Top 39 Siu investigator Jobs in Rye Ny

SIU Investigator
Centene —New York, NY
- $56,200 - $101,000 a year
- Full-time
- Remote
- 5 years
- Fair chance
- Senior level
- Paid holidays
- Health insurance
Surveillance and SIU Investigator
NWI Investigative Group, Inc. —New York, NY
- From $25 an hour
- Part-time
- Microsoft Word
- Clean driving record
- Research
- Profit sharing
- 401(k)
Quick Apply
Claims Investigator - Full Time
Command Investigations, LLC —Queens, NY
- $23 - $30 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
SIU Field Investigator - National General
National General —Bronx, NY
- $60,000 - $104,100 a year
- Online Application
- Mid-level
- Mentoring
- US work authorization
- Work from home
4d
Surveillance Investigator
Surveillance Investigative Company —New York, NY
- $50 - $70 an hour
- Weekends as needed
- Clean driving record
- Mid-level
- Driving
Quick Apply
13d
SIU Claims Investigator - Spanish Speaker
Lemieux & Associates LLC —Stamford, CT
- $25 - $32 an hour
- Part-time
- Spanish
- Computer literacy
- Mid-level
- Flexible schedule
Quick Apply
Manager, Sales Investigations
Centene —New York, NY
- $87,700 - $157,800 a year
- Full-time
- Remote
- High school diploma or GED
- Fair chance
- 1 year
- Paid holidays
- Health insurance
New York, Huntington SIU Investigator PT
Insight Service Group (ISG) —Huntington, NY
- $20 - $27 an hour
- Part-time
- Mid-level
- Driver's License
- Travel
Quick Apply
Surveillance Investigator - Bronx
Allied Universal® Compliance and Investigations —Yonkers, NY
- $25 - $28 an hour
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
5d
Surveillance Investigator
VRC Investigations —Yonkers, NY
- $25 - $30 an hour
- Clean driving record
- Military
- Computer literacy
- Profit sharing
- Paid training
Quick Apply
New York, Bronx Surveillance Investigator PT
Insight Service Group (ISG) —Bronx, NY
- $20 - $27 an hour
- Part-time
- Writing skills
- Mid-level
- Driver's License
Quick Apply
New York, Mineola Surveillance Investigator PT
Insight Service Group (ISG) —Mineola, NY
- $20 - $27 an hour
- Part-time
- Writing skills
- Mid-level
- Driver's License
Quick Apply
SIU Investigator
VRC Investigations —Queens, NY
- $30 - $35 an hour
- Part-time
- Customer service
- 5 years
- Military
- Profit sharing
- Paid training
Quick Apply
SIU, Investigator
Marshall Investigative Group —New York, NY
- $50,000 - $65,000 a year
- Weekends as needed
- Microsoft Word
- Mid-level
- High school diploma or GED
- Travel reimbursement
- Mileage reimbursement
Quick Apply
As Needed Field Investigator- Greenwich, CT
J T Becker & Co Inc —Greenwich, CT
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
SIU - Experienced Field Investigator - Part-Time
Command Investigations, LLC —Flushing, NY
- $28 - $32 an hour
- Overtime
- Bilingual
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
New York, Bronx SIU Investigator
Insight Service Group (ISG) —Bronx, NY
- $20 - $27 an hour
- Full-time
- Mid-level
- Analysis skills
- Driver's License
Quick Apply
New York, Hempstead SIU Investigator PT
Insight Service Group (ISG) —Hempstead, NY
- $20 - $27 an hour
- Part-time
- Mid-level
- Analysis skills
- Driver's License
Quick Apply
New York, Huntington Surveillance Investigator PT
Insight Service Group (ISG) —Huntington, NY
- $20 - $27 an hour
- Part-time
- Writing skills
- Mid-level
- Driver's License
Quick Apply
Private Investigator Trainee - Prior Military
Lemieux & Associates LLC —Queens, NY
- $23 - $25 an hour
- Weekends as needed
- Background check
- Military
- Driver's License
- Paid training
- Opportunities for advancement
Quick Apply

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siu investigator jobs near rye ny

SIU Investigator

Centene -
New York, NY

Apply Now

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
5 years
Bachelor's degree in business
Suspicious activity investigations
Data summary reports
Criminal Justice
Investigative data analysis
Insurance investigation report preparation
Outlier detection
Healthcare billing investigations
Case referral
Insurance claims auditing
Senior level
Business
Healthcare claims compliance audits
Bachelor's degree in criminal justice
Law enforcement

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.

Candidates residing in the state of New York 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
5+ years in healthcare field working in fraud, waste and abuse investigations and audits, (or) 5+ years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) 7+ years of professional investigation experience involving economic or insurance related matters

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

siu investigator jobs in rye ny

SIU Investigator

Surveillance and SIU Investigator

Claims Investigator - Full Time

SIU Field Investigator - National General

Surveillance Investigator

SIU Claims Investigator - Spanish Speaker

Manager, Sales Investigations

New York, Huntington SIU Investigator PT

Surveillance Investigator - Bronx

Surveillance Investigator

New York, Bronx Surveillance Investigator PT

New York, Mineola Surveillance Investigator PT

SIU Investigator

SIU, Investigator

As Needed Field Investigator- Greenwich, CT

SIU - Experienced Field Investigator - Part-Time

New York, Bronx SIU Investigator

New York, Hempstead SIU Investigator PT

New York, Huntington Surveillance Investigator PT

Private Investigator Trainee - Prior Military

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