Operations Auditor II

Centene; United States; Remote; USD 55,000 - 99,000; Full time

Job summary

Centene is seeking an Audit Specialist to enhance systems entry and performance metrics to support Applied Behavioral Analysis functions. This remote position in Florida requires a Bachelor’s degree and extensive auditing experience in a managed care environment. Applicants will work on improving operations through comprehensive audits and analysis while collaborating with various teams to ensure system reliability and regulatory compliance.

Benefits

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• 3+ years of auditing or process improvement experience, preferably in managed care.
• Knowledge of state contract and accreditation requirements.
• BCBA or BCABA certifications preferred.

Responsibilities

• Audit accuracy of new group setups and existing contract changes.
• Design and manage data review processes for report accuracy.
• Compile audit findings and recommend improvements.

Skills

Auditing

Performance Metrics

Process Improvement

Risk Management

Data Integrity

Education

Bachelor's degree in related field

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.

Remote-FL

**Candidates must reside in Florida

Position Purpose: Audit systems entry, performance metrics and work processes for assigned functions. Supports ABA (Applied Behavioral Analysis).

• Audit accuracy of new group set-ups, existing contract changes, group terminations
• Design, implement, and manage data review processes to ensure accuracy and integrity of PDM/Credentialing data reports to meet regulatory and operational requirements
• Execute risk based audits evaluating controls and processes for scalability, efficiency, and risk mitigation strategies
• Compile audit findings and report to management, making recommendations for modifications and improvements to operations, systems and procedures via work plans, graphs and reporting metrics
• Ensure defined goals are implemented and relevant supporting documents are available to measure goal performance
• Coordinate auditing outcomes to identify, develop and publish corrective actions and educational material related to audit errors
• Examine and evaluate information systems, recommending controls to ensure system reliability and data integrity
• Identify and resolve system issues with data load
• Research state contract requirements and accrediting body standards and identify areas that present potential risk to the company
• Performs other duties as assigned
• Complies with all policies and standards
• 25% travel

Education/Experience: Bachelor’s degree in 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. BCBA or BCABA certifications, preferred. ABA experience, highly preferred.

Pay Range: $55,100.00 - $99,000.00 per year

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.

Remote-FL

**Candidates must reside in Florida

Position Purpose: Audit systems entry, performance metrics and work processes for assigned functions. Supports ABA (Applied Behavioral Analysis).

• Audit accuracy of new group set-ups, existing contract changes, group terminations
• Design, implement, and manage data review processes to ensure accuracy and integrity of PDM/Credentialing data reports to meet regulatory and operational requirements
• Execute risk based audits evaluating controls and processes for scalability, efficiency, and risk mitigation strategies
• Compile audit findings and report to management, making recommendations for modifications and improvements to operations, systems and procedures via work plans, graphs and reporting metrics
• Ensure defined goals are implemented and relevant supporting documents are available to measure goal performance
• Coordinate auditing outcomes to identify, develop and publish corrective actions and educational material related to audit errors
• Examine and evaluate information systems, recommending controls to ensure system reliability and data integrity
• Identify and resolve system issues with data load
• Research state contract requirements and accrediting body standards and identify areas that present potential risk to the company
• Performs other duties as assigned
• Complies with all policies and standards
• Onsite provider meetings
• 25% travel

Education/Experience: Bachelor’s degree in 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. BCBA or BCABA certifications, preferred. ABA experience, highly preferred.

Pay Range: $55,100.00 - $99,000.00 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. 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

About the company

Centene Corporation is a publicly traded managed care company based in St.

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