Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Senior Manager, Ethics & Compliance

ComplianceComplianceFull TimeRemoteTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

Illinois + 1 moreAll locations: Illinois, Missouri

Posted

33 days ago

Salary

$107.7K - $199.3K / year

Bachelor Degree5 yrs expEnglish

Job Description

• Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company • Ensure all Medicare and Medicaid product and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities • Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures • Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations • Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language • Conduct compliance audits, develop and implement corrective action plans • Perform plan risk assessments and report emerging trends, deficiencies and variances; report findings to other departments and teams as appropriate • Provide required Ethics, Compliance, Risk Management, FWA, privacy, and security training for existing and new employees and as required non-employees • Provide mentoring and guidance to subordinates within the department as necessary

Job Requirements

  • Bachelors’ degree in related field or equivalent experience
  • Master's or Juris Doctorate degree preferred
  • 5+ years of compliance experience, preferably in a healthcare environment with at least 3+ 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

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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