Manager, Compliance

Centene Corp.; Northern (KY); Hybrid; USD 88,000 - 158,000; Full time

Job summary

Centene Corp. is seeking a Manager of Compliance to lead the department’s monitoring, auditing and reporting activities from a remote location while residing in Indiana.

You will oversee contract updates, compliance assessments and corrective action plans to mitigate risk. Responsibilities include collaboration with Health Plans and States, management of regulatory communications, licensure administration, RFP support and delivery of annual employee training.

Qualifications

• Bachelor’s degree in health care administration, compliance or related field or equivalent experience.
• 4–6 years of compliance experience including risk assessment, auditing, monitoring and reporting.

Responsibilities

• Manage approval and submission of contract and regulatory deliverables.
• Oversee contract updates with Health Plans, States and consultants/vendors.
• Conduct periodic assessments for compliance against contract requirements.
• Develop and implement corrective action plans to reduce compliance risk.
• Collaborate with Health Plans and States to improve satisfaction with delegated functions.
• Manage review and submission of consumer and provider communications.
• Prepare responses to state regulatory complaints and inquiries.
• Determine licensure requirements and maintain ongoing licensure activity.
• Support RFP responses and new business implementations with compliance tasks.
• Design, implement and improve processes to prevent, detect and address compliance issues.
• Create and deliver annual compliance training for all employees.

Skills

Compliance

Risk assessment

Auditing

Monitoring

Reporting

Training

Education

Bachelor's degree in health care administration, compliance or related field

Job description

## Manager, ComplianceApply: Remote-IN: Full time: Posted Today: 1662983**Position Purpose:** Manage the compliance department functions, including but not limited to, periodic monitoring and auditing activities based on established compliance program, policies, and practices to ensure and maintain compliance with federal, state, and local regulatory, contractual and legal requirements.**Key Details:** Applicants for this job have the flexibility to work remote from home, however candidate must reside in Indiana per contract requirements. * Manage approval and submission of timely and accurate contract and regulatory required report deliverables.* Oversee all contracts updates including creating new and updating existing contracts with Health Plans, States and consultants/vendors.* Conduct periodic assessments to ensure compliance against contract requirements.* Oversee creation and implementation of corrective action plans to reduce or eliminate risk resulting from non-compliance with contract requirements or performance deficiencies.* Collaborate with Health Plans and States, where applicable, to maintain/improve customer satisfaction specific to delegated functions and compliance with contract requirement.* Manage submission of consumer and provider communication materials, including participation in their review and timely submission to Health Plans and States, where applicable.* Manage composition and delivery of responses to state regulatory agency complaints and inquiries.* Determine licensure requirements and administration of ongoing licensure maintenance, including research in new markets and timely filing for recurring deliverables, such as licensure renewals.* Support responses to “request for proposals” (RFPs) and new business implementations by completing assigned compliance tasks timely and accurately.* Participate in new business implementations, including the identification and tracking of required contract report deliverables as well as new reporting and provider/member materials.* Design, implement and improve processes to prevent, detect and respond to compliance issues and concerns related to all federal and state regulatory requirements and contract requirements.* Create and deliver compliance training for all employees on an annual basis and as needed basis, such as in response to a compliance issue or concern.**Education/Experience:*** Bachelor’s degree in health care administration, compliance or related field or equivalent experience.* 4-6 years of compliance experience including risk assessment against contract and regulatory requirements, creation and execution of auditing, monitoring and reporting processes, administration of correction action plans, implementation of written policies and procedures, developing and delivering compliance training and education.* Managed health and/or behavioral health experience preferred.Pay Range: $87,700.00 - $157,800.00 per year