Senior Director, Medicaid Compliance

🔥 0 minutes ago

🌽 Illinois, Missouri – Remote

🌽 Illinois – Remote 🏰 Missouri – Remote

💵 $148k - $274.2k / 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

• Lead the Compliance Advisory & Research and Compliance Response & Escalation teams • Providing strategic direction across complex compliance functions • Partner closely with senior leadership to guide compliance research • Oversee multi-market regulatory disclosures • Help ensure key business initiatives align with applicable federal, state, and contractual requirements • Support direct correspondence with state regulators • Managing all facets of Compliance research for Medicaid line of business for the Enterprise • Serve as senior leadership in Compliance Risk Assessment process • Work closely with auditing and monitoring team, corrections team, and regulatory change management team to facilitate research and implementation • Performs other duties as assigned

🎯 Requirements

• Bachelor's Degree in related field, or equivalent experience required • 7+ years Compliance program management and contract experience with State Medicaid programs including internal and State audits required • 5+ years Health care regulatory agencies in development of compliance and fraud programs; required • 5+ years Overseeing implementation of contract requirements required • 10+ years Compliance/Enterprise Risk Management 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