Medicare Compliance Advisor - Senior Regulatory Guidance

Centene Corporation; Athens (GA); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off & holidays

Flexible work arrangements (remote/hyb

Job summary

Centene Corporation seeks an experienced individual contributor and subject matter expert to support the day-to-day Medicare Compliance Advisory program in alignment with CMS requirements. You will provide regulatory guidance to business and compliance leadership, conduct research, track issues, and support compliance workplans.

You will interpret federal and state requirements into clear guidance for stakeholders, coordinate regulatory communications and filings, support audit readiness,

Qualifications

• Bachelor’s degree in related field required, plus 5+ years in Compliance, regulatory, operations, or risk management within regulated industries.
• Foundational knowledge of Medicare regulations and CMS guidance; CHC preferred.
• Experience with regulatory research, drafting compliance guidance, issue tracking, auditing/monitoring, and corrective action plans.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and state regulations, ensuring prevention, detection, and correction of noncompliance and FWA.
• Translate federal, state, and contractual requirements into actionable compliance guidance for business stakeholders.
• Coordinate regulatory communications, responses to inquiries, issue summaries, and disclosures; liaise with regulators as appropriate.
• Support preparation, validation, and submission of regulatory reports, attestations, and filings.
• Identify compliance risks, evaluate processes, and recommend mitigation strategies; participate in root-cause analysis and corrective actions.
• Provide SME support to audit and monitoring activities, including scope development and testing strategies; support audit readiness.

Skills

Regulatory advisory

CMS guidance

Risk assessment

Audit readiness

Stakeholder management

Education

Bachelor's degree in related field

CHC certification preferred

Job description

Centene Corporation seeks an experienced individual contributor and subject matter expert to support the day-to-day Medicare Compliance Advisory program in alignment with CMS requirements. You will provide regulatory guidance to business and compliance leadership, conduct research, track issues, and support compliance workplans.

You will interpret federal and state requirements into clear guidance for stakeholders, coordinate regulatory communications and filings, support audit readiness,