SIU Investigator
Centene Corporation · United States · US
Other
Remote/Hybrid — check advert
Not yet analysed
Demand72
Career growth60
Healthcare fit64
Remote potential55
Salary band
USD 56k – 101k
5-year outlook
Stable payer compliance and payment integrity demand should support moderate salary growth, especially with CFE, AHFI, CPC, or CPMA credentials and progression into senior investigator or program integrity leadership. The posted range is wide and likely depends on location, experience, and certification.
Clinical license
Not required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-19
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 considering for clinicians who want payer-side compliance, fraud/waste/abuse, claims audit, or program integrity work and can frame clinical documentation or billing exposure as investigative-adjacent experience. Less suitable for clinicians seeking direct clinical practice, fully remote work, or entry-level non-clinical transitions without audit/compliance exposure.
Who should apply
Nurses, doctors, pharmacists, allied health professionals, and healthcare graduates with experience or strong interest in medical record review, claims analysis, billing/coding, compliance, quality, payer operations, or healthcare investigations. Clinicians with CPC, CPMA, CFE, AHFI, or audit/compliance exposure are especially well positioned.
CV angle
Reframe real clinical experience around medical record review, documentation quality, billing/coding awareness, compliance, quality improvement, data review, report writing, and collaboration with legal, regulatory, or payer stakeholders. Emphasize any audit, claims, coding, fraud/waste/abuse, or investigative-adjacent work without fabricating investigation experience.
Skills to highlight
- Medical record review
- Healthcare claims analysis
- Billing and coding documentation
- Fraud, waste, and abuse concepts
- Investigative report writing
- Regulatory and privacy compliance
- Data analysis and trend review
- Stakeholder collaboration and interviews
Role summary
A managed care SIU investigator reviews claims, medical records, provider billing, enrollment, and financial documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns. The role documents investigations, prepares reports and referrals, collaborates with compliance/legal/payment integrity teams, supports audits and recoveries, and may conduct onsite audits or interviews.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.