Centene Corporation
Senior Manager, Ethics & Compliance
at
Centene Corporation
– Join us to change the health of 28 million members.
Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.
Position Purpose Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company.
Key Responsibilities
Ensure all Medicare and Medicaid product and services are tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.
Maintain and track laws and regulations, contract documentation, amendments, and various compliance measures.
Develop policies, procedures, and processes 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.
Serve as primary backup to department lead as necessary.
Qualifications
Bachelor’s degree in a 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.
Pay Range
$105,600.00 - $195,400.00
per year.
Benefits Centene offers a comprehensive benefits package including competitive pay, health insurance, 401“K 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.
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.
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at
Centene Corporation
– Join us to change the health of 28 million members.
Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.
Position Purpose Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company.
Key Responsibilities
Ensure all Medicare and Medicaid product and services are tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.
Maintain and track laws and regulations, contract documentation, amendments, and various compliance measures.
Develop policies, procedures, and processes 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.
Serve as primary backup to department lead as necessary.
Qualifications
Bachelor’s degree in a 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.
Pay Range
$105,600.00 - $195,400.00
per year.
Benefits Centene offers a comprehensive benefits package including competitive pay, health insurance, 401“K 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.
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.
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