Remote Senior Medicare Compliance Advisor

Centene Corporation; Florida; 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 and holidays

Flexible work arrangements

Job summary

Centene Corporation is seeking an experienced compliance professional to support the day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements. You will partner with leadership to interpret CMS guidance, track issues, and maintain documentation of risks and corrective actions.

The role focuses on regulatory reporting, audit readiness, and cross-functional collaboration.

Qualifications

• Bachelor’s degree in a related field or equivalent experience required; Master’s Degree or JD preferred.
• 5+ years in compliance, regulatory, operations, or risk management within a regulated industry.
• 4+ years compliance advisory experience including regulatory research and drafting guidance.
• 2+ years experience with managed care, Medicare Advantage/Part D, or DSNP programs.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and applicable federal and state regulations, ensuring prevention, detection, and correction of noncompliance and potential fraud, waste and abuse.
• Translate federal, state, and contractual requirements into clear, actionable compliance guidance for business stakeholders.
• Develop and coordinate regulatory communications and disclosures, serving as liaison with regulators as appropriate.
• Support preparation, validation, and submission of regulatory reports and attestations.
• Identify compliance risks, evaluate business processes, and recommend mitigation strategies.
• Lead or support root cause analysis, corrective action plans, and remediation activities.
• Provide SME support to audits, monitoring, and regulatory reviews as part of ongoing oversight.

Skills

Regulatory research

Drafting compliance guidance

Audit and monitoring

Written and verbal communication

Analytical skills

Project management

Education

Bachelor’s degree in related field

Master’s Degree or Juris Doctor preferred

Job description

Centene Corporation is seeking an experienced compliance professional to support the day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements. You will partner with leadership to interpret CMS guidance, track issues, and maintain documentation of risks and corrective actions.

The role focuses on regulatory reporting, audit readiness, and cross-functional collaboration.