[Hiring] Senior Compliance and Vendor Management Oversight Specialist @Centene Corporation

Role Description

Leads the integrity and governance of Centene's and/or its vendors corporate ethics and compliance program, and ongoing oversight and analysis of regulatory compliance practices.

• Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.
• Collaborates with internal teams and external vendors or subcontractors to promote contract compliance and uphold program integrity through structured oversight and monitoring of government-sponsored healthcare programs.
• Oversee the management of the entire contract lifecycle, from drafting to finalization, ensuring compliance and mitigating risks.
• Conducts reviews, audits, and assessments of vendor relationships to ensure adherence to Centene's and Government-sponsored health care program Requirements.
• Collaborates with business owners and vendors to drive process improvements, maintaining integrity, and ensuring compliance with Government-sponsored healthcare program requirements.
• Leads the timely, consistent, and accurate communication of state and federal regulatory updates impacting Medicaid and Marketplace regulatory filings in collaboration with market and product compliance officers.
• Prepares, organizes, and packages subcontractor files for approval/notification.
• Develop clear, accurate, and timely written reports detailing oversight and monitoring findings and recommendations.
• Ensures all supporting documentation and workpapers meet Centene and department standards, including the inclusion of sufficient evidence to substantiate findings.
• Partners with internal departments and subcontractors to route compliance concerns to the appropriate channels for investigation and resolution.
• Supports regulatory notifications and documentation of approvals/notifications.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• 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.

Requirements

• HealthCare Compliance (CHC) 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.