Clinical Data Audit Consultant

About This Role The Clinical Data Audit Consultant is responsible for the clinical content component of data collection, account implementations, and audit activities for Clinical Operations. This role is ideal for individuals with strong analytical skills and experience in clinical data management. Highlights Pay: $33.71 - $60.67 per hour Location: Remote, CA Schedule: Full Time, Day shift What You'll Do Gather and analyze data for clinical operations. Create workflows and coordinate internal and external audits. Review, analyze, and interpret data for HEDIS, URAC, NCQA compliance. Address and participate in training of clinical staff based on data analysis. Identify, evaluate, recommend, and document clinical business needs and objectives. Produce documentation including project plans and analytical reports. Recommend operational and process improvements. Maintain a repository of performance and audit metrics. Conduct secondary research using various health statistic databases. Organize and compile cases for external audits. Requirements Education BA/BS in Psychology, Nursing, or related clinical field; Masters preferred Experience 3-5 years case management or related clinical experience 2-3 years experience in business studies or analysis, preferably in Healthcare Licenses & Certifications Licensed Clinician and/or RN required Must maintain a current, valid, and unrestricted clinical license Benefits Competitive pay Health insurance 401K and stock purchase plans Tuition reimbursement Paid time off plus holidays Flexible work schedules About Centene Centene is a diversified, national organization committed to delivering exceptional healthcare services. They offer competitive benefits and a fresh perspective on workplace flexibility, ensuring a supportive environment for their employees. #J-18808-Ljbffr Centene