Remote Case Auditor — Healthcare Compliance & Quality

Centene Corporation; Oklahoma; Hybrid; USD 28,000 - 48,000; Full time

Job summary

Centene Corporation in Oklahoma is seeking a Case Auditor to ensure accuracy, consistency, and regulatory compliance across care management activities. This remote role requires residence in Oklahoma and a keen eye for documentation quality.

You will audit records, identify trends, develop tools and scorecards, and support policy updates. Strong communication, time management, and NCQA/HEDIS knowledge are essential.

Qualifications

• Requires a High School diploma or GED and 2-4 years of related experience.
• Experience with NCQA standards and regulatory requirements is preferred.
• Strong communication, time-management, and organizational skills are essential.

Responsibilities

• Audit care management records, documentation, and workflows for compliance with internal policies and NCQA/regulatory standards.
• Identify trends, discrepancies, or risks and provide actionable recommendations to leadership.
• Develop and maintain audit tools, scorecards, and tracking systems for objective reviews.
• Collaborate with care management leadership to address audit findings and implement corrective action plans.
• Prepare audit reports and present findings with clear insights and recommendations.

Skills

Auditing

Case management

NCQA/HEDIS knowledge

Regulatory compliance

Communication

Time management

Customer service

Education

High School diploma or GED

Tools

Audit tools

Data analysis software

Reporting tools

Job description

Centene Corporation in Oklahoma is seeking a Case Auditor to ensure accuracy, consistency, and regulatory compliance across care management activities. This remote role requires residence in Oklahoma and a keen eye for documentation quality.

You will audit records, identify trends, develop tools and scorecards, and support policy updates. Strong communication, time management, and NCQA/HEDIS knowledge are essential.