SIU Investigator
Centene Corporation · United States · US
Other
Remote/Hybrid — check advert
Not yet analysed
Demand72
Career growth66
Healthcare fit65
Remote potential55
Salary band
USD 56k – 101k
5-year outlook
Stable payer compliance and payment-integrity demand; the posted range is $56.2k–$101k, with progression toward senior investigator, payment integrity, or compliance roles. Certifications and payer-side audit experience are likely to matter more than clinical licensure.
Clinical license
Not required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-22
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Rate period
- Annual
Why this was classified this way
- part-time
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying for clinicians with claims, coding, audit, compliance, or payer experience who want non-clinical investigative work. Clinicians without any audit or investigative exposure may find the 2+ year requirement a real barrier.
Who should apply
Nurses, pharmacists, doctors, or allied health professionals with utilization review, coding/auditing, compliance, quality, claims review, or payer experience; healthcare graduates with fraud/compliance internships may also fit.
CV angle
Translate clinical chart review, documentation audits, coding/billing familiarity, quality/compliance work, and stakeholder communication into fraud, waste, abuse, payment integrity, and investigative-report language. Quantify audits, overpayment reviews, medical-record analyses, and regulatory documentation; do not invent investigative experience.
Skills to highlight
- Medical record review
- Healthcare claims analysis
- Billing and coding documentation
- Fraud, waste, and abuse investigation concepts
- Investigative report writing
- Regulatory compliance
- Data and trend analysis
- Stakeholder collaboration
Role summary
Payer-side SIU investigator reviewing claims, medical records, billing, and provider data to detect fraud, waste, abuse, overpayments, and compliance issues; documents cases, prepares reports and referrals, and coordinates with compliance, legal, payment integrity, and external agencies.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.