Compliance and Reporting Specialist

🔥 14 hours ago

🐊 Florida, Illinois, +4 more states – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🏰 Missouri – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚔 Compliance

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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

• Develop, implement, and perform compliance auditing, monitoring, and reporting activities • Develop and maintain quality and compliance reports and dashboards • Review and analyze deliverables and data reports for timely submission and performance trends • Perform and monitor audits, risk assessments, and documentation activities • Identify, investigate, and resolve compliance issues • Develop corrective action plans to mitigate future risks • Serve as the go-to person for compliance activities, including training and awareness programs • Design, implement, and improve regulatory documentation and processes • Research new markets and primary source verification to determine licensure requirements • Administer ongoing licensure maintenance • Assist with vendor activities, including pre- and annual delegate oversight and ongoing vendor oversight and partnership activities • Update management on compliance, contract deliverables, and related activities • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Bachelor’s degree in health care administration, compliance, or related field or equivalent experience • 2-4 years of compliance, regulatory, or related experience • Experience with risk assessment requirements, auditing and reporting processes, action plans, and compliance training • Experience with state/regulatory reporting, auditing and monitoring, risk assessment, action plans, and compliance training • Exceptional attention to detail and organization • Ability to manage recurring deadlines across multiple reports • Strong written and verbal communication • Ability to follow up firmly and professionally with report owners and approvers • Proficiency with Microsoft Office, SharePoint, and Archer or similar GRC tools • Medicaid managed care or NC reporting 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 • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

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