Performance Monitor Specialist, Clinic
Centene Corporation · France
Quality Improvement
Remote/Hybrid — check advert
Nurse
Demand72
Career growth62
Healthcare fit80
Remote potential75
Salary band
USD 56k – 101k
5-year outlook
Starts within the posted $56,200-$101,000 band depending on license, experience, and location, with gradual progression toward senior auditor, quality/compliance manager, or care management leadership roles that can reach the upper end or beyond. Growth is steady but typically incremental rather than rapid.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-03
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Permanent
- Hours
- Full-time
- Profession fit
- Nurse
- Rate period
- Annual
Why this was classified this way
- part-time
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for licensed nurses or behavioral health clinicians with case management or managed care exposure who want a remote/hybrid payer-side role away from direct patient care. The license requirement and 3+ years clinical experience bar make it less accessible for early-career or unlicensed candidates.
Who should apply
Registered Nurses with case management, utilization management, or quality experience; LCSWs, LMHCs, or LMFTs with clinical documentation and audit exposure; bedside clinicians seeking a non-clinical payer role with remote/hybrid flexibility; clinicians familiar with Medicare, Medicaid, or NCQA standards.
CV angle
Reframe real clinical experience around documentation quality, chart review, case management, and compliance: highlight volume of patient charts or care plans reviewed, familiarity with Medicare/Medicaid and managed care workflows, participation in audits or quality initiatives, and any experience evaluating clinical documentation against standards. Emphasize attention to detail, inter-rater reliability, and reporting findings to multidisciplinary teams without overstating audit authority.
Skills to highlight
- Clinical documentation review
- Case management
- Managed care / utilization management
- Compliance and regulatory auditing
- Medicare and Medicaid knowledge
- NCQA/CMS audit familiarity
- Attention to detail and inter-rater reliability
- Written and verbal reporting of findings
Role summary
A payer-side clinical auditing role at Centene that reviews care management call recordings and clinical documentation to verify compliance with organizational policies, state contracts, and CMS/NCQA standards. The specialist also helps maintain the clinical review tool, escalates concerns, and supports audit preparation, requiring an active RN, LCSW, LMHC, or LMFT license.
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