Remote Senior Compliance & Audit Oversight Lead

Centene Corporation; United States; Remote; USD 70,000 - 126,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

PTO & holidays

Flexible work schedules

Job summary

Centene Corporation is seeking a compliance and audit-focused professional to participate in auditing, monitoring, and oversight of Centene’s programs, brokers, and third parties to ensure adherence to contractual and regulatory requirements. You will educate brokers, collaborate on corrective actions, and track remediation through to closure, supporting health-care program compliance.

The role emphasizes reporting, issue management, and maintaining enterprise compliance standards across

Qualifications

• Bachelor’s Degree in Healthcare, Audit, Business, or related field or equivalent experience.
• High School/GED with 5+ years of related experience.
• CHC or CIA certification preferred.

Responsibilities

• Prepare formal written reports on audit, oversight and monitoring activity findings and recommendations.
• Collaborate to direct compliance issues to appropriate channels for research and resolution.
• Serve as a key contributor to Issue Management by reviewing and evaluating the status and effectiveness of corrective action plans.
• Communicate the importance of compliance and the Enterprise Compliance Program and promote awareness of policies.
• Educate, encourage, and assist internal teams and third parties to maintain integrity through oversight and monitoring.
• Assist in assessment of government-sponsored health care program contracts and requirements.
• Assist in identifying and assessing compliance risks for Health Plans, Subsidiaries, Shared Services, and Third Parties/Subcontractors.
• Serve as a compliance advisor to business units and third parties in areas like claims/payments, credentialing, network management.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Audit

Compliance

Regulatory oversight

Issue management

Communication

Education

Bachelor’s Degree in Healthcare, Audit, Business, or related field

High School/GED + 5+ years experience

Job description

Centene Corporation is seeking a compliance and audit-focused professional to participate in auditing, monitoring, and oversight of Centene’s programs, brokers, and third parties to ensure adherence to contractual and regulatory requirements. You will educate brokers, collaborate on corrective actions, and track remediation through to closure, supporting health-care program compliance.

The role emphasizes reporting, issue management, and maintaining enterprise compliance standards across