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.
Vice President, Corporate Compliance Investigation
Job not on LinkedIn
October 18
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
• Investigating allegations, assertions and complaints regarding compliance concerns, risks or potential violations • Preparing periodic reports and findings for various stakeholders including Human Resources, Internal Audit, and Legal • Building and maintaining collaborative relationships with federal and state regulators • Managing and evaluating internal inquiries and allegations, external complaints • Developing and revising policies and procedures to ensure consistent investigative processes • Ensuring timely investigation and resolution of regulatory complaints
🎯 Requirements
• Bachelor's Degree in a related field required • Master's Degree in a related field or Juris Doctor (JD) preferred • 10+ years of experience in leading Internal compliance investigations and implementing internal processes that enhance and encourage ethical behavior required • 7+ years of management experience required • Resolving Medicaid and Medicare compliance issues experience required • Active bar membership in at least one U.S. jurisdiction 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
Apply NowSimilar Jobs
October 17
Compliance Director managing corporate compliance programs for emergency medical transportation insurance at MASA. Leading compliance strategy, training, and fostering organizational integrity.
October 11
BeOne Medicines
10,000+ employees
Director of Regulatory Affairs leading strategies for diagnostic and medical devices at BeOne. Collaborating with cross-functional teams to drive regulatory submissions and approvals across Europe.
October 11
Director overseeing and improving the Ethics & Compliance program for Henry Schein Products Group. Providing compliance advice and collaborating with internal clients at all management levels.
October 7
North American Partners in Anesthesia
5001 - 10000
Compliance Officer overseeing compliance and privacy programs for healthcare at North American Partners in Anesthesia. Ensuring adherence to federal and state laws with effective policy management and risk assessment.
October 6
Senior Compliance Manager leading compliance programs for Sword Health. Ensuring adherence to regulatory guidelines and managing risk across provider entities.