Centene Jobs

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.

* Applicants for this role have the flexibility to work remotely from their home anywhere in the United States.*

Position Purpose: Responsible for developing and conducting training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs.

• Conducts training needed analyses to determine specific training needs for clinical and coding staff

• Identifies, selects, or develops appropriate training programs, including the selection or design of appropriate training aids

• Evaluates effectiveness of training programs and location including cost/benefit analyses

• Researches, analyzes, and recommends external training programs

• Maintains records of training activities and employee progress

• Assists with revisions to Policy and Procedure and/or work process development

• Conducts auditing of work performed by staff and presents findings and recommendation for areas of improvement to management

• Under minimal supervision responsible for all aspects of difficult projects that are broad in nature and require originality and/or ingenuity

• Performs other duties as assigned

• Complies with all policies and standards

Education/Experience: Associate’s degree in Nursing or equivalent experience. 4+ years of DRG and/or Medical Record Audit experience. Training or auditing experience in a managed care or healthcare setting.

Required License/Certification: CIC or CCS certification

Preferred License/Certification: RN or LPN licensePay Range: $54,000.00 - $97,100.00 per year

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.