Operations Auditor II

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

Expected salary: $55100 - 99000 per year

Location: Baton Rouge, LA

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