Remote Audit Lead, Compliance & Risk Adjustment

Centene Corporation; Missouri; Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Remote / hybrid / field or office work

Job summary

Centene Corporation is seeking a leader to manage a team focused on facilitating and leading external audits related to Risk Adjustment processes. The role includes reporting on audit deliverables, collaborating with business areas to prevent, detect, and correct compliance issues, and ensuring timely interaction with auditors across state and federal regulators.

Qualifications include a Bachelor's degree in a related field and 5+ years in audit, risk adjustment, or compliance.

Qualifications

• Bachelor's degree required in audit, compliance, legal or related field.
• 5+ years of experience in audit, risk adjustment and/or compliance.
• Experience with risk adjustment oversight and/or coding planning preferred.

Responsibilities

• Serve as the point of contact for external audits and correspondence with auditors.
• Manage external audit deliverables submission and respond to inquiries from regulators.
• Quality review all external audit deliverables for completeness and accuracy.
• Communicate with internal and external audit partners on deliverables and deadlines.
• Act as SME on external audit processes, policies and quality initiatives.
• Document risks and engage Compliance Corrections team for corrective actions.
• Support development and review of Corrective Action Plans.

Skills

External audits

Risk adjustment

Compliance

Regulatory knowledge

Communication

Education

Bachelor's degree in Audit/Compliance/Legal or related field

Job description

Centene Corporation is seeking a leader to manage a team focused on facilitating and leading external audits related to Risk Adjustment processes. The role includes reporting on audit deliverables, collaborating with business areas to prevent, detect, and correct compliance issues, and ensuring timely interaction with auditors across state and federal regulators.

Qualifications include a Bachelor's degree in a related field and 5+ years in audit, risk adjustment, or compliance.