Das ist der Job
You could be the one who changes everything for our 28 million members.
Darum lohnt es sich
As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Centene is transforming the health of our communities, one person at a time. Position Purpose: Oversee prepay waste and abuse reviews through coding, editing, and audit programs.
Provide guidance and set policies to ensure all programs adhere to state and federal regulations as well as company policies.
Oversee prepay editing and retrospective audits to ensure accurate and timely payments of coding and pricing issues Interpret audit results, develop action plans and present findings to senior management Develop and implement continuous processes from analytic design to final report stage Design, develop, and implement internal payment integrity edit and audit programs, policies, and procedures Monitor laws and regulations that may impact payment integrity policies and procedures and implement changes while maintaining compliance with all state and federal regulations Recommend process improvement to assist in developing and executing strategic initiatives and goals Develop and deliver educational training programs to providers and employees to streamline operational processes and ensure accurate coding Direct and lead Prepay Compliance Managers in their efforts to reduce waste, abuse, and fraud Performs other duties as assigned Complies with all policies and standards
