经纪审计分析师 - 医疗保健
Brokerage Auditing Analyst - Healthcare
职位职责：在Ambetter Marketplace Brokerage团队中，你将监控和调查经纪人数据以确保合规性，推动差异的整改，并为多项审计生成回应。
关键信息：这是一个完全远程的职位。必须拥有在美国工作的授权，目前或未来无需雇佣相关的签证担保。此职位不提供任何签证类型的担保，包括H-1B、L-1、O-1、H-1B1、F-1、J-1、OPT或CPT。
· 为Marketplace Broker Oversight团队创建、分析和监控经纪人合规数据。
· 管理经纪人的审计，进行审计并监控经纪人以采取下一步行动。
· 创建仪表盘、Smartsheet和报告以监控经纪人的合规性。
· 与经纪人沟通审计信息请求及后续跟进。
· 能够处理大型数据集，精通Excel、Power BI，能够创建PowerPoint演示文稿。
· 指导、监控和/或参与高度复杂且涉及投诉监督的特殊项目和其他规划工作。
· 向经纪人提供关于审计结果的教育。
优先技能：
· 具备批判性思维能力。
· 能够满足每周/每月的审计完成目标。
· 高度熟练使用Excel和PowerPoint，能够创建复杂的Excel报告。
· 有与经纪人、销售和保险背景合作的经验。
· 有调查经验者优先。
· 能够在一对一教育环境中向经纪人传达审计结果。
教育/经验：相关领域的学士学位或同等经验。2年以上公共卫生政策、监管或审计经验，最好是在管理护理或保险行业。
薪资范围：每年56,200.00至101,000.00美元
在Centene，我们帮助人们获得他们需要的医疗保健，过上更健康的生活——你在这里的工作每天都在真正产生影响。你将面对直接支持个人、家庭和社区的重要挑战，在提升技能的同时让医疗保健更加可及和高效。这是一份你可以看到成果的工作，由一支致力于在工作时间之外改善生活的团队支持。
Centene提供全面的福利包，包括具有竞争力的薪酬、健康保险、401K和股票购买计划、学费报销、带薪休假及节假日，以及灵活的工作方式，包括远程、混合、现场或办公室工作。
查看英文原文
Position Purpose: Within the Ambetter Marketplace Brokerage team, you will monitor and investigate broker data for compliance, drive remediation of variances, and generate responses for multiple audits.
Key Details: This is a fully remote role. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
· Creating, analyzing and monitor broker compliance data for the Marketplace Broker Oversight team.
· Managing broker’s audits, conducting audits and monitoring brokers for next action.
· Creating dashboards, Smartsheet, and reports to monitor broker’s compliance.
· Communicating with brokers regarding requests for audit information and follow up.
· Ability to work with large data sets, high proficiency in Excel, Power BI, and creating PowerPoint presentations.
· Directs, monitors and/or contributes to special projects and other planning initiatives that are highly complex and involve complaint oversight.
· Deliver education to brokers regarding audit findings.
Preferred Skills:
- Critical thinking skills.
- Ability to meet weekly/monthly audit completion targets
- Highly Proficient in Excel and Power Point. Ability to create complex Excel reports.
- Experience in working with broker’s, sales, and insurance background.
- Investigative experience preferred.
- Ability to deliver broker audit findings to brokers in 1x1 education setting.
Education/Experience: Bachelor's degree in a related field or equivalent experience. 2+ years of public health policy, regulatory or audit experience, preferably in a managed care or insurance industry.
Pay Range: $56,200.00 - $101,000.00 per year
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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
Originally posted on Himalayas