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.
Compliance Specialist
November 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.
📋 Description
• Ensure compliance with contractual requirements and federal and state government reporting and regulations • Maintain government relations for compliance activities • Ensure compliance with contract provisions with various agencies and applicable State and Federal laws • Serve as compliance resource for day–to-day processes • Analyze and determine the best course of action for each inquiry/problem • Act as primary contact for initiating and coordinating compliance projects • Develop and update plan policies and procedures to ensure compliance with federal and state requirements • Conduct periodic assessments and audits to ensure compliance with contractual and regulatory requirements and timeliness of submission • Oversee the day-to-day health plan policies and procedures to ensure federal and state regulatory compliance
🎯 Requirements
• Bachelor’s degree in related field or equivalent experience • 5+ years of compliance or regulatory experience • Advanced experience with Microsoft Office applications • Knowledge of business operations related to managed care 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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