Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
Similar Jobs
Loss Prevention Detective - Metarie, LA
T.K. Maxx
Metairie, LA
Apply Now >
Telecommute Crimes Against Youth Law Enforcement Transcriber
Virtual Vocations
New Orleans, LA
Apply Now >
Contract Investigator - New Orleans LA
OMNIPLEX World Services Corporation
New Orleans, LA
Apply Now >
Loss Prevention Detective - Metarie, LA
The TJX Companies, Inc.
Metairie, LA
Apply Now >
Police Officer - \
Tulane University
New Orleans, LA
Apply Now >
View more jobs in New Orleans, LA
View more jobs in Louisiana

Job Details

Special Investigation Unit Investigator

Company name
Centene Corporation

Location
New Orleans, LA

Apply for this job






2 hit(s)   |  1 times apply

Profile

Description 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 Qualifications Education\/Experience: Bachelor\u2019s Degree in Business, Criminal Justice, Healthcare, related field or equivalent experience. 1 years of medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation experience. Knowledge of Microsoft Applications, medical coding and terminology preferred. 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.

Company info

Centene Corporation
Website : http://www.centene.com

Company Profile
Founded as a single health plan in 1984, Centene Corporation (Centene) has established itself as a national leader in the healthcare services field. Today, through a comprehensive portfolio of innovative solutions, we remain deeply committed to delivering results for our stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations

Similar Jobs:
Director of Training and Development
Location : New Orleans, LA
Job Title: Director of Training and Development Department: OJC Reports To (Title Only): Director of Human Resources and Administration Supervisory Responsibility: Yes #Direct Reports: Compliance Director\/ Sheriff #...
Custom Protection Officer Flex
Location : Metairie, LA
June 23, 2018 Job Introduction: PLEASE CLICK APPLY OR TEXT JOBS TO 561-660-9797 FROM YOUR SMARTPHONE! The world's leading private security organization, G4S, has an immediate job opportunity for a Custom Protection Flex Officer . ...
I found a new job! Thanks for your help.
Thomas B - ,
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
LawEnforcementCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
LawEnforcementCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2018 LawEnforcementCrossing - All rights reserved. 168