Top 509 Mapping/auditing Jobs

Director, Quality & Process Improvement, HEDIS Audit
Centene —Remote
- $118,400 - $219,000 a year
- Full-time
- Remote
- Background check
- 6 years
- Bachelor's degree
- Paid holidays
- Health insurance
Biomedical Literature Indexer (MeSH and Metadata Specialist)
Computercraft Corporation —Bethesda, MD
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- Paid holidays
- Disability insurance
Quick Apply
12d
Healthcare Credential Exam Specialist
AAPC —Remote
- Full-time
- Remote
- Research
- Mid-level
- Continuous improvement
Quick Apply
Policy Management ERM Specialist
CONTINENTAL SERVICE GROUP LLC —Fairport, NY
- $62,353.20 - $71,706.18 a year
- 8 hour shift
- Microsoft Word
- Microsoft Excel
- Mid-level
Quick Apply
12d
Engineer, Document Control (Oracle, a plus)
Leviton Manufacturing —Northbrook, IL
- $80,814 - $107,752 a year
- Full-time
- Oracle
- Mid-level
- Travel
- Paid holidays
- Health insurance
Sr. Engineering Technician - Stormwater
The County of El Dorado —Placerville, CA
- $39.09 - $47.51 an hour
- Overtime
- Construction site
- Bachelor of Science
- Research
7d
Area Manager
Line Quest, LLC —Topeka, KS
- Background check
- Ability to walk for extended periods
- Pass drug screening
- Paid holidays
- Disability insurance
Quick Apply
11d
Windows Systems Administrator - TS/SCI with Polygraph
General Dynamics Information Technology —Annapolis Junction, MD
- $111,155 - $150,385 a year
- 8 years
- Bachelor's degree
- Experience equivalent to degree accepted
- Paid time off
- 401(k) matching
Senior Manufacturing Engineer
Big Belly Solar LLC —Lawrence, MA
- Full-time
- 8 years
- Analysis skills
- Senior level
Quick Apply
8h
Compliance Team Lead
Celigo —Remote
- $100,000 - $125,000 a year
- Remote
- HIPAA
- 3 years
- Organizational skills
- Parental leave
Quick Apply
(Remote) Analyst, Knowledge Management, HRSS
Trinity Health —Livonia, MI
- $31.88 - $47.82 an hour
- Full-time
- Remote
- Research
- Mid-level
- 3 years
Business Owners - Freelance AI Trainer Project
Meridial —Miami, FL
- $25 - $100 an hour
- Remote
- Mid-level
- Analysis skills
- Communication skills
- Health insurance
Sr. GRC Analyst
Bamboo Health —Remote
- Full-time
- Remote
- Computer science
- Computer Science
- 5 years
- Dental insurance
- Vision insurance
Quick Apply
IBM DataStage Developer
E Logic —Washington, DC
- From $123,000 a year
- Contract
- Hybrid work
- Mid-level
Quick Apply
AI Operations Lead
Arcadia —Remote
- $127,500 - $228,400 a year
- Remote
- Organizational skills
- Senior level
- Paid parental leave
- Health insurance
Quick Apply
5d
Director, Data Privacy Compliance
Zeta Global —Remote
- $150,000 - $175,000 a year
- Remote
- 8 years
- Mentoring
- Contracts
- Health insurance
- Dental insurance
GIS Specialist
DeKalb County —Decatur, GA
- $37,830 - $58,638 a year
- Full-time
- Mid-level
- High school diploma or GED
- Driver's License
Head of IGE Methods and Support – Americas
Crédit Agricole CIB —New York, NY
- $185,000 - $225,000 a year
- 6 years
- CPA
- English
Quality Auditor Specialist (Remote)
GridHawk LLC —Toledo, OH
- Full-time
- Remote
- Background check
- Microsoft Excel
- Pass drug screening
- Paid holidays
- Disability insurance
Quick Apply
University Director of Operational Systems and Project Strategy
South University —Remote
- $115,000 - $135,000 a year
- Full-time
- Remote
- Office
- Master's degree
- University
- Health savings account
- Paid holidays
Quick Apply
13d

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Director, Quality & Process Improvement, HEDIS Audit

Centene -
Remote

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Job Details

Full-time
$118,400 - $219,000 a year

Benefits

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

Qualifications

Optimizing workflow processes
Performance dashboard reports
TJC
Process flow diagrams
Operational analysis
Performance improvement leadership
6 years
Tooling
Workflow management (operations management method)
Audit engagement planning
Dashboard creation
Business analysis
Dashboard creation support
Process design
Healthcare documentation compliance audits
Research methodology
Reporting and dashboarding tools
Quality control audit
Process mapping
Process modeling
Policy & process development
Hospital accreditation
Bachelor's degree
Healthcare quality assurance policy development
Data analytics
Regulatory readiness in healthcare
Interdisciplinary policy and procedure development experience
Regulatory submissions
Healthcare regulatory compliance policy development
Healthcare policy development

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.

Position Purpose: Lead and direct process improvement initiatives by utilizing process improvement methodologies in the analysis of current operations and design of improvement projects across all areas that impact operations. Support NCQA HEDIS audit readiness and compliance, ensuring accurate and timely submissions.

The ideal candidate brings deep experience leading HEDIS audit readiness and execution, with a proven ability to manage complex regulatory timelines, drive cross-functional accountability, and deliver audit-ready, accurate results.

This role leads daily audit readiness activities, including Roadmaps, Section 5 documentation, Measure Specifications, CAHPS coordination, and auditor engagement, ensuring all deliverables are accurate, complete, and submitted on time.
Oversee the administration, coordination and evaluation of quality assurance and training, including policy and procedure development, training assessments and quality adherence auditing.
Direct the execution of performance improvement projects, including process mapping and process design including HEDIS audit timelines and deliverables.
Serve as primary point of contact for auditors and leadership, supporting audit communications and successful outcomes.
Create and maintain dashboards, communications, and strategies to improve effectiveness.
Research and develop best practices, policies, procedures, and goals in compliance with internal and external guidelines.
Oversee data analysis and gathering processes and programs to establish costs and benefits of process effectiveness and efficiency.
Ensure business unit is compliant with URAC and Joint Commission Accreditation standards.
Review and implement new technological tools and processes.
Establish strong collaborative relationships with all functional units and their leaders.

Knowledge/Experience: Bachelors Degree in related field. 6+ years of quality and process improvement experience. Healthcare industry experience preferred. Knowledge of research methodologies including measures and outcomes; knowledge of process mapping, process design, and workflow management software and applications. URAC and Joint Commission Accreditation experience preferred. Experience with NCQA HEDIS measures or audit processes highly preferred.

Pay Range: $118,400.00 - $219,000.00 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

Work Location: Remote

Apply Now

Refine Your Search

mapping/auditing jobs

Director, Quality & Process Improvement, HEDIS Audit

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Sr. GRC Analyst

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Head of IGE Methods and Support – Americas

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