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Centene Corporation
Centene Corporation
ApdrošināšanaKonsultācijasVeselības aprūpe
Centene Corporation ir veselības aprūpes un apdrošināšanas uzņēmums, kas koncentrējas uz valsts atbalstītu segumu un kopienu veselību. Tā pakalpojumi ietver Medicaid, Medicare, Health Insurance Marketplace plānus un TRICARE atbalstu militārajām kopienām. Centene apvieno aprūpes nodrošināšanu vietējā līmenī ar partnerību ar bezpeļņas organizācijām, lai apmierinātu to biedru vajadzības, kuriem tā sniedz pakalpojumus. Uzņēmums savā darbībā un kopienu atbalstā ņem vērā arī vides atbildību un ētisku pārvaldību.
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Vakances uzņēmumā

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.

USAmerikas Savienotās ValstisOKOklahoma
20 $ – 34 $ / stunda
AttālinātiPilna slodzeJaunākais speciālistsVidējais līmenisGrāds nav nepieciešamsNepieciešamā Valoda: angļuRevidents

Apraksts

  • 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

Prasības

  • 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.

Priekšrocības

  • 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

Saistītās vakances

Terumo Medical Corporation

Region Manager, Terumo Interventional Systems Sales

Terumo Medical Corporation
1001 – 5000 Darbinieki
H1B vīzas sponsorsKonsultācijasRažošanaVeselības aprūpe
USAmerikas Savienotās ValstisNJŅūdžersija
120 000 $ – 165 000 $ / gads
KlātienēPilna slodzeVidējais līmenisVecākais speciālistsNepieciešamā Valoda: angļuVadītājs

Lead medical device sales across a North Central New Jersey region, managing field teams and hospital relationships. Drive regional revenue, sales performance, and compliant promotion of Terumo Interventional Systems products.

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