Remote Medicare Compliance Advisor (Senior)

Centene Corporation; Missouri; Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off

Job summary

Centene Corporation seeks an experienced Medicare Compliance Advisor to support day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements. You will interpret regulations, provide guidance to stakeholders, and help maintain audit readiness across business areas.

Responsibilities include risk assessment, issue tracking, regulatory reporting, and assisting with corrective actions while promoting best practices and training across teams.

Qualifications

• Bachelor’s degree in a related field or equivalent experience.
• Master’s Degree or Juris Doctor preferred.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and state regulations to prevent, detect, and correct noncompliance and FWA.
• Translate federal, state, and contractual requirements into actionable compliance guidance for business stakeholders.
• Develop regulatory communications and disclosures, liaising with regulators as needed.
• Support preparation and submission of regulatory reports, attestations, and filings.
• Identify compliance risks, evaluate processes, and recommend mitigations.
• Lead or support root-cause analysis and corrective action plans.
• Provide SME support for audits, monitoring, and testing strategies.
• Collaborate with stakeholders to support audit execution and regulatory reviews.
• Evaluate remediation plans and validate corrective actions for sustainable resolution.
• Contribute to compliance training and mentoring on regulations and policies.
• Review policies and processes for alignment with regulatory and contractual requirements.
• Lead cross-functional initiatives to improve compliance processes and efficiency.
• Monitor regulatory developments and industry trends.

Skills

Regulatory guidance

Regulatory research

Issue tracking

Auditing/monitoring

Documentation

Communication skills

Attention to detail

Project management

Education

Bachelor’s degree

Master’s degree or JD preferred

Tools

Regulatory frameworks

Job description

Centene Corporation seeks an experienced Medicare Compliance Advisor to support day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements. You will interpret regulations, provide guidance to stakeholders, and help maintain audit readiness across business areas.

Responsibilities include risk assessment, issue tracking, regulatory reporting, and assisting with corrective actions while promoting best practices and training across teams.