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Centene Corporation
Centene Corporation
DraudimasKonsultavimasSveikatos priežiūra
„Centene Corporation“ yra sveikatos priežiūros ir draudimo bendrovė, daugiausia dėmesio skirianti valstybės remiamam draudimui ir bendruomenių sveikatai. Jos paslaugos apima „Medicaid“, „Medicare“, „Health Insurance Marketplace“ planus ir TRICARE paramą kariuomenės bendruomenėms. „Centene“ derina vietos lygmeniu teikiamą priežiūrą su partneryste su ne pelno organizacijomis, kad patenkintų aptarnaujamų narių poreikius. Vykdydama veiklą ir remdama bendruomenes, bendrovė taip pat atsižvelgia į aplinkosaugą ir etišką valdymą.
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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.

USJungtinės ValstijosOKOklahoma
20 $ – 34 $ / valanda
NuotolinisVisas etatasJaunesnysis specialistasVidutinis lygisDiplomas nebūtinasPrivaloma Kalba: anglųAuditorius

Aprašymas

  • 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

Reikalavimai

  • 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.

Privalumai

  • 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

Susiję darbai

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Farmacijos produktaiLogistikaSveikatos priežiūra
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175 000 $ – 210 000 $ / metai
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1 001 – 5 000 Darbuotojai
Automobilių pramonėKonsultavimasSveikatos priežiūra
USJungtinės ValstijosNJNaujasis Džersis
150 000 $ – 190 000 $ / metai
HibridinisVisas etatasVyresnysis specialistasVadovasPrivaloma Kalba: anglųOperacijos

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