Medicare Compliance Advisory Lead — Remote/Hybrid

Centene Corporation; Saint Paul (MN); Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off

Flexible work options

Job summary

Centene Corporation is seeking a Manager, Medicare Compliance Advisory to support the day-to-day execution of the Medicare Compliance Advisory program. You will provide regulatory guidance, research CMS requirements, track issues, and assist with audits and corrective actions.

The role involves interpreting complex federal/state regulations, coordinating with stakeholders, and contributing to training and process improvements across Centene’s Medicare programs.

Qualifications

• Bachelor’s degree in a related field (e.g., healthcare administration, public health, policy) or equivalent experience.
• 5+ years in Compliance, regulatory, operations, or risk management within a regulated industry.
• ~4+ years Compliance advisory experience including regulatory research and drafting guidance.
• ~2+ years experience supporting managed care, Medicare Advantage/Part D, or DSNP programs.
• ~Foundational knowledge of Medicare regulations including CMS guidance.

Responsibilities

• Support day-to-day execution of the Medicare Compliance Advisory program and CMS alignment.
• Provide regulatory guidance, conduct research, track issues, and support audit readiness.
• Interpret federal/state requirements into actionable guidance for stakeholders.
• Lead or support corrective action plans and issue resolution.
• Collaborate with internal/external partners for audits and reviews.

Skills

Regulatory research

Compliance guidance

Risk assessment

Issue tracking

Auditing/Monitoring

Cross-functional collaboration

Education

Bachelor’s degree in related field

Job description

Centene Corporation is seeking a Manager, Medicare Compliance Advisory to support the day-to-day execution of the Medicare Compliance Advisory program. You will provide regulatory guidance, research CMS requirements, track issues, and assist with audits and corrective actions.

The role involves interpreting complex federal/state regulations, coordinating with stakeholders, and contributing to training and process improvements across Centene’s Medicare programs.