Business Operations Oversight Analyst

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.
 

• Review and analyze operational deliverables and data reports to ensure accuracy and timeliness of submission

• Interpret new and changing regulatory requirements against current processes to identify where process updates may be needed, communicate those recommendations to cross-functional leadership, and support business implementations for process compliance

• Own end-to-end audit response activities, including the initial evaluation of auditor requests, cross-functional stakeholder coordination (including EBOS, Payment Integrity, UM, health plans, etc.) to fulfill audit requests, and the review and approval of audit documentation provided by stakeholders with accountability for final submission quality

• Drive cross-functional leadership alignment to mitigate compliance risks and improve operational effectiveness

• Identify compliance risks and lead targeted operational audits and control reviews to drive effective oversight and risk mitigation

• Advise business stakeholders on new and emerging trends identified through regulatory reviews and audit results

• Consult on the remediation of findings related to regulatory non-compliance
• Performs other duties as assigned.

• Complies with all policies and standards.

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