Lead Compliance Oversight

🕒 Outubro 26

🏰 Missouri – Remoto

🏰 Missouri – Remote

⏰ Tempo Integral

🟠 Sênior

🚔 Conformidade

👻 Score fantasma 10%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 15 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.
• Sem salário divulgado.

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Centene Corporation

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1984

🛡️ Seguros

💼 Consultoria

🏥 Saúde

Insurance • Consulting • Healthcare

Centene Corporation é uma provedora líder de serviços de saúde patrocinados pelo governo, especializada em oferecer soluções de saúde acessíveis e de alta qualidade. Há mais de 40 anos, a Centene tem se dedicado a transformar a saúde das comunidades, ampliando o acesso a Medicaid, Medicare e ao Health Insurance Marketplace, além de atender comunidades militares por meio do programa TRICARE. Como a maior organização de managed care do Medicaid e participante-chave no Marketplace, a Centene enfatiza a entrega de cuidados de saúde com foco local, combinada a parcerias sólidas com organizações sem fins lucrativos para atender às necessidades únicas de seus membros. A Centene também é comprometida com sustentabilidade corporativa e responsabilidade social, priorizando a gestão ambiental e a governança ética para promover o bem-estar das comunidades que atende.

Descrição

• Perform and/or lead compliance-related projects and assessments from planning through reporting • Review staff and senior compliance specialists' work • Ensure completion of internal and external corrective action plans • Serve as a subject matter expert and mentor staff and/or interns • Provide work guidance, direction, and mentoring to department associates • Collaborate with departments to direct compliance issues for research and resolution • Consult with management, in-house counsel, and/or the VP of Corporate Compliance on difficult compliance issues • Communicate the importance of compliance and the compliance program to health plan staff • Promote awareness of the Corporate Ethics and Compliance Program, compliance issues, policies, procedures, and internal compliance audits • Coordinate with Corporate Compliance management regarding project status and deliverables • Provide independent appraisals, analyses, and observations of business processes, internal controls, and regulatory compliance • Ensure monitoring and oversight testing, documentation, and reporting meet quality, timeliness, and professional standards • Track internal and external corrective action plans to completion • Educate, encourage, and assist employees in meeting State Medicaid Programs, OIG, and CMS requirements • Communicate and coordinate with external auditors • Assist with the annual compliance risk profile and develop and/or execute compliance monitoring and oversight work plans • Assist with monthly, quarterly, and annual reporting to senior management and the Board of Directors • Perform other assigned projects

🎯 Requisitos

• Bachelor's Degree in a related field; an additional 2 years of Compliance/Auditing experience may be substituted in lieu of the degree • 5+ years of experience in Compliance/Auditing required • 3+ years of experience in State or Federal Managed Care Programs required • 1+ year of experience in reading, analyzing, and interpreting State and Federal laws, rules and regulations required • Certified in HealthCare Compliance (CHC) preferred • Certified Compliance Ethics Professional (CCEP) preferred • Certified Internal Auditor (CIA) preferred • Certified Fraud Examiner (CFE) preferred

🏖️ Benefícios

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Diversity-focused equal opportunity employment

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