Contract Audit Specialist

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.
 

* Qualified candidates must reside in California *

Position Purpose: Audit provider information to ensure consistency in provider setup and contract language. Ensure accurate and safe storage of all provider contract files.

• Audit all provider information to ensure payment accuracy as outlined in the contract
• Respond to audit inquiries and work with internal team to address audit quality results and assist with making necessary changes
• Ensure storage formatting compliance with internal systems
• Maintain primary control of all provider contract files and records ensuring files are secure and stored appropriately
• Serve as the “gatekeeper” for all physical files including files check in and out
• Create, change, edit, or terminate new and existing provider (electronic and physical) contract files and records according to retention guidelines
• Coordinate with functional teams to ensure seamless transitions of provider contract files from credentialing, approval, scan, and storage

Education/Experience: High school diploma or equivalent. 3+ years experience managing large databases, provider information systems, and performing quality data audits. Proficient in Excel and Access applications.

Pay Range: $22.79 - $38.84 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act