Senior Compliance Analyst

🕒 September 8

🐊 Florida, Illinois, +6 more states – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

💵 $70.1k - $126.2k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

👻 Ghost score 26%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 • Provide regulatory interpretation and perform compliance reporting • Respond to external information requests required for regulatory filings • Manage compliance reporting and respond to state and federal regulatory agency inquiries • Manage ethics and compliance projects or implementations • Review and synthesize regulatory requirements and create policy or position statements • Assist with annual code of conduct attestation and remediation • Communicate state and federal requirements to internal and external clients • Develop, implement, and maintain compliance policies, procedures, and work instructions • Identify, analyze, and resolve compliance issues • Maintain and review regulatory documentation • Develop, produce, and conduct compliance training programs • Perform periodic compliance audits, risk assessments, and ongoing compliance monitoring • Assist health plans with regulatory agency relationships and resolution of policy issues affecting member service • Assist management with interim health plan compliance officer responsibilities • Coordinate implementation of Compliance Committee policy • Serve as a company-wide resource and liaison on policies, contract issues, communications, workflow, and quality improvement initiatives • For Pennsylvania Health & Wellness only: track and identify risks and trends related to noncompliance and fraud, waste, and abuse; coordinate operational leaders; lead the monthly fraud workgroup; produce and submit the quarterly MCO FWA report; liaise with the DHS Bureau of Program Integrity and the OAG

🎯 Requirements

• Bachelor’s degree in related legal field or equivalent experience • Master’s or Juris Doctorate degree preferred and may be considered in lieu of experience • 3+ years of related experience in compliance, privacy and/or regulatory affairs • Experience in project management • Working knowledge of laws and/or regulations in compliance, particularly HIPAA and state regulations • Must be authorized to work in the U.S. without employment-based visa sponsorship now or in the future • For Pennsylvania Health & Wellness only: CFE (Certified Fraud Examiner) required • Knowledge or experience related to compliance reporting, regulatory affairs, compliance auditing and monitoring, risk assessments, and fraud, waste and abuse

🏖️ Benefits

• 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