Centene Corporation
Transforming the health of the communities we serve, one person at a time.
Senior Manager, Ethics & Compliance
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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