Centene Corporation
Transforming the health of the communities we serve, one person at a time.
Manager, Compliance – Duals & D-SNP Product
Location
Florida + 3 moreAll locations: Florida, New York, Missouri, Tennessee
Posted
30 days ago
Salary
$87.7K - $157.8K / year
Bachelor Degree4 yrs expEnglish
Job Description
• Manage the Dual compliance department functions
• regulatory and D-SNP contract review and interpretation
• periodic monitoring and auditing activities based on established compliance program
• policies and practices to ensure and maintain compliance with regulations
• Manage approval and submission of timely and accurate D-SNP State Medicaid Agency contract and regulatory required report deliverables
• Oversee all SMAC updates including creating new and updating existing SMACs with CMS, Health Plans, States and consultants/vendors
• Conduct periodic assessments to ensure compliance against SMAC and regulatory requirements
• Oversee creation and implementation of corrective action plans to reduce or eliminate risk
• Collaborate with CMS, States, Product and Strategy
• Manage composition and delivery of inquiries and responses to state regulatory agency about D-SNP inquiries
• Support responses to “request for proposals” (RFPs) and new business implementations
• Participate in new Duals business implementations
• Design, implement and improve processes to prevent, detect and respond to compliance issues
• Create and deliver Duals compliance training for all employees on an annual basis and as needed basis
Job Requirements
- Bachelor's Degree Health Care Administration, Compliance or related field or equivalent experience required
- 4+ years experience in compliance to include risk assessment against contract and regulatory requirements
- creation and execution of auditing, monitoring and reporting processes
- administration of correction action plans
- implementation of written policies and procedures
- developing and delivering compliance training and education required
- Experience with D-SNP SMAC, regulatory requirements and/or operations required
- Medicare managed health experience required.
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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