Director, Compliance Program Administration

4 hours ago

🏰 Missouri – Remote

Although this job is listed in Missouri, this company may be open to hiring remote in other states.

💵 $116.1k - $214.7k / year

⏰ Full Time

🔴 Lead

🚔 Compliance

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Centene Corporation

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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

• Conduct compliance audits • Write corrective action plans • Work with contract and department managers to ensure timely completion and compliance with local, state and regulatory requirements. • Represent the key leadership position for compliance at the health plan • Oversee communication and coordinate policy development • Ensure accurate and timely communication to all departments. • Investigate instances of suspected fraud within the health plan • Report to appropriate management and regulatory entities • Assist management with enforcement and discipline in appropriate instances of non-compliance. • Regularly inform health plan’s Board of Directors of the status of compliance activities

🎯 Requirements

• Bachelor’s degree in related field or equivalent experience • 5+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits; • 2+ years experience in the development of compliance and fraud programs; • 2 years experience with overseeing implementation of contract requirements. • Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. • Compliance/ERM: 7+ years experience 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