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Centene Corporation
Centene Corporation
KonsaltingSog‘liqni saqlashSug‘urta
Centene Corporation davlat tomonidan qo‘llab-quvvatlanadigan tibbiy sug‘urta va jamoat salomatligiga e’tibor qaratadigan sog‘liqni saqlash va sug‘urta kompaniyasidir. Uning xizmatlari Medicaid, Medicare, Tibbiy sug‘urta bozori rejalari hamda harbiy jamoalar uchun TRICARE ko‘magini o‘z ichiga oladi. Centene o‘zi xizmat ko‘rsatadigan a’zolarning ehtiyojlarini qondirish uchun mahalliy tibbiy yordam ko‘rsatishni notijorat tashkilotlar bilan hamkorlik bilan uyg‘unlashtiradi. Kompaniya, shuningdek, faoliyat yuritish va jamoalarni qo‘llab-quvvatlash yondashuviga ekologik mas’uliyat hamda axloqiy boshqaruvni kiritadi.
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Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma ShtatlariOKOklaxoma
20 $ – 34 $ / soat
MasofaviyTo‘liq stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaAuditor

Tavsif

  • 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

Talablar

  • 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.

Imtiyozlar

  • 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

O‘xshash ish o‘rinlari

Terumo Medical Corporation

Region Manager, Terumo Interventional Systems Sales

Terumo Medical Corporation
1 001 – 5 000 Xodimlar
H1B vizasi homiysiIshlab chiqarishKonsaltingSog‘liqni saqlash
USAmerika Qo‘shma ShtatlariNJNyu-Jersi
120 000 $ – 165 000 $ / yil
OfisdaTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaMenejer

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.

Ochish