Top 25 Siu investigator Jobs in Kentucky

SIU Investigator
Centene —Kentucky
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- Associate's degree
- 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
12d
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Frankfort, KY
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
5d
Surveillance Investigator
Allied Universal® Compliance and Investigations —Lexington, KY
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
14d
SIU, Investigator
Marshall Investigative Group —Kentucky
- $50,000 - $65,000 a year
- Weekends as needed
- Remote
- Microsoft Word
- Mid-level
- High school diploma or GED
- Travel reimbursement
- Mileage reimbursement
Quick Apply
12h
Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Frankfort, KY
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
4d
SIU - Experienced Field Investigator - Part-Time
Command Investigations, LLC —Louisville, KY
- $28 - $32 an hour
- Overtime
- Bilingual
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Kentucky, Louisville SIU Investigator PT
Insight Service Group (ISG) —Louisville, KY
- $20 - $27 an hour
- Part-time
- Mid-level
- Driver's License
- Driving
Quick Apply
As Needed Field Investigator- Bowling Green, KY
J T Becker & Co Inc —Bowling Green, KY
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- Owensboro, KY
J T Becker & Co Inc —Owensboro, KY
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- Dry Ridge, KY
J T Becker & Co Inc —Dry Ridge, KY
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Kentucky
Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations for fraud and abuse.
$46,988 - $112,200 a year
12d
Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Frankfort, KY
The SIU Investigator will conduct investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover…
$46,988 - $122,400 a year
4d

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

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
5d
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
6d

Show more jobs in cities nearby

I want to receive the latest job alert for siu investigator in kentucky

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

siu investigator jobs near kentucky

SIU Investigator

Centene -
Kentucky

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
Health data analysis
Suspicious activity investigations
Investigative data analysis
Healthcare billing investigations
Insurance claims auditing
Healthcare claims compliance audits
Healthcare coding investigations

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: this is a remote role with preference on candidates residing within Ohio.

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, or an Associate's degree with an additional 2 years working on health care fraud, waste, and abuse investigations and audits in lieu of a Bachelors is required.
A minimum of 2 years in a health care field working on fraud, waste, and abuse investigations and audits required.
The ability to understand and analyze health care claims and coding 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

siu investigator jobs in kentucky

SIU Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

Investigator, Special Investigations Unit (Aetna SIU)

Surveillance Investigator

SIU, Investigator

Investigator, Special Investigations Unit (Meritain Health)

SIU - Experienced Field Investigator - Part-Time

Kentucky, Louisville SIU Investigator PT

As Needed Field Investigator- Bowling Green, KY

As Needed Field Investigator- Owensboro, KY

As Needed Field Investigator- Dry Ridge, KY

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for siu investigator in kentucky

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected