Remote Director of Regulatory Operations & Compliance

Centene Management Company LLC; Missouri; Hybrid; USD 108,000 - 199,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work schedules

Job summary

Centene Management Company LLC is seeking a regulatory compliance leader to direct operations ensuring compliance with applicable laws for assigned products and services. The role is fully remote and requires authorization to work in the U.S.

now or in the future. Responsibilities include overseeing the Ambetter regulatory program, applying CMS/DOI/OIG/HIPAA regulations, coordinating regulator inquiries, guiding departments on compliance, and monitoring regulatory impacts to inform management

Qualifications

• Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience.
• 7+ years of regulatory, compliance, operations, or related experience, preferably in a health care environment.
• Advanced degree preferred.

Responsibilities

• Oversee, administer, and implement various aspects of the Ambetter Regulatory Operations program, including regulatory complaints, complaint escalations and grievance support.
• Research and apply CMS, DOI, OIG, and HIPAA regulations to create processes and strategies while ensuring corporate compliance.
• Coordinate and document Centene responses to CMS/Regulator Request for Information/Response.
• Provide guidance to departments regarding compliance/regulatory issues and ensure implementation of new requirements.
• Evaluate impact of CMS and Marketplace regulatory issues and advise management.

Skills

Regulatory compliance

Operations management

Cross-functional coordination

Documentation & policy

Education

Bachelor's degree in Business/Health Administration or related field

Job description

Centene Management Company LLC is seeking a regulatory compliance leader to direct operations ensuring compliance with applicable laws for assigned products and services. The role is fully remote and requires authorization to work in the U.S.

now or in the future. Responsibilities include overseeing the Ambetter regulatory program, applying CMS/DOI/OIG/HIPAA regulations, coordinating regulator inquiries, guiding departments on compliance, and monitoring regulatory impacts to inform management