetings with various business area managers.
Communicates directly with Federal or State regulators.
Supports the development and maintenance of Corporate Compliance policies and procedures and workflows.
Participates in and leads special projects (e.g., auditing, training, and HIPAA compliance).
Provides support of and guidance to other associates.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience: Bachelor's Degree Criminal Justice/Criminology, Law, Healthcare Administration/Health Policy, or related field, equivalent experience required. Juris Doctorate highly preferred. 7+ years progressive experience in conducting and managing complex investigations or auditing and risk analysis required. 7+ years experience reading, analyzing and interpreting State and Federal laws, rules and regulations required. Prosecutorial experience preferred. Previous experience as an investigator within a large corporation or Federal Agency preferred.

Licenses/Certifications:
Certified Fraud Investigator preferred

Pay Range: $107,700.00 - $199,300.00 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

senior case jobs in kentucky

Corporate Ethics & Compliance Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

Senior Compliance Investigator

Senior Clinical Research Associate (level dependent on experience)

Case Manager

Business Support Senior Analyst, Revenue Cycle

Senior Counsel-Labor and Employment

Clinical Director of Virtual Care Programs

Senior Claims Adjuster - Workers' Compensation

Senior Intake Coordinator

Principle Clinical Specialist

Contractor Installation Manager

Senior Trainer/Facilitator

Senior Benefits Specialist

Housing & Senior Focused Program Director

Senior Director Education

Director of Nursing

Director of Nursing

Certified Occupational Therapy Assistant (COTA)

Adult Day Center Director (RN/LPN) Lexington, KY

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