Director of SIU Analytics & Fraud Detection

Centene Corporation; Missouri; Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Remote/Hybrid/On-site options

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Job summary

Centene Corporation is seeking a senior leader to direct SIU analytics, driving detection and investigation of fraud, waste, and abuse. You will leverage data assets, predictive monitoring, and vendor partnerships to strengthen program integrity and deliver measurable value.

The role requires strategic planning, team leadership, and collaboration with enterprise stakeholders to modernize analytics capabilities and reporting.

Qualifications

• Bachelor's degree in data analytics, data science, business analytics, or related field or equivalent experience.
• 5+ years healthcare analytics, fraud detection, SIU operations, program integrity, or related analytical functions.
• 2+ years conducting healthcare fraud investigations and knowledge of fraud, waste, and abuse trends.
• Experience leading, mentoring, coordinating, or managing analytical resources, projects, or teams.
• Experience developing and implementing advanced analytics, predictive monitoring, reporting, data visualization, and fraud detection methodologies.

Responsibilities

• Lead SIU analytics strategy and roadmap.
• Mentor and develop analytics staff.
• Manage vendor relationships and performance.
• Communicate findings and trends to senior leadership.

Skills

Strategic leadership

Analytics leadership

Stakeholder management

Data storytelling

Team development

Education

Bachelor's degree in related field

Master's degree preferred

Juris Doctor preferred

Tools

HCFS PostShield

AI Shield

Pharmacy Shield

Job description

Centene Corporation is seeking a senior leader to direct SIU analytics, driving detection and investigation of fraud, waste, and abuse. You will leverage data assets, predictive monitoring, and vendor partnerships to strengthen program integrity and deliver measurable value.

The role requires strategic planning, team leadership, and collaboration with enterprise stakeholders to modernize analytics capabilities and reporting.