See all roles

Business Operations Oversight Analyst

Work from home Full-time role Hiring

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. This is a remote position but location in central or eastern time zones is preferred. Position Purpose: The Business Operations Oversight Analyst provides first-line Enterprise Business Operations Services oversight of regulatory deliverables, reporting, and audit coordination. This role focuses on monitoring execution, identifying risks, and ensuring timely, accurate responses to regulatory and audit requirements while partnering with business teams to drive corrective actions. Review and analyze operational deliverables and data reports to ensure accuracy and timeliness of submission Interpret new and changing regulatory requirements against current processes to identify where process updates may be needed, communicate those recommendations to cross-functional leadership, and support business implementations for process compliance Own end-to-end audit response activities, including the initial evaluation of auditor requests, cross-functional stakeholder coordination (including EBOS, Payment Integrity, UM, health plans, etc.) to fulfill audit requests, and the review and approval of audit documentation provided by stakeholders with accountability for final submission quality Drive cross-functional leadership alignment to mitigate compliance risks and improve operational effectiveness Identify compliance risks and lead targeted operational audits and control reviews to drive effective oversight and risk mitigation Advise business stakeholders on new and emerging trends identified through regulatory reviews and audit results Consult on the remediation of findings related to regulatory non-compliance Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in healthcare administration, compliance, or related field or equivalent experience required. 2+ years compliance, regulatory, or related experience. Experience with auditing and reporting processes, action plans, and compliance training required. Pay Range: $56,200.00 - $101,000.00 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, 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 Apply To This Job

You might like

Data Analyst I Healthcare Analytics

Work from home Full-time role

Firmware Development Engineer Intern

Work from home Full-time role

Talent Acquisition Partner

Work from home Full-time role

Accounts Payable Associate

Work from home Full-time role

Manager, Healthcare Quality Project Manager (individual contributor)

Work from home Full-time role

National Account Manager

Work from home Full-time role

HCP Contract Specialist

Work from home Full-time role

Data Engineer

Work from home Full-time role

Data Analyst

Work from home Full-time role

Lecturer/Senior Lecturer/Assistant Professor-in-Residence of Cybersecurity, Lee Business School [R0150760]

Work from home Full-time role

Director of Athletics Communications

Work from home Full-time role

Experienced Full Stack Data Entry Specialist – Remote Work Opportunity with arenaflex

Work from home Full-time role

Area Director I - Glen Ellyn

Work from home Full-time role

Experienced Customer Service Representative – Inbound Only, NO SALES – Permanent Full Time Positions at arenaflex

Work from home Full-time role

Associate Director and CRM Manager (Alumni Ambassador Program)

Work from home Full-time role

Join Today: Engineering Manager, New Business Verticals

Work from home Full-time role

Chief Operating Officer (COO) – Fractional Business Scale Architect

Work from home Full-time role

Experienced Customer Service Representative - Luxury Retail Remote Opportunity - Delivering Exceptional Client Experiences in the Fashion Industry

Work from home Full-time role

Account Executive - Brand Sales

Work from home Full-time role

Data Entry Specialist – High‑Volume Logistics & Customer Information Management – $25/hr – Immediate Hiring at arenaflex

Work from home Full-time role