[Hiring] Compliance Specialist @Centene Corporation

Role Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Applicants for this role have the flexibility to work remotely anywhere in the Continental United States.

• Ensure compliance with contractual requirements and federal and state government reporting and regulations.
• Maintain government relations for compliance activities.
• Ensure compliance with contract provisions with various agencies and applicable State and Federal laws.
• Serve as compliance resource for day–to-day processes.
• Analyze and determine the best course of action for each inquiry/problem.
• Act as primary contact for initiating and coordinating compliance projects.
• Develop and update plan policies and procedures to ensure compliance with federal and state requirements.
• Conduct periodic assessments and audits to ensure compliance with contractual and regulatory requirements and timeliness of submission.
• Oversee the day-to-day health plan policies and procedures to ensure federal and state regulatory compliance.

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• 5+ years of compliance or regulatory experience.
• Advanced experience with Microsoft Office applications.
• Knowledge of business operations related to managed care is preferred.

Requirements

• Pay Range: $70,100.00 - $126,200.00 per year.
• Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.

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.

Company Description

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.