Centene Corporation

Centene Corporation seeks a licensed behavioral health auditor to conduct retrospective reviews of medical records supporting claims for providers, suppliers and pharmacies. You will verify authorization and coding accuracy, support SIU investigations, and help determine medical necessity and level of care. The role requires a Master’s in behavioral health, an independent license and 2+ years in fraud/waste/abuse. #J-18808-Ljbffr

Location: New York, United StatesCompany: Centene CorporationPosted: Location: New York, United StatesCompany: CentenePosted: Location: Florida, New York, United StatesCompany: Centene CorporationPosted: Centene Corporation is seeking a Senior Risk Adjustment Auditor to support CMS payments and quality of care across our provider network in New York. The role emphasizes education, audits, and data analysis of MRA patterns, with collaboration across Provider Relations and Quality teams.You will lead training efforts, participate in the RADV Committee, and ensure compliance with risk adjustment guidelines while maintaining policy standards and high accuracy in coding.#J-18808-Ljbffr