Centene Corporation
Healthcare Insurance • Non-profit • Social Impact
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
10,000+ employees
Founded 1984
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
Compliance Officer
Job not on LinkedIn
October 21
Centene Corporation
Healthcare Insurance • Non-profit • Social Impact
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
10,000+ employees
Founded 1984
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
📋 Description
• Oversee all compliance functions for the Nevada health plan including communication and coordination of policy development • Oversee the accurate and timely submission of over-contact deliverables for all lines of business and service delivery areas • Oversee the accurate and timely submission of all CMS Medicare SNP requirements • Serve as senior leadership and single point of contact in all State compliance meetings and interactions • Manage direct correspondence and daily interaction with all state regulators • Serve as senior leadership in all Department of Insurance and HHSC audit processes • Managing all facets of the audit and communications • Serve as senior leadership in Enterprise Risk Management process working directly with corporate ERM and Executive Management team to ensure current evaluation and documentation of business risks • Conduct internal compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with federal, state and local regulatory requirements • Accountable for the management and oversight of compliance for all health plan material subcontractors to include directing the performance of annual oversight
🎯 Requirements
• Bachelor’s degree in related field or equivalent experience • Master's degree preferred • 7+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits • 5-7 years of experience with health care regulatory agencies in development of compliance and fraud programs • 5+ years experience with overseeing implementation of contract requirements
🏖️ 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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