Job Details

ID #51819772
Estado Florida
Ciudad Usfl
Full-time
Salario USD TBD TBD
Fuente Centene Corporation
Showed 2024-06-01
Fecha 2024-06-02
Fecha tope 2024-08-01
Categoría Etcétera
Crear un currículum vítae

Clinical Audit Coordinator-3

Florida, Usfl 00000 Usfl USA

Vacancy caducado!

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: Assist with clinical training programs and audits of clinical systems entry and/or processes.

Assists with auditing staff and vendor partners in accordance with established CMS guidelines

Partner with business groups to identify and resolve errors in data and reporting, and present findings and recommendations for improvement to management

Assist with the administration of audit processes and tools related to prior authorizations, appeals, quality improvement, star measurement reviews, inter-rater reliability and data entry

Assess training needs and identify, select or develop appropriate training programs including training aids and materials

Assist with training staff in the use of audit tools and identification of patterns or trends that require additional training or corrective action

Maintain records of training activities and employee progress

Education/Experience: High school diploma or equivalent. 2+ years of pharmacy technician experience in a managed care or healthcare setting. Audit experience preferred.License/Certification: Current State’s licensure or Certified Pharmacy Technician (CPhT) preferredPay Range: $22.36 - $38.07 per hourCentene 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.

Vacancy caducado!

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