Quality Assurance Analyst I

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.

Position Purpose: Review and identify process errors in the provider set up and implementation processes

• Conduct procedural and departmental audits of provider data management (PDM)/credentialing set-up and contract implementation processes
• Create and analyze automated data quality reports to ensure accuracy of provider set-ups
• Coordinate with Internal Audit department on findings for data quality review regarding new business implementation
• Assist in identifying PDM/credentialing topics that require a focus group structure and conduct meetings to define the best practice

Education/Experience: Associate’s degree in Healthcare Administration, Business Management, related field or equivalent experience. Bachelor’s degree preferred. 2+ years of data analysis, provider data management/credentialing, auditing, operations, or related experience. Knowledge of insurance or managed care products and procedures preferred.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.