Manager, Ethics & Compliance

Cenetene Corporation; Jefferson City (MO); Remote; USD 86,000 - 155,000; Full time

Job summary

An established industry player is seeking a Compliance Manager to lead the implementation of compliance programs across various products. This role offers a unique opportunity to work remotely while ensuring adherence to regulatory standards and providing guidance to key departments. The ideal candidate will have a strong background in compliance, particularly in the healthcare sector, and will play a crucial role in mentoring team members. With a commitment to diversity and a comprehensive benefits package, this position promises a rewarding career path for those passionate about making a difference in the health of communities.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 4+ years of compliance experience, preferably in healthcare.
• Experience with Medicaid, Medicare, or Commercial Managed Care.

Responsibilities

• Manage compliance programs to meet regulatory requirements.
• Collaborate with departments to analyze regulations.
• Provide guidance on compliance issues and requirements.

Skills

Compliance Management

Regulatory Analysis

Healthcare Knowledge

Mentoring

Education

Bachelor's Degree in Related Field

Master's Degree or Juris Doctorate

Job 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. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

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

**Position Purpose:** Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company

+ Maintain and track laws and regulations, contract amendments, and various compliance guidance and prepare regular updates and analysis on impactful regulatory actions.

+ Work in collaboration with Markets, Policy, Government Relations, Legal and other key departments to assess and analyze impactful regulations and guidance.

+ Evaluate and monitor changes to service functions and performance in relation to company mission, philosophy objectives and policies.

+ Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language.

+ Provide mentoring and guidance to subordinates within the department as necessary.

+ Serve as primary backup to regional lead as necessary.

**Education/Experience:**

+ Bachelors’ degree in related field or equivalent experience. Master's or Juris Doctorate degree preferred.

+ 4+ years of compliance experience, preferably in a healthcare environment with at least 2+ years of Medicaid, Medicare or Commercial Managed Care experience.

+ Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment preferred.

Pay Range: $86,000.00 - $154,700.00 per year

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. Total compensation may also include additional forms of incentives.

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