Hybrid Performance Monitor Specialist Non-Clinical
Centene Corporation · Florida, United States Of America, Vereinigten Staaten Von Amerika · Hybrid
About the job
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose Responsible for nonclinical (CMC, PSO, UM, DME) file audits. Identifies monthly insights for improvement and participates in Interrater Reliability meetings. Aids in efforts to continuously develop review tools to ensure validity of criteria, and appropriately captures evidence of expected clinical performance within contractual and Model of Care standards.
Education/Experience High School Diploma or equivalent required. Bachelors degree in a related field preferred. 3+ years of experience in a managed care setting, medical office, or facility setting with a demonstration of medical administration duties required. Familiarity with Medicare and Medicaid programs preferred.
Licenses and Certifications N/APay Range $19.04 - $32.35 per hour
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. Total compensation may also include additional forms of incentives.
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
