In this fully remote position as a Skilled Nursing Facility auditor you will apply your expert clinical knowledge to validate the accuracy of billed charges to ensure the integrity of the paid claim including coding validation, payment accuracy, contractual requirements and compliance with regulations. You will utilize industry and EXL proprietary tools in the review process, and will write professional communications documenting audit findings and supporting rationales. You will also apply your extensive clinical and industry knowledge to identify audit trends and opportunities. EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers. EXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration – and we’ve been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that’s unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It’s our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Gathers and organizes the assessment data and results to support risk reporting and monitoring processes. Advises, designs, and/or validates the status of IT controls and processes and assists in the design of corrective actions to address control deficiencies. - Consults with control owner(s) to innovate and implement controls to minimize/mitigate risks, vulnerabilities and threats to IT as well as improve overall control design - Ensures stakeholders incorporate new controls and/or updates to controls into testing - Work closely with key stakeholders within IT to understand the overall business environment, processes, and procedures to design, build and maintain systems of controls across IT functions - Understands and assesses levels of risk and compliance (deriving from external and internal threats) across the enterprise - Maintain departmental work process for IT controls - Interface with business control personnel and provide technical guidance - Communicates, consults, and assists in remediation of control findings and gaps with IT and business stakeholders - Develops and/or matures metrics (KRI & KPI) to deliver reports and presentations to various levels of management personnel - Maintains risk register with risk treatment plans - Perform assessments of an IT Risk Acceptance request to identify risks and mitigating controls as well as follow-up on necessary approvals - Has the ability to determine if proposed technology solutions have cross-functional impact or risks to other units and to identify areas of efficiency - Manages stakeholders, identify, and manages issues and risks - Examines options for improvement, risks, and proposed changes and identifies mitigation strategies - Builds relationships with key business stakeholders and aligns the business and IT architecture - Drives agile development methodology best practices across the teams - Performs other duties as assigned - Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and deep functional and Centene-specific knowledge, and 7+ years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: - One or more of the following skills are desired. - Knowledge of Microsoft Office; Microsoft Project; Microsoft Visio - Experience with Data Analysis; Project Management Soft Skills: - Advanced - Seeks to acquire knowledge in area of specialty - Advanced - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions - Advanced - Ability to work independently - Advanced - Demonstrated analytical skills - Advanced - Demonstrated project management skills - Advanced - Demonstrates a high level of accuracy, even under pressure - Advanced - Demonstrates excellent judgment and decision making skills - Advanced - Ability to communicate and make recommendations to upper management - Advanced - Ability to drive multiple projects to successful completion Pay Range: $121,500.00 - $224,900.00 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

Help us change lives At Exact Sciences, we’re helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you’re working to help others. Position Overview The Senior Compliance Program Auditor will play a critical role in ensuring the accuracy, integrity, and compliance of the organization’s billing practices. This individual will execute audit projects, assess risks associated with billing, regulatory, and operational risk, and work closely with internal teams to implement corrective actions and improve processes. This role may assist on audits related to interactions with HCPs/HCIs, third party vendors, and/or international distributors. The Senior Compliance Program Auditor will also help identify regulatory risks, provide actionable insights, and support the development of a strong internal control environment. This role requires a deep understanding of internal audit standards, compliance requirements, and is familiar with healthcare billing as well as strong analytical and problem-solving skills. This position is remote. Essential Duties Include, but are not limited to, the following: - Assist with planning, fieldwork, and documentation of audits and reviews of laboratory revenue cycle operations to assess compliance with regulatory requirements. - Analyze billing data and trends to detect and prevent fraud, waste, abuse, and potential coding issues through the use of data analytics. - Conduct and document audits and reviews of third party vendors, international distributors, and interactions with HCPs/HCIs and other high-risk interactions to assess compliance with regulatory requirements and company policy. - Work with other compliance and legal staff to investigate and resolve reported compliance concerns related to revenue cycle functions. - Maintain awareness of the federal, state, and local regulatory environment related to the reimbursement of laboratory services to monitor relevance to the Exact Sciences’ Compliance Program. - Identify potential weaknesses in revenue cycle functions and activities and proactively suggest improvements to address them. - Lead walkthroughs, document narratives, and test assigned processes and controls for Exact Sciences’ laboratory entities to ensure compliance with all policies, procedures, and processes. - Prepare internal audit reports, participate in close meetings, and present