Compliance Auditor (Non Clinical)
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.
Candidate must reside in Florida and hold an active driver's license. Position will also require occasional... weekend visits.
Position Purpose: Perform operational and compliance risk based audits for the health plan.
? Develop schedule and perform health plan audits and specialty care company (subcontractor) audits for either federal or state managed care programs
? Evaluate processes and performance through audits for scalability, effectiveness, efficiency, and risk mitigation
? Provide written audit documentation regarding state and/or federal managed care programs and process audit observations
? Review and analyze responses to audit observations and findings and facilitate corrective action plans
? Facilitate Health Plan and specialty care company (subcontractor) compliance through corrective action process. Identify, develop and implement corrective actions and training materials to improve program performance based on audit outcomes
? Provide education and training to internal and external entities as needed on programs, compliance, and fraud, waste and abuse
? Serve as a resource related to the health plan and specialty care company (subcontractor) programs
Education/Experience: Bachelor's degree in, Business, Accounting, Finance, Healthcare related field or equivalent experience. 2+ years of compliance experience, preferably with State or Federal managed care programs.
Pay Range: $54,000.00 - $97,100.00 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. Total compensation may also include additional forms of incentives.
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
Similar Remote Jobs
Compliance Auditor (Non Clinical)
Posted on: 01-11-2024 07:54
Virtual Data Entry Representatives
Posted on: 01-11-2024 07:54
junior data entry clerk
Posted on: 01-11-2024 07:54
Retail Store Lead (Keyholder)
Posted on: 01-11-2024 07:54
Manager-Pricing Celebration, FL, USA
Posted on: 01-11-2024 07:54
Amazon Vendor Deductions Specialist
Posted on: 01-11-2024 07:54
Associate Manager, Commercial Finance
Posted on: 01-11-2024 07:54
Virtual Online Hotel Reservationist/Entry-Level
Posted on: 01-11-2024 07:54
Entry Level Insurance Admin
Posted on: 01-11-2024 07:54
Shipping and Receiving Specialist
Posted on: 01-11-2024 07:54
Sr. Actuarial Product Analyst
Posted on: 28-11-2024 04:55
Remote Delta (Data Entry Jobs) – Apply Now
Posted on: 19-09-2024 00:00
Youtube Content Moderator Jobs From Home $24/Hour
Posted on: 16-07-2024 18:48
Remote Customer Service Consultant
Posted on: 15-12-2024 15:02
Remote Technical Project Manager - Supply Chain | WFH
Posted on: 05-01-2025 17:58
Home-Based Medical Transcriptionist
Posted on: 22-10-2024 05:27
Amazon jobs at home - Office Associate
Posted on: 07-08-2024 00:00
Seasonal Customer Service Representative (Remote)
Posted on: 11-12-2024 17:45
Lead SOAR Engineer - CSIRT(Remote Or Hybrid)
Posted on: 23-10-2024 04:43
Customer Service Representative/Office Assistant (Onsite Only / No Relocation)
Posted on: 22-10-2024 05:26