Senior Compliance and Vendor Management Oversight Specialist

🔥 0 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $70.1k - $126.2k / year

⏰ Full Time

🟠 Senior

🛒 Procurement

👻 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

• Lead the integrity and governance of Centene's and/or its vendors' corporate ethics and compliance program • Provide ongoing oversight and analysis of regulatory compliance practices • Collaborate with internal teams and external vendors or subcontractors to promote contract compliance and uphold program integrity • Oversee the entire contract lifecycle from drafting to finalization, ensuring compliance and mitigating risks • Conduct reviews, audits, and assessments of vendor relationships • Collaborate with business owners and vendors to drive process improvements and ensure compliance with government-sponsored healthcare program requirements • Communicate state and federal regulatory updates impacting Medicaid and Marketplace regulatory filings • Prepare, organize, and package subcontractor files for approval/notification • Develop written reports detailing oversight and monitoring findings and recommendations • Ensure supporting documentation and workpapers meet Centene and department standards • Route compliance concerns to appropriate channels for investigation and resolution • Support regulatory notifications and documentation of approvals/notifications • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Bachelor's Degree in related field; or, equivalent experience required • Master's Degree preferred • Juris Doctor (JD) preferred • 4+ years Managed Care/Health Insurance and knowledge of relevant legal and regulatory frameworks required • 2+ years Project oversight with demonstrated ability to drive implementation and influence others preferred • 2+ years Reading, analyzing, and interpreting State and Federal laws, rules and regulations preferred • 2+ years State Medicaid or government sponsored healthcare compliance preferred • HealthCare Compliance (CHC) preferred

🏖️ Benefits

• Competitive pay • 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