Operations Auditor

Centene
Kansas, Kansas City
Workplace: RemoteFull timeUSD 56,200 - 101,000 annuallyFunction: Finance & AccountingExperience: 3+ yearsEducation: bachelorsSkills: ["Attention to detail","Organizational skills","Time management","Independent work"]

Audit systems entry, performance metrics, and work processes for assigned functions. Ensure accuracy and integrity of PDM/Credentialing data reports, execute risk-based audits, and compile findings with recommendations for operational, systems, and procedural improvements. Coordinate corrective actions and educational materials for audit errors, examine information systems to recommend controls, and research state contract and accreditation standards to identify potential risk.

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Centene
Centene
1 day ago

Operations Auditor

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Source: Company careers pageValidated by: Fursa AI
Last checked: 5 hours agoStatus: Live

Job Summary

Audit systems entry, performance metrics, and work processes for assigned functions. Ensure accuracy and integrity of PDM/Credentialing data reports, execute risk-based audits, and compile findings with recommendations for operational, systems, and procedural improvements. Coordinate corrective actions and educational materials for audit errors, examine information systems to recommend controls, and research state contract and accreditation standards to identify potential risk.
Location: Kansas, Kansas City
Workplace: Remote
Employment Type: Full time
Job Function: Finance & Accounting
Seniority: Mid level

Key Responsibilities

  • •Audit systems entry, performance metrics, and work processes, including new group set-ups, contract changes, and group terminations.
  • •Design, implement, and manage data review processes to ensure accuracy and integrity of PDM/Credentialing data reports.
  • •Execute risk-based audits to evaluate controls and processes for scalability, efficiency, and risk mitigation.
  • •Compile audit findings and report to management with recommendations for modifications and improvements.
  • •Coordinate auditing outcomes to develop corrective actions and educational material related to audit errors.

Pay and Benefits

Salary: USD 56,200 - 101,000 annually
Perks:Health Insurance401kEquityPaid LeaveHolidaysRemote Work

Key Requirements

  • •Bachelor’s degree in a related field, or equivalent experience.
  • •3+ years of auditing or process improvement experience, preferably in a managed care setting.
  • •Knowledge of state contract and accreditation requirements.
  • •Experience auditing case files, reviewing documentation, identifying trends, and recommending process improvements.
  • •Strong attention to detail, organizational skills, time management, and ability to work independently in a remote environment.
Experience:3+ years
Education:Bachelor's in related field
Skills:Attention to detailOrganizational skillsTime managementIndependent work

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn