Compliance Officer, Arizona

Centene Corporation; Phoenix (AZ); Presencial; USD 135.000 - 249.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Descripción de la vacante

Centene Corporation in Arizona is seeking a Senior Compliance Manager to oversee all compliance functions for the health plan, including policy development and the timely submission of contract deliverables across lines of business.

You will lead state regulator interactions, coordinate audits with CMS and the Department of Insurance, manage enterprise risk with the ERM team, and drive corrective action plans to ensure federal, state and local requirements are met.

Formación

• Bachelor's Degree in related field required; Master's Degree preferred.
• 7+ years compliance program management and contract experience with State Medicaid programs including internal and state audits.
• 5+ years health care regulatory agencies in development of compliance and fraud programs; required.
• 5+ years overseeing implementation of contract requirements; required.
• 10+ years compliance/enterprise risk management preferred.

Responsabilidades

• Oversee all compliance functions for the health plan including communication and coordination of policy development.
• Oversee accurate and timely submission of contract deliverables across lines of business and service delivery areas.
• Serve as senior leadership and single point of contact in all State compliance meetings and interactions.
• Manage direct correspondence and daily interaction with state regulators.
• Serve as senior leadership in all Department of Insurance and HHSC audit processes.
• Conduct internal compliance audits, write corrective action plans and ensure timely completion and compliance with regulatory requirements.
• Accountable for management and oversight of compliance for all health plan material subcontractors.
• Represent senior management at various state committees, meetings, and seminars.

Conocimientos

Compliance program management

Regulatory liaison

Risk management

Audit management

Contract oversight

Educación

Bachelor's degree in related field

Master's degree preferred

Descripción del empleo

Business Area: Legal & Compliance

Job Type: Full time

Position Purpose: Oversee all compliance functions for the health plan including communication and coordination of policy development. Oversee the accurate and timely submission of over contract deliverables for all lines of business and service delivery areas.

Key Details: Applicants for this role must reside in the state of Arizona.

• Oversee the accurate and timely submission of all CMS Medicare SNP requirements
• Serve as senior leadership and single point of contact in all State compliance meetings and interactions.
• Manage direct correspondence and daily interaction with all state regulators.
• Serve as senior leadership in all Department of Insurance and HHSC audit processes.
• Managing all facets of the audit and communications.
• Serve as senior leadership in Enterprise Risk Management process working directly with corporate ERM and Executive Management team to ensure current evaluation and documentation of business risks.
• Conduct internal compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with federal, state and local regulatory requirements.
• Accountable for the management and oversight of compliance for all health plan material subcontractors to include directing the performance of annual oversight
• Represent senior management at various state committees, meetings, and seminars
• Performs other duties as assigned.
• Comply with all policies and standards.

Education/Experience:

• Bachelor's Degree in related field, or equivalent experience required. Master's Degree in related field preferred.
• 7+ years Compliance program management and contract experience with State Medicaid programs including internal and State audits required.
• 5+ years Health care regulatory agencies in development of compliance and fraud programs; required.
• 5+ years Overseeing implementation of contract requirements required.
• 10+ years Compliance/Enterprise Risk Management preferred.

Pay Range: $134,600.00 - $249,000.00 per year

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.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. 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.

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