Remote Director, Regulatory Operations

Centene Corporation; United States; Remote; USD 108,000 - 199,000; Full time

Benefits offered by this job

Health insurance

401(k) and stock purchase plans

Tuition reimbursement

Job summary

Centene Corporation seeks a Regulatory Compliance Lead to direct and oversee compliance operations for Ambetter products. The position is fully remote and requires authorization to work in the U.S.

now and in the future. You will research CMS, HIPAA, OIG, and related regulations, coordinate responses to regulatory requests, and guide multiple departments on new compliance requirements, updating policies as needed.

Qualifications

• Bachelor's degree in Business Administration or Health Care Administration or related field required.
• 7+ years of regulatory/compliance experience, preferably in healthcare settings.
• Advanced degree preferred and highly desirable.

Responsibilities

• Oversee Ambetter Regulatory Operations program including complaints and escalations.
• Research and apply CMS, DOI, OIG, and HIPAA regulations to create compliant processes.
• Coordinate Centene responses to CMS regulatory information requests.
• Advise departments on compliance issues and implement new regulatory requirements.
• Track laws, regulations, contracts and amendments for corporate compliance.

Skills

Regulatory compliance

CMS regulations

HIPAA regulations

Policy development

Regulatory contracts

Education

Bachelor's degree in Business Administration

Bachelor's degree in Health Care Administration

Advanced degree preferred

Job description

Centene Corporation seeks a Regulatory Compliance Lead to direct and oversee compliance operations for Ambetter products. The position is fully remote and requires authorization to work in the U.S.

now and in the future. You will research CMS, HIPAA, OIG, and related regulations, coordinate responses to regulatory requests, and guide multiple departments on new compliance requirements, updating policies as needed.