Top 15448 Audit Senior Jobs

Senior HEDIS Quality & Audit Analyst
Centene —Remote
- $70,100 - $126,200 a year
- Full-time
- Remote
- Background check
- Master's degree
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Senior Compliance Professional
Humana —Remote
- $86,300 - $118,700 a year
- Full-time
- Remote
- Microsoft Word
- Research
- Bachelor's degree
- Paid parental leave
- Paid holidays
Internal Audit, Senior
LivaNova —Remote
- $75,000 - $100,000 a year
- Full-time
- CPA
- Bachelor of Science
- English
Senior Accountant
Discovery Senior Living —Remote
- Remote
- Research
- Office
- Finance
- Paid holidays
- Health insurance
Quick Apply
Senior Manager, Compliance Operations & Analytics
BeiGene —Remote
- $153,400 - $198,400 a year
- Full-time
- 7 years
- No education required
- Computer literacy
- Health savings account
- Employee stock purchase plan
13d
Senior Cash Accountant
Northeastern University —Boston, MA
- $76,335.00 - $107,823.75 a year
- Full-time
- Mid-level
- Master's degree
- University
- Health insurance
- Dental insurance
Senior Manager, Payment Integrity - Vended Audit Programs
Centene —Florida
- $107,700 - $199,300 a year
- Full-time
- Remote
- 6 years
- Finance
- Bachelor's degree
- Paid holidays
- Health insurance
Senior GRC Analyst
PrizePicks —Remote
- $110,000 - $120,000 a year
- Full-time
- Remote
- 5 years
- US work authorization
- Organizational skills
- Paid parental leave
- Disability insurance
Quick Apply
12d
Senior Affordable Housing Compliance Auditor
Pronto Housing —Remote
- $60,000 - $70,000 a year
- Full-time
- Microsoft Excel
- CPA
- 5 years
Quick Apply
12d
Senior Audit Analyst
Kearney & Company —Alexandria, VA
- $69,000 - $105,000 a year
- Microsoft Access
- CPA
- Customer service
- Health savings account
- AD&D insurance
Senior Auditor
Contact Government Services, LLC —Remote
- $80,000 - $150,000 a year
- Full-time
- Hybrid work
- CPA
- 5 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
SENIOR AUDITOR, Audit and Advisory Services
Boston University —Boston, MA
- $53,200 - $90,500 a year
- Hybrid work
- Mid-level
- University
- Bachelor's degree
- Health insurance
- Dental insurance
Senior Compensation and Benefits Analyst
PIP Global Safety —Latham, NY
- $72,000 - $95,000 a year
- HIPAA
- Research
- Office
- Health insurance
- Dental insurance
Quick Apply
Senior Accountant (Accountant II)
Hawaii Community Lending —Hawaii
- From $75,000 a year
- Weekends as needed
- Background check
- 18 years or older
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Senior Accountant (Nonprofit Audit)
Hungerford —Grand Rapids, MI
- Full-time
- CPA
- Research
- Mid-level
- Paid holidays
- Health insurance
14d
Senior Embedded Software Engineer
NextGen RF Design —North Mankato, MN
- $100,000 - $135,000 a year
- Online Application
- 7 years
- Management
- Computer Science
- Health insurance
- 401(k)
Quick Apply
Senior Accountant
Magnus Capital Partners —Grand Rapids, MI
- Up to $75,000 a year
- Full-time
- Background check
- CPA
- 5 years
- Disability insurance
- Health insurance
Quick Apply
Senior Quality Engineer
Johnson Screens Inc —New Brighton, MN
- $92,000 - $98,000 a year
- Full-time
- Management
- 5 years
- Engineering
- Health savings account
- AD&D insurance
Quick Apply
14d
Senior Compliance Officer
Concorde Investment Services —Boca Raton, FL
- $105,000 - $120,000 a year
- Full-time
- Management
- Office
- Continuous improvement
- Health savings account
- Health insurance
Quick Apply
Cost Estimator - Senior
Fiber Materials —Biddeford, ME
- Microsoft Outlook
- Office
- Finance
- Paid holidays
- Health insurance

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Senior HEDIS Quality & Audit Analyst

Centene -
Remote

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Job Details

Full-time
$70,100 - $126,200 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Quality control corrective actions
Performance improvement leadership
Defect resolution root cause analysis
CMS
Healthcare documentation compliance audits
Corrective and preventive actions (CAPA)
Quality control audit
Master's degree
Audit Reporting
CMS regulatory compliance
Bachelor's degree
Quality risk management
Medicare regulations
Project management experience in healthcare
Audit risk assessments
Regulatory submission editing and review
Root cause analysis
Senior level
4 years
Escalation handling
Policy Development
Healthcare data reporting
HEDIS
Audit support
Quality assurance experience within healthcare

Full Job Description

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.

Applicants for this job have the flexibility to work remote from home anywhere in the United States.

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.

Position Purpose:
The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert responsible for advanced HEDIS quality oversight, audit readiness, and submission support activities. This role independently interprets regulatory and audit requirements, leads complex HEDIS audit workstreams, and ensures accurate, timely, and audit-defensible documentation and submissions in alignment with NCQA and CMS expectations.

Operating with a high degree of autonomy, the Senior Analyst provides expert guidance on audit risk, regulatory interpretation, and submission requirements while partnering with Health Plans, National and State Auditors, IT, Analytics, and Quality stakeholders.

Serve as a senior subject matter expert for HEDIS quality oversight, audit readiness, and submission support activities.
Independently lead complex NCQA audit workstreams, including Roadmaps, Section 5 documentation, measure-specific evidence, CAHPS and auditor communications.
Interpret and apply federal and state regulatory requirements, and applicable state regulations, to HEDIS documentation, workflows, and data use.
Provide expert guidance on reporting population applicability/management, measure selection, and submission requirements.
Identify, assess, and mitigate audit and submission risks; lead root cause analysis and development of corrective actions for high-risk or complex issues.
Support CMS submission activities, including PLD coordination, testing validation, and final submission readiness.
Develop, refine, and maintain enterprise standards, templates, controls, and documentation to ensure audit-defensible outcomes.
Act as an escalation point for complex audit findings, regulatory interpretation questions, and submission decisions.
Contribute to leadership-level reporting, audit narratives, and governance materials.
Drive continuous improvement initiatives to strengthen HEDIS audit readiness and submission accuracy.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:
Bachelor's Degree Healthcare or related field, or equivalent experience required.
Master's Degree Healthcare or related field preferred.
4+ years Related experience in HEDIS, Quality Audits, or regulated healthcare environments required.
Project management experience in HEDIS, regulatory, audit, or quality improvement experience, preferably in a healthcare environment preferred.

Pay Range: $70,100.00 - $126,200.00 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

Work Location: Remote

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Audit Senior jobs

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