Associate Auditor (Remote) - LHB
Work From Home (HB)
At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job SummaryResponsible for auditing various Eligibility work items and processes, tracking findings and communicating audit results across all Luminare Health locations. Audits may be random, target, client, vendor or product specific. Audit results are utilized to monitor performance, meet client or vendor performance guarantee requirements, and analyze areas for possible improvement to assure that Luminare Health not only meets, but exceeds our customer’s expectations. Also responsible for maintaining training plans and all departmental documentation. Primarily targets the large volume of manual work that falls outside of the scope of the enterprise QA team.** This role is based remotely, however candidates must live in one the following states: IL, IN, IA, KS, MO, NC, NM, OK, PA, TX or WI **
Required Job Qualifications:
Minimum of 1 year of experience in PowerSTEPP Eligibility or Quality Assurance in managed care/health insurance environment
Demonstrated excellent investigative and resolution skills with attention to detail
High school diploma or GED equivalent
Effective organizational skills with the ability to work and prioritize independently
Demonstrated flexibility and ability to work collaboratively in an environment of continuous process improvement
Demonstrated and effective mediation skills
Professional verbal and written communication skills
Proficiency in MS Office
Preferred Job Qualifications:
Previous experience in Administering with high quality accuracy
Advanced MS Excel skills
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EEO Statement:
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Pay Transparency Statement:
At Luminare Health, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 days’ of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, new parent paid leave, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates.
The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.
Min to Max Range:
$17.28 - $32.44 ApplyJob Profile
Must live in specified states NM OK TX Work from Home
Benefits/Perks15 days paid time off 401(k) savings plan Annual Incentive Bonus Curated development plans Disability Insurance Employee Assistance Program Employee Referral Process Health and wellness benefits Incentives Inclusive workplace Life Insurance Paid holidays Paid parental leave Paid Time Off Professional development Purpose-driven company Supplemental life insurance Tuition reimbursement Work From Home
Tasks- Auditing eligibility work items
- Communicating audit results
- Documenting departmental processes
- Maintaining training plans
- Tracking findings
Attention to detail Audit Auditing Business Communication Documentation Excel Health Insurance Insurance Investigative Managed Care MS Excel MS Office Organization Organizational Process Improvement Quality Assurance Wellness Written communication
Experience1 years
EducationBusiness Equivalent GED GED equivalent High school diploma
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9