Compliance Analyst - Managed Care

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.
 

**Remote position with candidates to be located in Iowa only**

Position Purpose: With the Iowa Total Care Compliance Team, you will maintain compliance with licensing regulatory laws and standards, while also supporting the Regulatory Affairs Department in maintaining compliance with all other regulatory laws and standards, including HIPAA; compliance reporting; and assist in developing and implementing compliance auditing and monitoring strategies.

• Prepare and timely file annual and renewal regulatory/licensure filings with various state departments of insurance.

• Review and analyze state regulatory licensing requirements.

• Review reports for regulatory requirements, assess data collection and management processes, and recommend or develop enhancements to optimize regulatory compliance.

• Review and analyze proposed contracts for reporting requirements.

• Assist with maintaining policies & procedures to ensure compliance with regulatory laws and standards.

• Maintain databases relating to contracts, customer complaints, regulatory auditing and training.

• Assist with facilitation of education of employees regarding HIPAA, regulatory oversight and data integrity.

• Complies with all policies and standards

Education/Experience: Bachelor’s degree in Business, Public Health, Health Care Administration, related field or equivalent experience. 2+ years in a regulatory, compliance or legal role, preferably in healthcare or in a government agency.

License/Certification: Paralegal certificate preferred.

Preferred Skills:

In-depth knowledge of Privacy Regulations (HIPAA)

Strong Analytical and Investigative Skills

Exceptional Attention to Detail with High Reading Comprehension

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.  Total compensation may also include additional forms of incentives.

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