← all jobs

Manager, Provider Data Automation, Analysis & Audit

Work from home Full-time role Hiring

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. 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 Required: Strong SQL experience, including writing complex queries and extracting data from multiple databases. Preferred: Healthcare industry experience. Position Purpose: The Manager of Provider Data Automation, Analysis & Audit will oversee development of automated batch loads of provider data, all reporting and data submissions related to provider records, and development and implementation of audit processes to ensure the accuracy of both automated batch loads and reporting. Create, validate and produce reports for state or other reporting needs, including GeoAccess and provider network reports. Develop reports to assure data integrity among multiple data sources and works with accountable departments to resolve issues Oversees audit of provider data records Oversees provider data department staff responsible for development and implementation of automated batch data loads. Education/Experience: Bachelor’s degree and 4 years of relevant experience required. Project management experience and the ability to develop system business requirements are required. 3+ years of supervisory/management experience required. Preferred experience with Portico, Amisys, CenProv. Pay Range: $87,700.00 - $157,800.00 per year 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

More open positions

Customer Success Manager, Pharmacy Team - Verity 340B Solutions - Remote

Work from home Full-time role

Player Development Executive, Michigan

Work from home Full-time role

Revenue Specialist III (ROPS)

Work from home Full-time role

Senior Manager, Provider Escalation and Education

Work from home Full-time role

Senior Project Manager

Work from home Full-time role

CTMA Manager

Work from home Full-time role

[Remote] Executive Pharma Recruiter

Work from home Full-time role

Inpatient Hospital Coding Auditor, Remote, Baptist Metro Square

Work from home Full-time role

Automation QA Teaching Experts (Python)

Work from home Full-time role

Experienced Virtual Data Entry Clerk – Remote Opportunity for Beginners

Work from home Full-time role

Remote Data Entry Specialist – Part-Time Accuracy Focused Logistics Support | $22/Hour Competitive Pay | Flexible Home-Based Opportunity at careerzynith

Work from home Full-time role

QA Automation Tester – 100% Remote

Work from home Full-time role

Process Development Scientist St. Louis

Work from home Full-time role

[Remote] Japanese Language Data Contributor (Multimodal) – Freelance AI Trainer Project

Work from home Full-time role

Remote Data Entry Specialist – Flexible Online Opportunity with Growth Potential at careerzynith

Work from home Full-time role

Commercial Account Executive

Work from home Full-time role

Senior Application/System Analyst – Epic Ambulatory & Beacon

Work from home Full-time role

RN Virtual Health Services I [Remote]

Work from home Full-time role

Global Software Sales Manager

Work from home Full-time role

Senior Technical Product Manager, AI Engineering & Systems

Work from home Full-time role

Internal QMS Auditor

Work from home Full-time role