Medicare Compliance Advisor — Subject Matter Expert

Centene Corporation; Connecticut; Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health insurance

401K and stock plans

Tuition reimbursement

Paid time off

Flexible work options

Job summary

Centene Corporation is seeking an experienced Medicare Compliance Advisory professional to support the day-to-day execution of the Medicare Compliance Advisory program, interpreting CMS requirements and delivering regulatory guidance to business and compliance leadership.

The role emphasizes risk assessment, audit readiness, and collaboration across the enterprise to ensure accurate reporting and sustainable corrective actions in a dynamic regulatory environment, with flexible

Qualifications

• Bachelor’s degree or equivalent in a related field.
• 5+ years in compliance, regulatory affairs, or risk in a regulated industry.
• ~4+ years advisory experience including regulatory research, drafting guidance, risk assessment, auditing/monitoring, and corrective action plans.
• Foundational knowledge of Medicare regulations (CMS Parts C & D).
• Certified in Healthcare Compliance (CHC) preferred.
• Familiarity with CMS audit protocols and monitoring activities preferred.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and applicable regulations.
• Translate requirements into actionable compliance guidance for stakeholders.
• Develop regulatory communications and liaise with regulators as appropriate.
• Assist with regulatory reports, attestations, and filings.
• Identify compliance risks and evaluate business processes for mitigation.

Skills

Regulatory compliance

Regulatory research

Issue tracking

Risk management

Training and mentoring

Education

Bachelor's degree

CHC certification

Job description

Centene Corporation is seeking an experienced Medicare Compliance Advisory professional to support the day-to-day execution of the Medicare Compliance Advisory program, interpreting CMS requirements and delivering regulatory guidance to business and compliance leadership.

The role emphasizes risk assessment, audit readiness, and collaboration across the enterprise to ensure accurate reporting and sustainable corrective actions in a dynamic regulatory environment, with flexible