Medicare Compliance Advisor – Regulatory & Audit Excellence

Centene Corporation; Yorktown (VA); Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements (remote,hyb

Job summary

Centene Corporation seeks an experienced Medicare Compliance Advisor to support day-to-day activities aligned with CMS rules and state regulations. You will translate complex requirements into clear guidance, support audits, and help maintain timely regulatory submissions.

The role requires strong analytical and communication skills, with a focus on risk assessment and corrective actions across functions. Remote/hybrid options available within the U.S.

Qualifications

• Bachelor’s degree in a related field or equivalent experience.
• 5+ years in compliance, regulatory, operations, or risk management.
• 2+ years supporting managed care, Medicare Advantage/Part D, or DSNP.
• Foundational knowledge of Medicare regulations and CMS guidance.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and state regulations.
• Interpret and translate requirements into actionable guidance for stakeholders.
• Support audit readiness, issue tracking, and corrective actions.
• Develop regulatory communications and liaise with regulators as needed.
• Monitor regulatory developments and collaborate across functions.

Skills

Regulatory compliance

Compliance advisory

Communication skills

Analytical skills

Education

Bachelor's degree

Master's degree or JD preferred

Job description

Centene Corporation seeks an experienced Medicare Compliance Advisor to support day-to-day activities aligned with CMS rules and state regulations. You will translate complex requirements into clear guidance, support audits, and help maintain timely regulatory submissions.

The role requires strong analytical and communication skills, with a focus on risk assessment and corrective actions across functions. Remote/hybrid options available within the U.S.