Operations Auditor II

Remote Full-time
Job title: Operations Auditor II in Baton Rouge, LA at Centene

Company: Centene

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.Position Purpose: Audit systems entry, performance metrics and work processes for assigned functions

Audit accuracy of new group set-ups, existing contract changes, group termination
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
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.This position is remote within the state of Louisiana. In person meeting attendance at the Baton Rouge office required.Pay Range: $55,100.00 - $99,000.00 per yearCentene 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

Expected salary: $55100 - 99000 per year

Location: Baton Rouge, LA

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