Senior Compliance Corrections Specialist

🔥 0 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $70.1k - $126.2k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

Healthcare Insurance • Non-profit • Social Impact

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