Operations Auditor

Centene Corporation

Operations Auditor reviewing healthcare data, systems, and processes for Centene, a company providing health solutions to 28 million members. Identifying risks and recommending corrective improvements.

Posted 8/5/2026full-timeRemote • Kansas • 🇺🇸 United StatesMid-LevelSenior💰 $56,200 - $101,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in auditing processes, data integrity, and compliance with state contract and accreditation requirements. Proficient in identifying trends, recommending improvements, and managing audit findings in a managed care environment.

Highest-signal resume keywords

Auditing ExperienceProcess ImprovementData Review ProcessesKnowledge of State Contract RequirementsAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AuditingData AnalysisRisk MitigationPerformance MetricsProcess EvaluationDocumentation ReviewTrend IdentificationCorrective Action DevelopmentSystem ReliabilityData Integrity

Soft Skills

Organizational SkillsTime ManagementIndependent Work

Certifications & Qualifications

Bachelor’s Degree

Industry Keywords

Managed CareLTSSHome- and Community-Based ServicesCase ManagementHEDISKDADS

About the role

Key responsibilities & impact

Audit systems entry, performance metrics, and work processes for assigned functions
Audit accuracy of new group set-ups, existing contract changes, and group terminations
Design, implement, and manage data review processes for PDM/Credentialing data reports
Execute risk-based audits evaluating controls and processes for scalability, efficiency, and risk mitigation
Compile audit findings and report to management with recommendations for operational, system, and procedural improvements
Ensure defined goals are implemented and supporting documents are available to measure performance
Coordinate auditing outcomes to develop and publish corrective actions and educational materials related to audit errors
Examine and evaluate information systems and recommend controls for system reliability and data integrity
Identify and resolve system issues involving data loads
Research state contract requirements and accrediting body standards to identify potential risks
Perform other assigned duties and comply with policies and standards

Requirements

What you’ll need

Bachelor’s degree in a related field, or equivalent experience
3+ years of auditing or process improvement experience
Knowledge of state contract and accreditation requirements
Experience preferably in a managed care setting
Experience with LTSS, Home- and Community-Based Services, case management, managed care, HEDIS, or KDADS-related audit activities preferred
Prior experience auditing case files, reviewing documentation, identifying trends, and recommending process improvements preferred
Strong attention to detail, organizational skills, and time management
Ability to work independently in a remote environment

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules