Top 54 Fraud investigator Jobs in Missouri

Corporate Ethics & Compliance Investigator
Centene —Missouri
- $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 —Missouri
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
9d
Fraud, Waste and Abuse Investigation, Senior Analyst
CVS Health —Missouri
- $46,988 - $112,200 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
Senior Compliance Investigator
Centene —Missouri
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Jefferson City, MO
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
2d
Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Jefferson City, MO
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
1d
Fraud Investigator - Consumer Servicing, Bankcard Fraud
Commerce Bank —Kansas City, MO
- $23.80 - $27.65 an hour
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
2d
Auditor/Investigator II
Qlarant —Missouri
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Financial Crimes SAR Quality Control & Training Associate
Edward Jones —St. Louis, MO
- $101,700 - $173,200 a year
- Full-time
- Hybrid work
- 6 years
- Office
- Analysis skills
- Profit sharing
- Health savings account
Private Investigator
DigiStream Investigations —Kansas City, MO
- $40,000 - $45,000 a year
- Weekends as needed
- Background check
- High school diploma or GED
- 21 years or older
- Travel reimbursement
- Paid training
14h
Asset Protection Investigator
Neiman Marcus —St. Louis, MO
- $21.53 - $26.91 an hour
- Full-time
- Computer literacy
- Writing skills
- Conflict management
- Disability insurance
- Health insurance
Senior Commissioned Investigator - Compliance and Investigations Bureau - 7022019
State of Missouri —Saint Charles, MO
- $52,077.60 a year
- Full-time
- Customer service
- 5 years
- Computer literacy
SIU Investigator (Part-Time)
VRC Investigations —St. Louis, MO
- $30 - $35 an hour
- Part-time
- Customer service
- 5 years
- Military
- Profit sharing
- Paid training
Quick Apply
1d
Senior Commissioned Investigator - 7022040
State of Missouri —Springfield, MO
- $52,077.60 a year
- Full-time
- Customer service
- 5 years
- Computer literacy
Senior Commissioned Investigator - 7022014
State of Missouri —Jefferson City, MO
- $52,077.60 a year
- Full-time
- Customer service
- 5 years
- Computer literacy
Flexible Field Investigator: Surveillance & SIU
J T Becker & Co —Kansas City, MO
- Full-time
- Mid-level
- Communication skills
- Flexible schedule
1d
Investigator - Medicaid Fraud Control Unit
Missouri Attorney General —Jefferson City, MO
- $51,000 - $55,000 a year
- Online Application
- Microsoft Word
- Writing skills
- Research
Quick Apply
Senior Commissioned Investigator - 1044012
State of Missouri —Kansas City, MO
- $52,077.60 a year
- Full-time
- Customer service
- 5 years
- Computer literacy
Senior Commissioned Investigator - 7022032
State of Missouri —Kansas City, MO
- $52,077.60 a year
- Full-time
- Customer service
- 5 years
- Computer literacy
Private Investigator
Photofax, Inc —Columbia, MO
- $50,000 - $60,000 a year
- Overtime
- Clean driving record
- No experience needed
- High school diploma or GED
- Travel reimbursement
- Fuel card
Quick Apply
14d

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Corporate Ethics & Compliance Investigator

Centene -
Missouri

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

fraud investigator jobs in missouri

Corporate Ethics & Compliance Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

Fraud, Waste and Abuse Investigation, Senior Analyst

Senior Compliance Investigator

Investigator, Special Investigations Unit (Aetna SIU)

Investigator, Special Investigations Unit (Meritain Health)

Fraud Investigator - Consumer Servicing, Bankcard Fraud

Auditor/Investigator II

Financial Crimes SAR Quality Control & Training Associate

Private Investigator

Asset Protection Investigator

Senior Commissioned Investigator - Compliance and Investigations Bureau - 7022019

SIU Investigator (Part-Time)

Senior Commissioned Investigator - 7022040

Senior Commissioned Investigator - 7022014

Flexible Field Investigator: Surveillance & SIU

Investigator - Medicaid Fraud Control Unit

Senior Commissioned Investigator - 1044012

Senior Commissioned Investigator - 7022032

Private Investigator

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