Senior Compliance Corrections Specialist

🕒 June 17

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Centene Corporation

Centene Corporation

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

• Participates in corrections process for all lines of business • Intakes and triages suspected issues of non-compliance • Entry of compliance issues into GRC tool and assignment/coordination of issues to corrections team members • Collaborates with compliance and business stakeholders to gather information, develop corrective action plans, identify and escalate barriers to progress and gather evidence of remediation • Updates GRC tool to support corrections reporting • Reviews and oversees progress towards remediation and documented key milestones in GRC tool • Identifies issues that require escalation and ensures they are addressed timely through established paths and processes • Conducts review of evidence to address root cause of issue and facilitate timely closure of issues • Develops, implements and continually refines corrections reporting that provides meaningful trend analysis for business stakeholders and senior leadership on new, in progress and closed issues as well as regulatory sanctions • Supports management in the development and maintenance of corrections processes and tools

🎯 Requirements

• Bachelor's Degree in Managed Care/Health Insurance or related field, or equivalent experience required • 5+ years experience in Managed Care/Health Insurance or related experience required • Experience with data analytics preferred • Excellent Microsoft Office skills preferred • Certified in HealthCare Compliance (CHC) preferred • Certified Compliance & Ethics Professional (CCEP) 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

Apply Now

Similar Jobs

🕒 June 17

Enviri

10,000+ employees

Permit Compliance Manager at Veolia managing environmental compliance and permitting across diverse facilities. Collaborating with teams to track regulations and develop relevant training and programs.

🕒 June 17

Silicon Ranch Corporation

51 - 200

🏗️ Construction

💼 Consulting

🏥 Healthcare

Senior Manager in Operational Compliance at Silicon Ranch leading NERC compliance efforts. Overseeing the NERC Technical Compliance Manager and managing technical compliance tasks.

🕒 June 16

Vaxcyte

201 - 500

🏥 Healthcare

🏭 Manufacturing

🧬 Biotechnology

Hands-on role providing both strategic and operational activities in global regulatory CMC strategies. Managing regulatory submissions and interactions with Health Authorities at Vaxcyte.

🕒 June 16

Planet Technologies

201 - 500

🏛️ Government

☁️ SaaS

🏢 Enterprise

Senior Compliance Consultant supporting impactful projects for public sector as part of leading Microsoft services provider. Balancing operational requirements with compliance needs in a collaborative team environment.

🕒 June 16

Ideal Industries

-

🏭 Manufacturing

🔧 Hardware

⚡ Energy

Regulatory Compliance Specialist responsible for ensuring compliance with U.S. and international regulations. Collaborating with various teams to support corporate responsibility initiatives and product compliance documentation.