Compliance Analyst - Marketplace Compliance

Centene; United States; Remote; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedule: remote, hybrid

Job summary

Centene Corporation seeks a compliance professional to assist in maintaining the company’s Compliance Program, guide special projects, interpret regulations, perform compliance reporting, and develop auditing and monitoring strategies.

The role offers remote work from anywhere in the Continental United States and involves coordinating with health plans, regulatory agencies, and internal teams to ensure policy compliance and effective training programs.

Qualifications

• Bachelor's degree or equivalent experience in a related field.
• Master's or Juris Doctorate degree preferred and may be considered in lieu of experience.
• 1+ years of related experience in compliance, privacy and/or regulatory affairs.
• Working knowledge of HIPAA and state regulations.

Responsibilities

• Respond to external requests for information required by regulatory filings.
• Respond to inquiries from state and federal regulatory agencies.
• Monitor pending legislation and regulations affecting Centene services.
• Maintain database and reference materials related to legislative and regulatory issues.
• Communicate state and federal requirements to internal and external clients.
• Assist in developing and implementing compliance policies and procedures.
• Assist in identifying, analyzing, and resolving compliance issues.
• Maintain regulatory documentation to support corporate standards.
• Develop, produce and conduct compliance training programs.
• Perform periodic compliance audits and risk assessments.
• Assist health plans in managing relationships with regulatory agencies.
• Plan and coordinate implementation of Compliance Committee policy.
• Serve as a company-wide resource on policies and procedures.
• Perform other duties as assigned.
• Comply with all policies and standards.

Skills

HIPAA knowledge

Regulatory interpretation

Compliance reporting

Education

Bachelor's degree in related field or equivalent experience

Master's or JD preferred

Job description

Position Purpose: Assist in maintaining Centene Corporation's Compliance Program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring strategies.

Key Details

Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.

Key Responsibilities

• Respond to external requests for information required by the organization for its regulatory filings.
• Respond to inquiries from state and federal regulatory agencies.
• Monitor pending legislation and regulations affecting Centene Corporation services.
• Maintain database and other reference materials related to legislative and regulatory issues and compliance.
• Communicate state and federal requirements to internal and external clients.
• Provide development guidance and assists in the identification, implementation, and maintenance of compliance policies, procedures and work instructions.
• Assist in the identification, analysis, and resolution of compliance issues.
• Maintain and reviews regulatory documentation necessary to maintain corporate standards.
• Assist in developing, producing and conducting compliance training programs.
• Perform periodic compliance audits, risk assessments and conducts related ongoing compliance monitoring activities.
• Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members.
• Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed.
• Serve as a company wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education / Experience

• Bachelor's degree in related field or equivalent experience.
• Master's or Juris Doctorate degree preferred and may be considered in lieu of experience.
• 1+ years of related experience in compliance, privacy and/or regulatory affairs.
• Working knowledge of laws and/or regulations in area of compliance; in particular HIPAA, and state regulations.

Pay Range

$56,200.00 - $101,000.00 per year

About Centene

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. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules

Equal Opportunity Statement

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.

Additional Information

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