Clinical Investigator Behavioral Health

·        2+ years of experience in state agency investigations, special investigations in managed care, behavioral health provider reviews, medical record reviews, behavioral health billing/coding analysis, or behavioral health compliance.

·        3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals

·        Direct experience or working knowledge with FWA policies in state agency investigations or managed care investigations is preferred

·        Strong clinical documentation and problem-solving skills required

·        Role requires openness, adaptability, and flexibility for business changes

·        Strong communication, attention to detail, organizational and time management skills are required

·        Skilled at utilizing Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, Word, PowerPoint, OneNote, Teams) and is open to utilizing Generative AI tools (e.g. ChatGPT, Claude, Gemini, etc) is preferred

·        Comfortable with presenting findings in a concise and effective manner to various stakeholders is required

·        Working knowledge of behavioral health billing and coding basics preferred

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

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