Manager, Compliance (Duals & D-SNP Product)

Centene Corporation; North Carolina; On-site; USD 86,000 - 155,000; Full time

Job summary

An established industry player is seeking a dedicated Manager of Compliance to oversee regulatory functions related to D-SNP products. This role offers the opportunity to manage compliance assessments, collaborate with regulatory agencies, and improve compliance processes. With a focus on ensuring adherence to federal and state regulations, the position promises a rewarding career path with a competitive salary and comprehensive benefits. Join a team that values diversity and innovation, and contribute to impactful compliance initiatives in the healthcare sector.

Benefits

Health Insurance

401K

Stock Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Arrangements

Qualifications

• 5+ years of compliance experience, including risk assessment and auditing.
• Experience with D-SNP SMAC and Medicare managed health plans.

Responsibilities

• Manage approval and submission of D-SNP SMAC contract and regulatory reports.
• Conduct compliance assessments and implement corrective action plans.
• Create and deliver compliance training.

Skills

Compliance Management

Risk Assessment

Auditing

Training

Regulatory Communication

Education

Bachelor's Degree in Healthcare Administration

Bachelor's Degree in Compliance

Job description

Manager, Compliance (Duals & D-SNP Product)

Join to apply for the Manager, Compliance (Duals & D-SNP Product) role at Centene Corporation.

This position offers flexibility to work remotely from anywhere in the Continental United States.

Position Purpose

Manage the Dual compliance department functions, including regulatory and D-SNP contract review, monitoring, auditing, and ensuring compliance with federal, state, and local regulations.

Responsibilities

1. Manage approval and submission of D-SNP SMAC contract and regulatory reports.
2. Oversee SMAC updates and regulatory communications.
3. Conduct compliance assessments and implement corrective action plans.
4. Collaborate with CMS, States, and internal teams to maintain regulatory satisfaction.
5. Respond to inquiries from regulatory agencies and participate in forums.
6. Support RFP responses and new business implementations.
7. Design and improve compliance processes.
8. Create and deliver compliance training.
9. Perform other duties as assigned.

Qualifications

• Bachelor's Degree in Healthcare Administration, Compliance, or related field.
• 5+ years of compliance experience, including risk assessment, auditing, and training.
• Experience with D-SNP SMAC and Medicare managed health plans.

Compensation and Benefits

Annual salary range: $86,000 - $154,700. Benefits include health insurance, 401K, stock plans, tuition reimbursement, paid time off, and flexible work arrangements.

Equal Opportunity Employer

Centene values diversity and is committed to equal employment opportunity regardless of race, religion, gender, or other protected characteristics.