Remote Healthcare Compliance Oversight Specialist

Centene Corp.; United States; Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible remote/hybrid/field or office

Job summary

Centene Corp. in the United States seeks a Senior Compliance Analyst to oversee ethics and regulatory compliance for WellCare and delegated subcontractors, focusing on audits and remediation to meet government program requirements.

You will collaborate with business owners and vendors, assess contracts, review corrective actions, and report findings to senior leadership. A CHC is preferred; a Bachelor's degree or equivalent and 3+ years in managed care are required.

Qualifications

• Bachelor's degree required or 4 years of applicable experience with an associate.
• 3+ years of experience in Managed Care/Health Insurance.
• CHC certification preferred.

Responsibilities

• Oversee WellCare and delegated subcontractor ethics and compliance programs.
• Conduct focused reviews, audits, and oversight to meet government program requirements.
• Collaborate with business owners and vendors to drive remediation and oversee corrective actions.
• Prepare formal written reports on findings and ensure supporting workpapers.

Skills

Managed Care

Regulatory Compliance

Audit Oversight

Stakeholder Communication

Education

Bachelor's degree or equivalent

Associates with 4 years experience

GED/HS diploma with 5 years experience

Job description

Centene Corp. in the United States seeks a Senior Compliance Analyst to oversee ethics and regulatory compliance for WellCare and delegated subcontractors, focusing on audits and remediation to meet government program requirements.

You will collaborate with business owners and vendors, assess contracts, review corrective actions, and report findings to senior leadership. A CHC is preferred; a Bachelor's degree or equivalent and 3+ years in managed care are required.