Medicare Compliance Strategist (Remote)

Centene Corporation; Virginia Beach (VA); Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off & holidays

Flexible work arrangements

Job summary

Centene Corporation seeks a senior Medicare Compliance Advisor to lead the day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements. You will translate complex regulatory guidance into actionable recommendations for business stakeholders, support audits, and contribute to the compliance workplan with timely, accurate deliverables.

With 5+ years in compliance and knowledge of Medicare Parts C & D, you will partner across functions to evaluate risks,

Qualifications

• Bachelor's degree in a related field or equivalent experience required; Master's Degree or JD preferred.
• 5+ years Compliance, regulatory, operations, or risk management within a regulated industry (healthcare, managed care, insurance, public sector).
• 4+ years Compliance advisory experience including regulatory research, drafting guidance, risk assessment, issue tracking, and corrective-action oversight.
• 2+ years experience supporting managed care, Medicare Advantage/Part D, or DSNP programs.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and applicable regulations to prevent, detect, and correct noncompliance and FWA.
• Translate federal, state, and contractual requirements into clear, actionable guidance for stakeholders.
• Develop regulatory communications and serve as liaison with regulators as appropriate.
• Support preparation, validation, 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 for identified gaps.
• Provide subject-matter expertise to audit and monitoring activities and assist with audit readiness.
• Collaborate with stakeholders to support regulatory reviews and audit execution.
• Evaluate remediation plans to ensure sustainable, compliant resolutions.

Skills

Regulatory guidance

Regulatory compliance

Analytical skills

Documentation

Written & verbal communication

Audit readiness

Problem solving

Collaboration

Education

Bachelor's degree in related field

Master's degree or JD preferred

Job description

Centene Corporation seeks a senior Medicare Compliance Advisor to lead the day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements. You will translate complex regulatory guidance into actionable recommendations for business stakeholders, support audits, and contribute to the compliance workplan with timely, accurate deliverables.

With 5+ years in compliance and knowledge of Medicare Parts C & D, you will partner across functions to evaluate risks,