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. 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 in Business, Criminal Justice, Healthcare, related field or equivalent experience. 1+ years of medical claim investigation, medical 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, or 5+ years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, or 7+ years of professional investigation experience involving economic or insurance related matters. Please note: this is a remote role, however, candidates residing in the state of New York are highly preferred. Pay Range: $56,200.00 - $101,000.00 per year 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

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description August Schell is seeking cleared Security Architects to support anticipated federal cybersecurity initiatives. Qualified candidates will be considered for future opportunities aligned with enterprise security architecture, compliance, and secure system implementation efforts. - Design and guide implementation of enterprise and system-level security architecture throughout the development lifecycle - Translate federal security requirements, laws, and regulations into technical design controls and processes - Develop secure system architectures aligned with NIST Risk Management Framework (RMF), FISMA, and related federal standards - Integrate security controls across enterprise platforms and cloud/on-prem environments - Provide technical leadership on architecture decisions, risk mitigation strategies, and compliance alignment - Contribute to or lead technical deliverables and performance objectives as assigned - Evaluate existing system security posture and recommend improvements - Collaborate with engineering, cybersecurity, and program stakeholders Qualifications - Active Top Secret clearance required - Ability to obtain Q Clearance - U.S. Citizenship required - 5+ years of relevant cybersecurity or security architecture experience (level dependent) - Bachelor's degree in related field from an accredited university Requirements - Experience supporting federal programs or regulated environments - Experience with NIST RMF, FISMA, Zero Trust architectures, or federal cloud security standards - Active TS/SCI clearance - Existing Q Clearance Company Description August Schell offers 30 years of experience in providing our customers innovative solutions and engineering services to their most challenging needs. We thrive on navigating complex IT difficulties and are driven to find the best solutions for our customers. Our team delivers expert knowledge in cyber security, big data, endpoint security and cloud solutions. Our ability to serve our customers with continued excellence is a direct reflection of our dedicated and exceptional people. At August Schell, we are not only a team, we are a family. Equal Employment Opportunity August Schell Enterprises Inc. is an Equal Employment Opportunity Employer. We are committed to providing a workplace that is free from discrimination and harassment based on race, color, religion, sex (including pregnancy, sexual orientation or gender identity), national origin, age, marital status, disability, protected veteran status or any other characteristic protected by applicable law. Accommodations If you are an individual with a disability and would like to request a reasonable accommodation during the application or hiring process, please contact Human Resources at [email protected] Note This job description in no way states or implies that these are the only duties to be performed by the employee(s) of this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. This is a pipeline position contingent upon future contract award.

• Designing and delivering IT and digital transformation solutions for EU institutions and European public and private sector clients. • Supporting the implementation of EU-funded initiatives in collaboration with cross-functional, international teams. • Developing and maintaining software systems or cybersecurity frameworks. • Supporting project planning, reporting, and quality assurance processes. • Providing consulting expertise in IT governance, compliance, and best practices.

• Assist businesses with compliance standards relating to Cyber Security • Ability to partner with small to mid-size businesses to protect against Cyber Attacks • Engage in relentless follow-up and close deals through both long and short sales cycles • Contribute to a high-performing team and provide technology solutions to clients • Help educate clients on compliance standards they are mandated to comply with