Remote Senior Medicare Compliance Advisor

Centene Corporation; Kentucky; Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Health insurance

401K & stock plan

Flexible work arrangements

Job summary

Centene Corporation is seeking an experienced Medicare Compliance Advisory SME to support CMS-aligned compliance programs across regulated fields. You will provide regulatory guidance, conduct research, track issues, and assist audit readiness in partnership with senior leadership.

The ideal candidate has 5+ years in compliance/advisory roles within healthcare or managed care, a Bachelor's degree, and strong knowledge of CMS Parts C & D.

Qualifications

• Bachelor’s degree in a related field (e.g., healthcare administration, public health, policy) or equivalent experience required.
• 5+ years Compliance, regulatory, operations, or risk management within a regulated industry.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and applicable federal and state regulations.
• Interprets and translates requirements into clear, actionable compliance guidance for business stakeholders.
• Supports the preparation, validation, and submission of regulatory reports and filings.
• Identifies compliance risks and evaluates business processes to assess exposure and mitigation.

Skills

Regulatory compliance

CMS regulations

Regulatory research

Issue tracking

Education

Bachelor's degree in related field

Master’s degree preferred

Job description

Centene Corporation is seeking an experienced Medicare Compliance Advisory SME to support CMS-aligned compliance programs across regulated fields. You will provide regulatory guidance, conduct research, track issues, and assist audit readiness in partnership with senior leadership.

The ideal candidate has 5+ years in compliance/advisory roles within healthcare or managed care, a Bachelor's degree, and strong knowledge of CMS Parts C & D.