Regulatory Operations Auditor II

Centene Corporation Clayton , MO 63105

Posted 2 months ago

Position 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.

  • Develop methodologies to conduct audits.

  • Prepare audit plans and conduct audit procedures including review of rules and regulations against policies and procedures.

  • Prepare and draft audit reports of findings and recommendations for corrective action responsive to the observed areas and deficiencies.

  • Perform follow-up procedures to validate implementation and effectiveness of action plan, and make additional recommendations as warranted.

  • Assist with other ad hoc audits of high risk items as needed.

  • Complete research request from business areas inquiring about regulatory requirements.

  • Track and disseminate industry sanctions to appropriate business areas.

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.

  • Medicare experience preferred

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.


See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Internal Auditor II

Centene Corporation

Posted 2 days ago

VIEW JOBS 11/16/2018 12:00:00 AM 2019-02-14T00:00 Position Purpose: Perform internal audits, including the execution of information technology, strategic, operational, and compliance risk-based audits. Position Responsibilities: * Execute risk-based audits evaluating controls and processes for scalability, effectiveness, efficiency, and risk mitigation strategies * 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 * Assist audit team in performing special projects and implementing internal audit best practices Education/Experience: Bachelor's degree in Management Information Systems, Computer Science, Accounting, Finance, Business or related field. 2 years of public accounting, internal audit, information technology compliance, information technology or related experience. IT, Medicare or health care industry experience preferred. License/Certification: CISA, CIA, CFE and/or CPA preferred. 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. Centene Corporation Clayton MO

Regulatory Operations Auditor II

Centene Corporation