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Remote Case Auditor – Oklahoma
Audit care management records for NCQA, HEDIS, CMS, and regulatory compliance while supporting corrective actions, reporting, and quality improvement at Centene Corporation.
विवरण
- Audit care management records, documentation, and workflows on a regular basis
- Verify adherence to internal policies, NCQA standards, and regulatory requirements
- Analyze trends, discrepancies, and risk areas, then recommend actions to leadership
- Create and maintain audit tools, scorecards, and tracking systems
- Partner with care management leaders to review findings and develop corrective action plans
- Help create and update policies, procedures, and training resources
- Evaluate process changes to support ongoing compliance and stronger quality outcomes
- Advise teams on documentation expectations, best practices, and quality standards
- Contribute to compliance and care management staff training
- Compile audit reports and present findings to management
- Monitor performance measures, compliance patterns, and improvement efforts
- Support internal and external audits when required
- Handle additional responsibilities as assigned
- Follow all applicable policies and standards
आवश्यकताएँ
- Must live in Oklahoma
- High school diploma or GED required
- Two to four years of relevant experience
- Vocational or technical education may be required alongside prior work experience
- Experience with auditing, case management, NCQA, HEDIS, and healthcare regulations
- Comfortable and capable with computers
- Strong communication, customer service, organizational, and time-management abilities
- Available to work Monday through Friday from 8:00 a.m. to 5:00 p.m.
लाभ
- Competitive compensation
- Health insurance
- 401(k) plan
- Employee stock purchase plans
- Tuition reimbursement
- Paid time off and holidays
- Flexible remote, hybrid, field, or office work arrangements
- Additional incentives may form part of total compensation, subject to eligibility
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