Medicare Compliance Advisor: Grievances & Privacy (Remote)

Centene Corporation; Clayton (NC); Hybride; USD 110 000 - 150 000; Plein temps

Avantages offerts par ce poste

Health insurance

401K plan

Tuition reimbursement

Paid time off

Résumé du poste

Centene Corporation seeks an experienced Compliance Advisor to support day-to-day execution of the Medicare Compliance Advisory program. Responsibilities include interpreting CMS requirements, producing clear guidance for stakeholders, and supporting regulatory reporting and audits.

The role involves collaboration across legal, audit, and operational teams to enhance compliance processes and sustain timely, accurate disclosures.

Qualifications

• Bachelor’s degree in a related field or equivalent experience required.
• 5+ years Compliance, regulatory, operations, or risk management within a regulated industry.

Responsabilités

• Execute the Medicare Compliance Program in alignment with CMS and applicable federal and state regulations.
• Translate federal, state, and contractual requirements into clear compliance guidance for stakeholders.
• Develop regulatory communications and disclosures; liaise with regulators as appropriate.
• Support preparation, validation, and submission of regulatory reports and attestations.
• Identify compliance risks and evaluate business processes to assess exposure and mitigation.

Connaissances

Regulatory knowledge

Analytical thinking

Communication skills

Stakeholder management

Formation

Bachelor’s degree in healthcare administration/public health/policy

Equivalent experience

Outils

CHC certification

Description du poste

Centene Corporation seeks an experienced Compliance Advisor to support day-to-day execution of the Medicare Compliance Advisory program. Responsibilities include interpreting CMS requirements, producing clear guidance for stakeholders, and supporting regulatory reporting and audits.

The role involves collaboration across legal, audit, and operational teams to enhance compliance processes and sustain timely, accurate disclosures.