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.
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.