Brokerage Auditing Analyst - Healthcare

Position Purpose: Within the Ambetter Marketplace Brokerage team, you will monitor and investigate broker data for compliance, drive remediation of variances, and generate responses for multiple audits.

Key Details: This is a fully remote role. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

• Creating, analyzing and monitor broker compliance data for the Marketplace Broker Oversight team.

• Managing broker’s audits, conducting audits and monitoring brokers for next action.

• Creating dashboards, Smartsheet, and reports to monitor broker’s compliance.

• Communicating with brokers regarding requests for audit information and follow up.

• Ability to work with large data sets, high proficiency in Excel, Power BI, and creating PowerPoint presentations.

• Directs, monitors and/or contributes to special projects and other planning initiatives that are highly complex and involve complaint oversight.

• Deliver education to brokers regarding audit findings.

Preferred Skills:

• Critical thinking skills.
• Ability to meet weekly/monthly audit completion targets
• Highly Proficient in Excel and Power Point. Ability to create complex Excel reports.
• Experience in working with broker’s, sales, and insurance background.
• Investigative experience preferred.
• Ability to deliver broker audit findings to brokers in 1x1 education setting.

Education/Experience: Bachelor's degree in a related field or equivalent experience. 2+ years of public health policy, regulatory or audit experience, preferably in a managed care or insurance industry.

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

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