[Hiring] Manager, Regulatory & Filing Operations @Centene Corporation

Role Description

Manage assigned functional area including:

• Filing submissions
• State legislative/regulatory interpretation and policy research
• Development of member materials or QHP templates
• Product benefit database management

Responsible for quality of their functional area outputs and regulatory oversight and advocacy positioning.

Understand how cross-functional teams and business units work, including regulatory and/or benefit impacts to their functional areas.

Serve as the Primary Point of Contact for Health Plan and State Department of Insurance (DOI) communications.

Key Details:

• The role is fully remote within the United States.
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
• Sponsorship and future sponsorship are not available for this opportunity.

Manage the team’s review, interpretation, and summarization of:

• Current, proposed, and enacted legislation
• Regulatory updates, including risk assessments and/or risk feedback communications to business leads and leadership

Manage, coordinate, develop, monitor, and lead projects internal to the department and cross-functional business partners, including:

• Product filings and submissions (CMS and State DOIs)
• Quality assurance audits on department work product
• Maintenance of the product benefit system utilized as the Source of Truth for all Qualified Health Plan (QHP) template and member document population

Supervise and/or perform audit outputs from the Source of Truth system and/or document.

Achieve a solid understanding of the team’s performance and use that assessment as a catalyst for:

• Performance
• Quality improvement
• Growth development for staff

Support the implementation of measurable, repeatable, scalable, and predictable processes related to organizational goals and drive continuous improvement.

Responsible for working with IT on system enhancements and/or fixes to the product benefit database.

Performs other duties as assigned and complies with all policies and standards.

Qualifications

• Bachelor’s degree, preferably in Business, Communications, Healthcare, Political Science, or 5+ years of regulatory experience
• Experience in commercial health insurance or a highly regulated industry
• Pre-Law, Master’s Degree or JD desirable
• 0-3 years of supervisory/management experience
• In-depth knowledge of health products, procedures, and state insurance regulations
• Experience providing product regulatory proposals and recommendations

Requirements

• Travel: 20% within continental United States

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

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day.

You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective.

Centene is an equal opportunity employer that is committed to diversity and values the ways in which we are different.