Lead SIU Investigator
Centene
Missouri, Idaho, Arizona, Washington, Colorado, Texas, Nevada, California
Workplace: RemoteFull timeUSD 70,100 - 126,200 annuallyFunction: Administration & Executive AssistanceExperience: 5+ yearsEducation: bachelorsSkills: ["Risk assessment","Investigation","Mentoring","Regulatory communication","Training development"]Serve as a subject-matter expert for Special Investigations Unit (SIU) investigations, guiding staff and managing a moderate-to-high complexity caseload. Evaluate allegations using federal/state regulations, CMS guidelines, and internal policies; conduct and review investigative interviews; document findings and produce clear reports. Identify training needs, assess risks, recommend remedial actions, analyze trends for fraud signals, and communicate with regulators. Testify in criminal and civil matters as needed.
