Remote Senior Compliance & Vendor Oversight Lead

Centene Corporation; USA; Remote; USD 70.000 - 126.000; Vollzeit

Zusammenfassung

Centene Corporation is seeking a senior compliance leader to oversee ethics and regulatory compliance programs across Centene and its vendors. The role emphasizes governance, oversight of government-sponsored programs, and ensuring contract integrity.

You will collaborate with internal teams, manage contract lifecycles, and provide timely regulatory updates for Medicaid and Marketplace filings, while preparing substantiated findings and recommendations.

Qualifikationen

• Bachelor's degree in a related field or equivalent experience is required.
• 4+ years in Managed Care/Health Insurance and knowledge of related regulatory frameworks required.
• 2+ years of project oversight with ability to drive implementation.

Aufgaben

• Promote contract compliance and oversight of government-sponsored healthcare programs.
• Oversee contract lifecycle from drafting to finalization.
• Conduct reviews, audits, and assessments of vendor relationships for Centene's program requirements.
• Collaborate with business owners and vendors to drive process improvements and ensure compliance.
• Communicate regulatory updates affecting Medicaid and Marketplace filings with compliance officers.
• Prepare reports detailing oversight findings and recommendations with evidence.
• Route compliance concerns to appropriate channels for investigation and resolution.

Kenntnisse

Contract compliance

Vendor management

Regulatory knowledge

Project oversight

Legal analysis

Communication

Ausbildung

Bachelor's degree in a related field

Master's degree preferred

Juris Doctor (JD) preferred

Tools

CHC certification

Jobbeschreibung

Centene Corporation is seeking a senior compliance leader to oversee ethics and regulatory compliance programs across Centene and its vendors. The role emphasizes governance, oversight of government-sponsored programs, and ensuring contract integrity.

You will collaborate with internal teams, manage contract lifecycles, and provide timely regulatory updates for Medicaid and Marketplace filings, while preparing substantiated findings and recommendations.