Remote-Ready WA Health Compliance Executive

Centene Corporation; Washington (District of Columbia); Hybrid; USD 189,000 - 360,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off + holidays

Flexible work schedules

Remote/Hybrid/Field/Office options

Job summary

Centene Corporation seeks an experienced compliance professional to ensure regulatory conformity for Washington state health plans and Centene entities. The role requires dwelling in Washington, willingness to travel across the state, and oversight of compliance programs including fraud, abuse, and HIPAA.

Qualifications include a Bachelor's degree and 8+ years in compliance, with strong knowledge of state regulations and federal programs.

Qualifications

• Bachelor's degree required; Master's or Law degree preferred.
• 8+ years of compliance program management and contract experience.
• Extensive knowledge of state admin codes and regulations, state insurance laws including managed care.
• Experience with state/federal government agencies, accreditation bodies, HIPAA and TPA laws.

Responsibilities

• Ensure Washington health plan and Centene corporate compliance with state and federal regulations.
• Maintain and track laws, regulations, contracts and amendments; implement compliance measures.
• Develop policies and processes to comply with laws, contracts, and standards.
• Oversee and administer compliance programs including fraud and HIPAA.
• Provide guidance to departments on compliance issues and new requirements.
• Conduct audits and implement corrective action plans; report to senior management and Board.
• Develop relationships with state policymakers and contribute to public policy development.
• Identify and analyze impact of legislative and regulatory issues; advise management.
• Represent senior management at committees, meetings, and seminars.
• Perform other duties as assigned; comply with policies and standards.

Skills

Regulatory compliance

Compliance program management

State insurance regulations

HIPAA knowledge

Education

Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field

Master's Degree or Law degree preferred

Job description

Centene Corporation seeks an experienced compliance professional to ensure regulatory conformity for Washington state health plans and Centene entities. The role requires dwelling in Washington, willingness to travel across the state, and oversight of compliance programs including fraud, abuse, and HIPAA.

Qualifications include a Bachelor's degree and 8+ years in compliance, with strong knowledge of state regulations and federal programs.