Compliance Officer

🔥 4 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $134.6k - $249k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🚔 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

• Oversee all compliance functions for the health plan, including communication and coordination of policy development. • Oversee accurate and timely submission of contract deliverables for all lines of business and service delivery areas. • Oversee submission of all CMS Medicare SNP requirements. • Serve as senior leadership and single point of contact in State compliance meetings and interactions. • Manage correspondence and daily interaction with state regulators. • Serve as senior leadership in Department of Insurance and HHSC audit processes. • Manage all facets of audits and communications. • Serve as senior leadership in the Enterprise Risk Management process with corporate ERM and Executive Management. • Conduct internal compliance audits, write corrective action plans, and ensure timely completion and regulatory compliance. • Manage compliance oversight for health plan material subcontractors, including annual oversight. • Represent senior management at state committees, meetings, and seminars. • Perform other duties as assigned. • Comply with all policies and standards.

🎯 Requirements

• Applicants for this role must reside in the state of Arizona. • Bachelor's Degree in related field, or equivalent experience required. • 7+ years Compliance program management and contract experience with State Medicaid programs including internal and State audits required. • 5+ years Health care regulatory agencies in development of compliance and fraud programs required. • 5+ years Overseeing implementation of contract requirements required.

🏖️ Benefits

• competitive pay • health insurance • 401K • stock purchase plans • tuition reimbursement • paid time off plus holidays • a flexible approach to work with remote, hybrid, field or office work schedules • additional forms of incentives may be included in total compensation