Remote Performance Monitor Specialist - Non-Clinical

Join Our Mission to Deliver Exceptional Healthcare Services! We're seeking a highly skilled and detail-oriented Performance Monitor Specialist to join our team in a fully remote capacity. As a key member of our Medical Management/Health Services team, you will play a vital role in driving success and making a positive impact on the lives of our 28 million members. With a competitive salary range of $19.04 - $32.35 per hour and a comprehensive benefits package, this is an opportunity you won't want to miss.

As a Performance Monitor Specialist, you will be responsible for conducting non-clinical file audits, identifying areas for improvement, and participating in Interrater Reliability meetings. You will also contribute to the development and review of non-clinical review tools, ensuring that they accurately capture evidence of expected clinical performance within contractual and Model of Care standards.

Key Responsibilities:

• Conduct non-clinical file assessments to ensure adherence to required standards
• Develop and review non-clinical review tools to ensure accuracy and validity
• Review program descriptions, policies, and procedures to evaluate alignment with review tool elements and contractual standards
• Participate in meetings to discuss review findings and recommendations for improvement
• Escalate areas of concern and participate in preparation for audits as needed

Requirements:

• High School Diploma or equivalent required; Bachelor's degree in a related field preferred
• 3 years of experience in a managed care setting, medical office, or facility setting with medical administration duties
• Familiarity with Medicare and Medicaid programs preferred

At Centene, we offer a comprehensive benefits package, including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off, and a flexible approach to work. We are an equal opportunity employer committed to diversity and inclusion, and we value the unique perspectives and experiences of our employees.

What We Offer:

• Competitive salary range of $19.04 - $32.35 per hour
• Comprehensive benefits package
• Flexible work arrangements, including remote, hybrid, field, or office work schedules
• Opportunities for professional growth and development
• A dynamic and supportive work environment

Apply Now and join our team of dedicated professionals who are passionate about delivering exceptional healthcare services. Don't hesitate - submit your application today!