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, youโll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
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Partners with either Health Plans or Shared Services to translate privacy, security, artificial intelligence (AI), business continuity, and related requirements from client contracts, laws, and regulations into actionable enterprise controls.
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Builds trusted relationships with Health Plan leadership and key stakeholders to ensure contract assurance, readiness reviews, Request for proposal (RFP) support, timely deliverable fulfillment, compliance reporting, and continuous improvement.
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Drives early engagement with Enterprise Privacy, Security and Risk Management (EPSRM) visibility and influence across the organization.
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Lead EPSRM engagement with Health Plans or Shared Services to ensure privacy, security, AI, and business continuity requirements are clearly understood, implemented, and monitored.
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Interpret and translate regulatory, contractual, and legal requirements into operational controls and guide stakeholders on compliance expectations.
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Validate and manage compliance evidence, deliverables, and audit readiness, including responses to regulators, clients, and internal/external auditors.
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Build and maintain strong relationships with leadership, operational teams, and regulators to remove obstacles, resolve issues, and support consistent compliance practices.
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Track regulatory, legislative and contract changes, assess organizational impact, and communicate required actions while supporting scalable control updates.
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Oversee the accuracy and completeness of privacy, security, AI, and business continuity documentation, including plans, attestations, questionnaires, and related submissions.
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Enhance enterprise engagement processes by driving standardized procedures, governance practices, templates, and continuous improvement efforts.
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Support new market entries, RFP responses, contract renewals, and business expansion by providing specialized EPSRM subjectโmatter expertise.
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Identify risks and control gaps, recommend mitigation strategies, and contribute to improved compliance maturity across the enterprise.
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Performs other duties as assigned.
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Complies with all policies and standards.
Qualifications
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Bachelor's Degree in Information Security, Information Systems, Risk/Compliance, Business, Law, or Compliance related capabilities or equivalent experience as a paralegal required.
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Master's Degree in a related field preferred.
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Juris Doctor (JD) preferred.
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7+ years privacy/security, risk, or compliance within the managed care, payer/health plan industry required.
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5+ years identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.
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Experience in assessing and interpreting contract and regulatory requirements, translating them into control-based operational capabilities, and ensuring delivery across multiple stakeholders required.
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Experience interpreting, implementing and ensuring compliance with State & Federal Privacy, Cybersecurity & AI laws & regulations applicable to healthcare payors and related business entities (i.e., HIPAA/HITECH, CCPA/CPRA, CPA, CTDPA, CAIA, VPA, COPPA, TCPA, etc.) required.
Requirements
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CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.
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Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA)) or equivalent preferred.
Benefits
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Competitive pay
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Health insurance
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401K and stock purchase plans
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Tuition reimbursement
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Paid time off plus holidays
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Flexible approach to work with remote, hybrid, field or office work schedules