Centene Corporation

Compensation

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. Position Purpose: Design and implement programs, policies, and practices to ensure State and Federal program contract compliance, as well as compliance with federal and state legal and regulatory requirements. Represent Corporate Compliance at meetings with the State and Federal Regulators, as well as Senior Leadership and serve as the team lead on oversight of Health Plans and Corporate Business Units. • Conduct compliance audits and monitoring activities to assess adherence to local, state, and federal regulatory requirements • Identify areas of non-compliance and the need for corrective action plans to ensure timely resolution • Serve as a primary point of contact for Compliance professionals at provider practices, ensuring contractual and regulatory obligations are met • Assist management with enforcement actions and disciplinary measures in instances of non-compliance • Identify and implement process improvements to enhance the effectiveness and efficiency of audit and monitoring activities • Maintain subject matter expertise in auditing, monitoring, and regulatory compliance requirements • Modify procedures or processes as needed, and conduct fact-gathering and investigative activities to evaluate the effectiveness of compliance implementation • Support the maintenance of the compliance risk assessment process, ensuring it remains current and aligned with organizational priorities • Provide guidance and support for the execution of the annual audit and monitoring plan. • Performs other duties as assigned • Complies with all policies and standards Education/Experience: • Bachelor’s degree in healthcare administration, compliance or related field. • 6+ years of compliance and/or regulatory experience in a health care and/or managed care setting/organization. • Previous experience as a lead in a functional area, managing cross functional teams on large scale projects. Preferred Qualifications: • Professional audit or compliance certification (e.g., CIA, CHC, or similar) • JD, MBA, CPA or other relevant graduate degree • Strong knowledge of regulatory requirements and compliance frameworks Please note: This is remote role requiring less than 10% travel annually. Pay Range: $87,700.00 - $157,800.00 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