Centene Corporation

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

Manager, Ethics & Compliance

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

Location

Florida + 2 moreAll locations: Florida, Missouri, Tennessee

Posted

25 days ago

Salary

$87.7K - $157.8K / year

Bachelor Degree3 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 • Enhance the enterprise ‑ wide COI and Exclusions compliance program, including governance, controls, documentation, and reporting • Provide strategic oversight of COI intake, review, adjudication, mitigation, and monitoring processes • Oversee COI case management systems, workflows, and data integrity to support timely, consistent, and defensible decision ‑ making • Identify, assess, and implement effective risk mitigation strategies for actual, potential, or perceived conflicts • Lead the enterprise‑wide COI and Exclusions compliance programs, including governance, controls, documentation, and reporting • Maintain awareness of applicable federal and state laws, regulations, guidance, and contractual requirements impacting COI and Exclusions compliance (including Medicare, Medicaid, and managed care regulations) • Draft compliance policies, procedures, and standards consistent with regulatory expectations and industry best practices • Ensure timely updates to policies and processes in response to regulatory or contractual changes • Serve as a trusted compliance advisor to business partners • Identify emerging COI and Exclusions risks, trends, and control gaps • Promote a strong culture of ethics, transparency, and accountability through education and stakeholder engagement • Prepare clear, concise compliance reports and metrics for leadership and governance committees • Analyze data and trends to drive continuous improvement and program maturity

Job Requirements

  • Bachelor’s degree in related field (e.g., Compliance, Healthcare Administration, Business, Law)
  • Master's or Juris Doctorate degree strongly preferred
  • Minimum of 3+ years of progressive compliance experience, preferably within healthcare, managed care, insurance, or regulated industries
  • Hands on experience managing COI, Exclusions, or related ethics compliance programs strongly preferred
  • Proven ability to lead complex, cross functional initiatives
  • Excellent analytical, communication, and presentation skills
  • High level of professional judgment, discretion, and integrity
  • Experience with compliance case management systems

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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