Remote Medicare Compliance Strategist

Centene Corporation; Lorida (FL); Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Health insurance

401(k) and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work arrangements

Remote, hybrid, field or office work

Job summary

Centene Corporation seeks a Manager, Medicare Compliance Advisory to serve as a subject matter expert, guiding day‑to‑day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and state regulations. You will translate complex rules into actionable guidance for business stakeholders.

Responsibilities include monitoring regulatory developments, supporting audits, preparing reports, training staff, and ensuring timely completion of deliverables, with a focus on

Qualifications

• Bachelor's degree or equivalent experience in a related field.
• 5+ years in compliance, regulatory affairs, operations, or risk in a regulated industry.
• ~4+ years compliance advisory experience including research, drafting guidance, risk assessment, and audits.
• Foundational knowledge of Medicare regulations and CMS guidance (Parts C & D).
• CHC certification preferred.
• Familiarity with CMS audit protocols preferred.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and applicable federal and state regulations, ensuring prevention, detection, and correction of noncompliance and FWA.
• Interprets and translates federal, state, and contractual requirements into clear, actionable compliance guidance for business stakeholders.
• Develops and coordinates regulatory communications, including responses to inquiries, issue summaries, and disclosures, while liaising with regulators as appropriate.
• Supports the preparation, validation, and submission of regulatory reports, attestations, and filings, ensuring accuracy and timeliness.
• Proactively identifies compliance risks and evaluates business processes to assess exposure and mitigation.
• Leads or supports root-cause analysis and corrective action plan development to ensure compliant resolution of gaps.
• Provides subject matter expertise to audit and monitoring activities, including testing strategies and ongoing oversight.
• Partners with stakeholders to support audit execution and regulatory reviews, maintaining audit readiness.

Skills

Compliance advisory

Regulatory research

Risk assessment

Audit support

Stakeholder communication

Education

Bachelor's degree in related field (e.g., healthcare administration, public health, policy) or equivalent experience

Job description

Centene Corporation seeks a Manager, Medicare Compliance Advisory to serve as a subject matter expert, guiding day‑to‑day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and state regulations. You will translate complex rules into actionable guidance for business stakeholders.

Responsibilities include monitoring regulatory developments, supporting audits, preparing reports, training staff, and ensuring timely completion of deliverables, with a focus on