Manager, Regulatory & Filing Operations

Job not on LinkedIn

🔥 1 minute ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $87.7k - $157.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 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

• Manage assigned functional areas including filing submissions, state legislative/regulatory interpretation and policy research, member materials or QHP templates, and/or product benefit databases • Ensure quality of functional-area outputs and provide regulatory oversight and advocacy positioning • Serve as the primary point of contact for Health Plan and State Department of Insurance communications • Lead review, interpretation, and summarization of current, proposed, and enacted legislation and regulatory updates • Provide risk assessments and feedback communications to business leads and leadership • Manage and coordinate regulatory and filing projects with internal departments and cross-functional partners • Manage product filings and submissions to CMS and State Departments of Insurance • Manage and perform quality assurance audits of regulatory research, filings, member-facing policy documents, projects, and communications • Maintain the product benefit system serving as the source of truth for QHP templates and member-document population • Supervise or perform audits from the source-of-truth system and/or documents • Assess team performance and support performance, quality improvement, and staff development • Implement measurable, repeatable, scalable, and predictable processes and drive continuous improvement • Work with IT on product benefit database enhancements and fixes • Manage staff working with IT on the product benefit database • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Bachelor’s degree, preferably in Business, Communications, Healthcare, Political Science, or 5+ years of regulatory experience, including policy analysis and/or product filing or Qualified Health Plan (QHP) documentation and template creation (CMS and/or State DOI) • Experience in commercial health insurance or a highly regulated industry • 0-3 years of supervisory/management experience • In-depth knowledge of health products, procedures, and state insurance regulations • Experience providing product regulatory proposals and recommendations • Must be authorized to work in the U.S. without employment-based visa sponsorship now or in the future • Ability to travel 20% within the continental United States

🏖️ Benefits

• Health insurance • 401K • 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 employment • Consideration of qualified applicants with arrest or conviction records in accordance with applicable laws