Compliance Analyst – Marketplace Compliance

🔥 0 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🚔 Compliance

👻 Ghost score 0%

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

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

• Assist in maintaining Centene Corporation's Compliance Program • Guide special projects • Provide regulatory interpretation • Perform compliance reporting • Develop and implement compliance auditing and monitoring strategies • Respond to external requests for information required for regulatory filings • Respond to inquiries from state and federal regulatory agencies • Monitor pending legislation and regulations affecting Centene Corporation services • Maintain databases and reference materials related to legislative, regulatory and compliance issues • Communicate state and federal requirements to internal and external clients • Assist with developing, implementing and maintaining compliance policies, procedures and work instructions • Assist in identifying, analyzing and resolving compliance issues • Maintain and review regulatory documentation necessary to maintain corporate standards • Assist in developing, producing and conducting compliance training programs • Perform periodic compliance audits, risk assessments and ongoing compliance monitoring • Assist health plans in managing regulatory-agency relationships and resolving policy issues • Plan, direct and coordinate implementation of Compliance Committee policy • Serve as a company-wide resource and liaison on policies, contract issues, communications, workflow and quality improvement initiatives • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Bachelor’s degree in related field or equivalent experience • Master's or Juris Doctorate degree preferred and may be considered in lieu of experience • 1+ years of related experience in compliance, privacy and/or regulatory affairs • Working knowledge of laws and/or regulations in area of compliance, particularly HIPAA and state regulations • Ability to work remotely from home anywhere in the Continental United States

🏖️ Benefits

• 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 • Equal opportunity employer committed to diversity