Senior Manager, Compliance Program Administration

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🐊 Florida, Illinois, +10 more states – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote 🧀 Wisconsin – Remote 🍑 Georgia – Remote

💵 $107.7k - $199.3k / year

⏰ Full Time

🟠 Senior

🚔 Compliance

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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

• Manage and implement strategies to maintain and implement compliance programs meeting regulatory requirements for assigned products across the company • Maintain and track compliance work plans, governance records, and compliance measures • Develop policies, procedures, and processes supporting compliance operations, governance, and program administration • Perform plan risk assessments and report emerging trends, deficiencies, variances, and findings • Provide Ethics, Compliance, Risk Management, FWA, privacy, and security training • Upskill others on Compliance Program Basics • Develop and manage a strategic professional development roadmap for the Compliance organization • Coordinate stakeholders, manage dependencies, resolve barriers, and monitor deliverables across Compliance initiatives • Prepare program updates, dashboards, and executive-level reporting • Analyze compliance data and conduct industry horizon scanning • Support change management and communications for Compliance requirements, tools, and processes • Mentor and guide subordinates and serve as primary backup to the department lead • Monitor Commercial product risks, benefit filings, and entity licensures • Collaborate with Marketing to monitor sales and marketing representatives and advertising materials • Monitor the FDR oversight program for Medicare and MMP plans • Report Medicare and Medicaid product risks • Partner with departments as local executive responsible for business continuity and disaster recovery requirements • Perform other duties as assigned and comply with all policies and standards

🎯 Requirements

• Bachelor's Degree in Healthcare Administration, Compliance or related field; or equivalent experience required • 5+ years Compliance experience required • 3+ years Medicaid, Medicare or commercial Managed Care required • Prior experience working with federal and state regulatory agencies in a managed care or insurance environment preferred • Master's Degree preferred • Juris Doctor (JD) preferred

🏖️ Benefits

• Competitive pay • 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

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