Director, Special Investigative Unit (SIU)

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.

Requirements

• Bachelor's degree in Accounting, Criminal Justice, Finance, Medical Professional, Economics, Operations Management or related field or equivalent
• 7+ years of related compliance and/or special investigation experience in managed care or CMS
• Interpret audit results and assist health plan executives in the development of appropriate action plans to address identified risks
• Develop and implement continuous auditing processes from analytic design to final report stage
• Identify and direct the implementation of new technologies
• Ensure compliance with all state and federal regulations for fraud and abuse
• Respond to all legal inquiries including subpoenas and court appearances
• Attend federal CMS and state fraud meetings with other managed care organizations, and state and federal employees

Benefits

• competitive pay
• health insurance
• 401K
• stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible work schedule