Medicare Compliance Lead – Risk, Audit & Standards

Centene Corporation; Georgia; Hybrid; USD 140,000 - 190,000; Full time

Benefits offered by this job

Remote work options

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Job summary

Centene Corporation seeks a Manager, Medicare Compliance Advisory to support day-to-day execution of the Medicare Compliance Advisory program and align with CMS requirements. The role provides advisory support to business and compliance leadership, conducts regulatory research, tracks issues, and supports audit readiness and workplan activities.

You will translate federal/state requirements into actionable guidance, collaborate across internal teams, and lead or support corrective action plans

Qualifications

• 5+ years of compliance, regulatory, operations, or risk management experience in a regulated industry.
• Experience translating requirements into actionable guidance for stakeholders.
• Knowledge of Medicare regulations and CMS guidance.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and state regulations.
• Translate regulations into clear guidance for business stakeholders.
• Coordinate regulatory communications and disclosures with regulators and internal teams.
• Support preparation and submission of regulatory reports and attestations.
• Identify compliance risks, evaluate processes, and recommend mitigations.
• Lead or support root-cause analysis and corrective action plans.
• Provide SME for audits and monitoring activities and support audit readiness.
• Collaborate with stakeholders to ensure coordinated compliance activities.
• Review policies and processes for regulatory alignment and standards.
• Monitor regulatory developments and drive program improvements.

Skills

Regulatory guidance

Risk management

Regulatory research

Issue tracking

Audit readiness

Cross-functional collaboration

Education

Bachelor’s degree in related field

Job description

Centene Corporation seeks a Manager, Medicare Compliance Advisory to support day-to-day execution of the Medicare Compliance Advisory program and align with CMS requirements. The role provides advisory support to business and compliance leadership, conducts regulatory research, tracks issues, and supports audit readiness and workplan activities.

You will translate federal/state requirements into actionable guidance, collaborate across internal teams, and lead or support corrective action plans