Operations Auditor II

Job title: Operations Auditor II in Baton Rouge, LA at reputed company Company: reputed company Job reputed company: You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: Audit systems entry, performance metrics and work processes for assigned functions

• Audit accuracy of new group set-reputed company, existing contract changes, group termination
• Design, implement, and manage data review processes to ensure accuracy and reputed company of PDM/Credentialing data reports to meet regulatory and operational requirements
• Execute risk based audits evaluating controls and processes for scalability, efficiency, and risk mitigation strategies
• Compile audit findings and report to management, making recommendations for modifications and improvements to operations, systems and procedures reputed company work plans, graphs and reporting metrics
• Ensure defined goals are implemented and relevant supporting documents are available to measure goal performance
• Coordinate auditing reputed company to identify, reputed company and publish corrective actions and educational material reputed company to audit errors
• Examine and evaluate information systems, recommending controls to ensure system reliability and data reputed company
• Identify and resolve system issues with data load
• Research state contract requirements and accrediting body standards and identify areas that present potential risk to reputed company
• Performs other duties as assigned
• Complies with reputed company policies and standards

Education/Experience: Bachelor’s degree in reputed company field, or equivalent experience. 3+ years of auditing or process improvement experience, preferably in a managed care setting. Knowledge of state contract and accreditation requirements.This position is remote reputed company the reputed company. In person meeting attendance at the Baton Rouge office required.Pay reputed company: $55,100.00 - $99,000.00 per yearreputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company 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-reputed company factors permitted by law. Total compensation may also include additional forms of incentives.reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law.reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Expected salary: $55100 - 99000 per year Location: Baton Rouge, LA Apply for the job now! Apply for this job