Audit provider contracts and maintain secure physical and electronic records. Ensure payment accuracy and coordinate contract file transitions for Centene's healthcare network.
Responsibilities
Audit provider information to ensure consistency in provider setup and contract language
Ensure accurate and safe storage of all provider contract files
Audit all provider information to ensure payment accuracy as outlined in the contract
Respond to audit inquiries and work with internal team to address audit quality results and assist with making necessary changes
Ensure storage formatting compliance with internal systems
Maintain primary control of all provider contract files and records ensuring files are secure and stored appropriately
Serve as the “gatekeeper” for all physical files including files check in and out
Create, change, edit, or terminate new and existing provider (electronic and physical) contract files and records according to retention guidelines
Coordinate with functional teams to ensure seamless transitions of provider contract files from credentialing, approval, scan, and storage
Requirements
High school diploma or equivalent
3+ years experience managing large databases
3+ years experience with provider information systems
3+ years performing quality data audits
Proficient in Excel
Proficient in Access
Candidates must be in Illinois to be considered for this role
Ability to attend occasional in-person meetings (Burr Ridge, IL)
Benefits
competitive pay
health insurance
401K plan
stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules
Lead IT Engineer managing complex IT environments at a fintech startup in Manila. Overseeing infrastructure, compliance, and vendor relationships in a hybrid work setting.
Credit Manager at Northern Trust managing credit risk and real estate lending programs. Leading teams, ensuring compliance, and advising on policies and regulations.
IT Manager managing information systems for ASSA ABLOY, ensuring system security and updates. Collaborating on digital infrastructure and preparing IT tools for new employees.
Operations Analyst in Payment Investigations at TD Securities. Collaborating with clients and internal teams for effective payment solutions and fraud recovery processes.
Internal Audit Manager overseeing audit engagements ensuring compliance and enhancing audit function at Orbia Advance Corporation. Responsible for audit plans, team management, and compliance monitoring.
First Level Support team member for IT inquiries in a family - run software company. Handle customer requests effectively via phone and email with empathy.
Group Procurement IT Specialist managing supplier relationships and contracts for Benefact Group in Gloucester. Driving cost efficiency and compliance with regulatory requirements in a hybrid work environment.
IT Manager leading technology strategy for credit card products at Naranja X. Responsible for AI - First product development across the region with a flexible hybrid work model.
Public Benefit Specialist interviewing patients for state Medicaid eligibility and assisting with application processes while ensuring timely billing. Work located at Tower - Pottstown Hospital, Pottstown, PA.