summaries internally. - Make process improvement suggestions to company management based on audit results. - Follow up on outstanding compliance issues from previous audits. - Liaise with external auditors including, but not limited to, documentation, testing, coordination, and follow ups related to findings, as needed. - Utilize interdepartmental collaboration skills to engage across teams. - Ability to analyze processes and determine if adequate controls are in place and appropriate for the related activity. - Ability to take direction and independently work towards achievement of projects. - Ability to articulate complex information into understandable terms and effectively communicate at all levels within an organization. - Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork. - Support and comply with the company’s Quality Management System policies and procedures. - Maintain regular and reliable attendance. - Ability to act with an inclusion mindset and model these behaviors for the organization. - Ability to work designated schedule. - Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day. - Ability to work on a computer and phone simultaneously. - Ability to use a telephone through a headset. - Ability to travel 25% of working time away from work location, may include overnight/weekend travel. Minimum Qualifications - Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field as outlined in the essential duties. - 3+ years of experience in a role requiring adherence to process, internal controls, or internal/external audit experience. - Demonstrated ability to execute auditing activities. - Strong written and oral communication skills. - Knowledge of the health care industry, including experience in auditing compliance with the requirements of AdvaMed, FCPA, AKS, FCA, etc. - Knowledge of Federal, State and local health care laws and regulations, as well as applicable regulatory agencies. - Ability to work both independently and collaboratively with cross-functional teams. - Strong analytical skills with the ability to interpret complex data sets and regulations. - Advanced skills in Microsoft Office (Specifically Word, PowerPoint, Excel). - Demonstrated ability to perform the essential duties of the position with or without accommodation. - Authorization to work in the United States without sponsorship. Preferred Qualifications - Public accounting experience. - Advanced knowledge with data analytics platforms (Tableau or PowerBI) - Familiarity with the regulatory framework governing healthcare billing, including the Centers for Medicare and Medicaid Services (CMS), Office of Inspector General (OIG), and payer-specific guidelines. - Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) designation. #LI-TA21 Salary Range: $101,000 - $138,000 (National salary range) $116,000 - $138,000 (California salary range) The annual base salary shown is a national range for this position on a full-time basis and may differ by hiring location. In addition, this position is bonus eligible. Exact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage. Learn more about our benefits. Our success relies on the experiences and perspectives of a diverse team, and Exact Sciences fosters a culture where all employees can develop personally and professionally with a sense of respect and belonging. If you require an accommodation, please contact us here. Not ready to apply? Join our Talent Community to stay updated on the latest news and opportunities at Exact Sciences. We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to disability, protected veteran status, and any other status protected by applicable local, state, or federal law. To view the Right to Work, E-Verify Employer, and Pay Transparency notices and Federal, Federal Contractor, and State employment law posters, visit our compliance hub. The documents summarize important details of the law and provide key points that you have a right to know.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Internal Auditor is responsible for performing assigned internal audit procedures and activities objectively. Specifically, this role assists with planning and executing various operational, financial, and compliance audits in accordance with accepted professional standards to determine compliance with company policies/procedures and adherence to regulatory requirements. - Improve the Bank’s operations by assisting Internal Audit Management and performing fieldwork for audits. - Draw conclusions on the adequacy of internal controls based on audit evidence collected and analyzed. - Document observations in the form of audit issues. - Perform validation procedures to review remediation activities performed by management to resolve identified issues. - Interview management/key personnel to identify areas of concern and plan for execution of work. - Perform audit procedures, including identifying and defining issues, reviewing, and analyzing evidence, and documenting processes and procedures. - Review documents, compose summary memos, and prepare work papers. - Identify key risks and controls to develop and execute an audit work program. - Present issues to Internal Audit Manager or Director of Audit and auditees and provide recommendations to improve the control framework and ensure alignment with the Bank’s overall goals. Qualifications - General knowledge of bank operations, products, services, and delivery channels. - Strong analytical, communication, and interpersonal skills. Requirements - Experience in at least 2-3 of the following audits: Electronic banking/Treasury Management, Credit Administration, Retail/GLBA/Banking Security, Solutions Development, Model Risk Management, Deposit Operations. - Strong preference for candidates who have recent experience using AuditBoard. - Intermediate level experience in bank auditing, SOX, internal audit, compliance, and internal control. Benefits - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Job Type & Location This is a Contract position based out of Houston, TX. Pay and Benefits The pay range for this position is $40.00 - $50.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Mar 18, 2026.