Medicare Compliance Advisor — Remote/Hybrid

Centene Corporation; Kentucky; Hybrid; USD 110,000 - 170,000; 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

Office or field options

Job summary

Centene Corporation seeks an experienced subject matter expert to support the day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements. You will provide regulatory guidance, perform research, track issues, and contribute to audit readiness and the compliance workplan.

The role focuses on interpreting CMS guidance, developing actionable compliance materials for business stakeholders, and ensuring timely, accurate documentation of risks and corrective

Qualifications

• Bachelor’s degree in a related field or equivalent experience.
• ~5+ years in compliance, regulatory, operations, or Risk within a regulated industry.
• Foundational knowledge of Medicare regulations (CMS guidance).

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and state regulations.
• Translate regulatory requirements into actionable guidance for stakeholders.
• Support regulatory reports, attestations, and filings with accuracy and timeliness.
• Identify compliance risks and propose mitigation strategies.
• Lead root cause analyses and corrective action development.
• Support audit scope, testing strategies, and ongoing oversight.

Skills

Regulatory guidance

CMS regulations

Risk assessment

Audit readiness

Stakeholder collaboration

Education

Bachelor’s degree in related field

CHC certification preferred

Job description

Centene Corporation seeks an experienced subject matter expert to support the day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements. You will provide regulatory guidance, perform research, track issues, and contribute to audit readiness and the compliance workplan.

The role focuses on interpreting CMS guidance, developing actionable compliance materials for business stakeholders, and ensuring timely, accurate documentation of risks and corrective