Remote Director, Regulatory Operations

Centene Corporation; United States; Remote; USD 108.000 - 199.000; Vollzeit

Benefits dieser Stelle

Fully remote

Zusammenfassung

Centene Corporation seeks a seasoned Regulatory Compliance Leader to direct and oversee operational compliance for Ambetter products. The role is fully remote and requires legal authorization to work in the U.S. without visa sponsorship.

You will guide cross-functional teams on CMS, OIG, HIPAA regulations and respond to regulator requests. With 7+ years in regulatory/compliance within health care, you will develop policies, monitor laws, and ensure adherence across marketplace products,

Qualifikationen

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

Aufgaben

• Oversee Ambetter Regulatory Operations program including regulatory complaints and grievance support.
• Research and apply CMS, DOI, OIG, and HIPAA regulations to create compliant processes.
• Coordinate Centene responses to CMS/regulator information requests.
• Guide departments on regulatory issues and implement new compliance requirements.
• Identify and analyze CMS and Marketplace regulatory issues and advise management.
• Ensure marketplace products meet program and insurance regulations.
• Develop policies and procedures to comply with federal/state regulations and CMS requirements.

Jobbeschreibung

Centene Corporation seeks a seasoned Regulatory Compliance Leader to direct and oversee operational compliance for Ambetter products. The role is fully remote and requires legal authorization to work in the U.S. without visa sponsorship.

You will guide cross-functional teams on CMS, OIG, HIPAA regulations and respond to regulator requests. With 7+ years in regulatory/compliance within health care, you will develop policies, monitor laws, and ensure adherence across marketplace products,