Centene Corporation Vendor Oversight Auditor II (Medicare) in Clayton, Missouri

ProfessionalPosition Purpose: Conduct audits to ensure compliance with Center for Medicare/Medicaid Services (CMS) regulations. Identifies improper processes, research issues, and prepare reports on related issues and provide recommendations as needed.

  • Ensure all Medicare and MMP products and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities

  • Conduct compliance audits, develop and implement corrective action plans

  • Identify, evaluate and analyze the impact of CMS and Medicare regulatory issues and advise management concerning impact

  • Monitor the FDR oversight program to ensure all Medicare and MMP plans are conducting the appropriate oversight along with Corporate

  • Assist in audit planning, refinement of audit work programs, and wrap up of engagements

  • Assist in drafting audit reports that summarize audit findings and recommendations, including consolidation of metrics and graphing

  • Develop and communicate audit observations, recommendations, process improvement opportunities, and best practices and obtain management responses

  • Monitor and report on the status and findings of audits

Education/Experience:

  • Bachelor’s degree in Accounting, Finance, Business Administration, related field, or equivalent experience.

  • 2+ years of accounting or auditing experience.

  • Healthcare industry preferred.

Travel:

  • 20-25% of the time including overnight travel.

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.

TITLE: Vendor Oversight Auditor II (Medicare)

LOCATION: Clayton, Missouri

REQNUMBER: 1110101

COMPANY: Accounting & Finance

POSITION TYPE: Professional