SIU Investigator
$56K - $101K/yr
Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required * 1+ years Medical claim investigation, medical claim audit, medical claim analysis, or ...
SIU Investigator
$56K - $101K/yr
Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required * 1+ years Medical claim investigation, medical claim audit, medical claim analysis, or ...
SIU Investigator
Manhattan, NY · On-site
$56K - $101K/yr
... claim audit, medical claim analysis, or fraud investigation experience. Preferred qualifications a minimum of 5+ years in healthcare field working in fraud, waste and abuse investigations and audits ...
SIU Investigator
Manhattan, NY · On-site
$56K - $101K/yr
... claim audit, medical claim analysis, or fraud investigation experience. Preferred qualifications a minimum of 5+ years in healthcare field working in fraud, waste and abuse investigations and audits ...
Medical Claim Processor
Plano, TX · On-site
$18.50 - $21/hr
THIS IS NOT A REMOTE POSITION The Reny Company's medical claim processor is a professional who ... Track scanning errors and report problems to manager for IT resolution * Stay abreast of fee ...
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Medical Claim Processor
Plano, TX · On-site
$18.50 - $21/hr
THIS IS NOT A REMOTE POSITION The Reny Company's medical claim processor is a professional who ... Track scanning errors and report problems to manager for IT resolution * Stay abreast of fee ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
The Specific Stop Loss Claim Auditor Intern will support the Audit Team by reviewing medical claim ... Ability to work independently and manage multiple tasks in a remote environment. Preferred ...
Audit Manager
Atlanta, GA · Hybrid
$120K - $140K/yr
Competitive benefits package including medical, dental, 401(k), paid holidays, and PTO Key Responsibilities As the Audit Manager, you will: * Lead audit engagements from planning through completion
Audit Manager
Atlanta, GA · Hybrid
$120K - $140K/yr
Competitive benefits package including medical, dental, 401(k), paid holidays, and PTO Key Responsibilities As the Audit Manager, you will: * Lead audit engagements from planning through completion
Medical Claim Audit Manager information
See salary details
$14.66 - $17.88
24% of jobs
$17.98 is the 25th percentile. Wages below this are outliers.
$17.88 - $21.09
40% of jobs
$21.09 - $24.30
10% of jobs
$24.60 is the 75th percentile. Wages above this are outliers.
$24.30 - $27.51
8% of jobs
$27.51 - $30.73
0% of jobs
$30.73 - $33.94
0% of jobs
$33.94 - $37.15
0% of jobs
$37.15 - $40.36
0% of jobs
$40.36 - $43.58
0% of jobs
$43.58 - $46.79
10% of jobs
$46.79 - $50
7% of jobs
$14
$25
$50
How much do medical claim audit manager jobs pay per hour?
As of Sep 13, 2026, the average hourly pay for medical claim audit manager in the United States is $25.61, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $24.52 per hour, depending on experience, location, and employer.
What are popular job titles related to Medical Claim Audit Manager jobs?
For Medical Claim Audit Manager jobs, the most frequently searched job titles are:
SIU Investigator
Remote
Centene
• Health Care and Social Assistance • 10K+ employees10,000+ employees
$56K - $101K/yr
Full-time
Medical, Retirement, PTO
Re-posted 28 days ago
Centene rating
8.4
Based on 406 frontline employees who took The Breakroom Quiz
Job description
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.
Please note: candidates who reside in Florida are highly preferred.
Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.
- Conduct investigations of potential waste, abuse, and fraud
- Document activity on each case and refer issues to the appropriate party
- Perform data mining and analysis to detect aberrancies and outliers in claims
- Develop new queries and reports to detect potential waste, abuse, and fraud
- Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
- Assist with complex allegations of healthcare fraud
- Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
- Complete various special projects and audits
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience:
- Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required
- 1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation required
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
About Centene
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Saint Louis, MO, US
Year founded
1984