[Hiring] Regulatory Operations Analyst III @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. This role is remote for candidates located in the State of Oregon only with some potential travel to our Salem office.

• Reviews, interprets and summarizes proposed and enacted legislation and regulatory updates to the business as a subject matter expert on various complex topics.
• Monitoring OAR Changes:
  • Tracking proposed changes to Oregon Administrative Rules (OAR).
  • Keeping subject matter experts (SMEs) updated and collecting feedback throughout the process.
  • Engaging in Rule Advisory Committees (RACs).
  • Supporting the submission of written feedback to the Oregon Health Authority (OHA).
  • Acting as the business owner for the RLI (Regulatory Legislation Implementation) process.
• Annual Contract Restatement:
  • Supporting the end-to-end process for the annual contract restatement.
  • Monitoring all changes from the initial proposal through contract finalization and implementation.
  • Attending related meetings and collaborating with the project manager to track implementation status.
  • Identifying and escalating risks to the Executive Sponsor.
  • Analyzing contract amendments as they occur throughout the year.
• OHP Contractor Workgroups:
  • Attending key meetings and sharing topics in advance.
  • Distributing information afterward.
  • Responding to Requests for Information (RFIs) resulting from these meetings.
  • Bringing SMEs together as needed to discuss pertinent topics.
• DFR Meetings:
  • Supporting monthly Division of Financial Regulation (DFR) meetings by attending and organizing follow-ups.
  • Acting as the primary contact for rules, bulletins, and expectations.
  • Managing communications and ensuring compliance with regulatory requirements.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• Demonstrated ability to build and maintain effective working relationships with state regulators, particularly the Oregon Health Authority (OHA).
• Strong technical understanding of Medicaid policy, administrative rules, and regulatory guidance; prior experience working at or with OHA is a plus.
• High level of attention to detail and strong organizational skills to manage complex regulatory requirements and timelines.
• Ability to translate highly technical regulatory and policy language into clear, plain-language guidance and actionable recommendations for internal collaborators.
• Proven ability to thoughtfully and effectively advocate for regulatory clarifications or changes when appropriate.
• Strong compliance mindset, with experience ensuring organizational practices align with regulatory and contractual requirements.

Requirements

• Bachelor's degree in business, Communications, Healthcare, Political Science/Pre-Law or equivalent experience required.
• Master's Degree in a related field, Juris Doctorate degree may be considered in place of experience preferred.
• 4+ years experience in health insurance, legal, compliance or related field required.
• Experience reviewing regulations and providing interpretation using terms appropriate for the audience preferred.
• Experience in commercial health insurance and/or behavioral health managed care 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.