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Centene Corporation

via Workday

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Director, Compliance Program Administration

Anywhere
Full-time
Posted 12/5/2025
Direct Apply
Key Skills:
Compliance program management
Contract management
State Medicaid program audits
Fraud investigation
Policy development
Staff management
Corrective action planning

Compensation

Salary Range

$116K - 215K a year

Responsibilities

Lead compliance audits, manage corrective actions, oversee policy development, investigate fraud, and report compliance status to leadership.

Requirements

Bachelor's degree or equivalent, 5+ years compliance program management with Medicaid experience, 2+ years fraud program development, and management experience.

Full 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: Conduct compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with local, state and regulatory requirements. Represent the key leadership position for compliance at the health plan, oversee communication, coordinate of policy development and ensure accurate and timely communication to all departments. Investigate instances of suspected fraud within the health plan and report to appropriate management and regulatory entities. Assist management with enforcement and discipline in appropriate instances of non •compliance. Regularly inform health plan’s Board of Directors of the status of and activities pertaining to compliance. Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor’s degree in related field or equivalent experience. 5+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits; 2+ years experience in the development of compliance and fraud programs; 2 years experience with overseeing implementation of contract requirements. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Compliance/ERM: 7+ years experience preferred Pay Range: $116,100.00 - $214,700.00 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, 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 Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

This job posting was last updated on 12/6/2025

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