Remote SIU Fraud Analytics Leader

Centene Corporation; New York (NY); Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Health insurance

401K participation

Stock purchase plans

Tuition reimbursement

Paid time off and holidays

Job summary

Centene Corporation is seeking a senior leader to direct SIU analytics, detection, and investigative analytics across healthcare programs. You will work with SIU leadership and enterprise stakeholders to develop proactive analytics, dashboards, and predictive monitoring capabilities to strengthen program integrity.

The role requires 5+ years in healthcare analytics, fraud detection, SIU operations, and leadership of analytics resources.

Qualifications

• Bachelor's Degree in Data Analytics, Data Science, Business Analytics, Healthcare Admin, IS, Statistics, CS, Criminal Justice, or related field; or equivalent experience.
• Master's degree preferred.
• JD preferred.

Responsibilities

• Lead SIU analytics strategy and roadmap.
• Develop proactive anomaly detection and analytics programs.
• Mentor and develop analytics staff and manage projects.
• Collaborate with stakeholders to implement predictive monitoring.

Skills

Healthcare analytics

Fraud detection

SIU operations

Data visualization

Predictive analytics

Education

Bachelor's degree

Master's degree preferred

Juris Doctor (JD) preferred

Tools

HCFS PostShield

AI Shield

Pharmacy Shield

Job description

Centene Corporation is seeking a senior leader to direct SIU analytics, detection, and investigative analytics across healthcare programs. You will work with SIU leadership and enterprise stakeholders to develop proactive analytics, dashboards, and predictive monitoring capabilities to strengthen program integrity.

The role requires 5+ years in healthcare analytics, fraud detection, SIU operations, and leadership of analytics resources.