Manager, Special Investigation Unit (SIU)
About this role
Manager, Special Investigation Unit (SIU)
Description
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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.
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This is a remote role within the continental US.
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Position Purpose: Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes.
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Monitor business processes and systems to assure integrity and compliance in billing and claims payment
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Lead a team appropriately investigate all possible fraud, waste and abuse referrals
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Develop educational materials to address/identify waste activities as requested by the health plan and on an ad-hoc basis
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