Manager, Regulatory & Filing Operations

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

Job summary

Centene Corp. in the United States is seeking a Manager, Regulatory & Filing Operations to lead regulatory interpretation, policy research, and filing submissions. This role is fully remote within the U.S.

and reports to the department leadership, coordinating cross-functional teams and serving as primary contact for health plan and DOI communications. You will oversee QA audits, manage the product benefit database, and drive scalable processes, IT enhancements, and staff development to ensure

Qualifications

• Bachelor’s degree and 5+ years regulatory experience in health insurance.
• Experience with policy analysis and product filings (CMS/State DOIs).
• Supervisory/management experience in a regulated environment.

Responsibilities

• Oversee regulatory updates and risk feedback to leadership.
• Manage projects including CMS/state filings and cross-functional coordination.
• Perform QA audits on regulatory research, filings, and member documents.
• Maintain product benefit system as Source of Truth for QHP templates.
• Supervise or audit outputs from the Source of Truth.
• Drive continuous improvement and scalable processes.
• Collaborate with IT on system enhancements for the product benefit database.
• Manage staff working with IT on product benefit database.

Skills

Regulatory analysis

Policy analysis

Product filing

QHP documentation

CMS/State DOI experience

Supervisory experience

Health insurance knowledge

Cross-functional collaboration

Education

Bachelor’s degree in Business/Communications/Healthcare/Political Science

JD or Master’s degree desirable

Tools

Product benefit database

Job description

## Manager, Regulatory & Filing OperationsApply: Remote-MO: Full time: Posted Today: 1665208**Position Purpose:** Manage assigned functional area (filing submissions; state legislative/regulatory interpretation and policy research; development of member materials or QHP templates, and/or product benefit database). Responsible for quality of their functional area outputs. Regulatory oversight and advocacy positioning, as it relates to functional area. Understand how cross-functional teams and business units work, including regulatory and/or benefit impacts to their functional areas. Serve as the Primary Point of Contact for Health Plan and State Department of Insurance (DOI) communications.**Key Details**: The role is fully remote within the United States. *Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.** Manage the team’s review, interpretation, and summarization of current, proposed, and enacted legislation and/or regulatory updates, including risk assessments and/or risk feedback communications to business leads and leadership.* Manage, coordinate, develop, monitor, and lead projects (regulatory or filing) internal to the department and cross-functional business partners, including product filings and submissions (CMS and State DOIs).* Manage and perform quality assurance audits on department work product, including regulatory research, filings, member-facing policy documents, projects, and communications.* Manage the maintenance of the product benefit system utilized as the Source of Truth for all Qualified Health Plan (QHP) template and member document population.* Supervise and/or perform audit outputs from the Source of Truth system and/or document.* Achieve a solid understanding of the team’s performance and use that assessment as a catalyst for performance, quality improvement and growth development for staff.* Support the implementation of measurable, repeatable, scalable, and predictable processes related to organizational goals and drive continuous improvement to enable the department to scale efficiently and effectively.* Responsible for working with IT on system enhancements and/or fixes to the product benefit database.* Manages staff working with IT on product benefit database.* Performs other duties as assigned.* Complies with all policies and standards.**Education/Experience:*** Bachelor’s degree, preferably in Business, Communications, Healthcare, Political Science, or 5+ years of regulatory experience, including policy analysis and/ or product filing or Qualified Health Plan (QHP documentation and template creation (CMS and/ or State DOI).* Experience in commercial health insurance or a highly regulated industry.* Pre-Law, Master’s Degree or JD desirable.* 0-3 years of supervisory/management experience.* In depth knowledge of health products, procedures, and state insurance regulations. Experience providing product regulatory proposals and recommendations. * **Travel:** 20% within continental United States.Pay Range: $87,700.00 - $157,800.00 per year