Offer summary

Qualifications:

Bachelor's degree in a related field or equivalent experience; Master's or Juris Doctorate preferred., 4+ years of compliance experience, preferably in healthcare, with 2+ years in Medicaid, Medicare, or Commercial Managed Care., Experience interacting with federal and state regulatory agencies in managed care or insurance environments is preferred..

Key responsibilities:

Manage and implement compliance programs to meet regulatory requirements across the company.

Track laws, regulations, and compliance guidance, providing regular updates and analysis.

Collaborate with various departments to assess and analyze impactful regulations and guidance.

Provide guidance and mentoring on compliance issues and new requirements to various departments.

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 Continental United States.

Position Purpose: Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company

Maintain and track laws and regulations, contract amendments, and various compliance guidance and prepare regular updates and analysis on impactful regulatory actions.
Work in collaboration with Markets, Policy, Government Relations, Legal and other key departments to assess and analyze impactful regulations and guidance.
Evaluate and monitor changes to service functions and performance in relation to company mission, philosophy objectives and policies.
Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language.
Provide mentoring and guidance to subordinates within the department as necessary.
Serve as primary backup to regional lead as necessary.

Education/Experience:

Bachelors’ degree in related field or equivalent experience. Master's or Juris Doctorate degree preferred.
4+ years of compliance experience, preferably in a healthcare environment with at least 2+ years of Medicaid, Medicare or Commercial Managed Care experience.
Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment preferred.

Pay Range: $86,000.00 - $154,700.00 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. 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

Required profile