Senior Compliance Analyst

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

Job summary

Centene is seeking a Compliance Program Specialist in South Carolina to assist in maintaining the company's Compliance Program. Responsibilities include regulatory interpretation, reporting, policy development, and training to ensure adherence to HIPAA and state regulations.

The role requires at least 3 years of compliance experience, a related degree, and the ability to travel to Columbia, SC for occasional meetings.

Qualifications

• Bachelor's degree in related legal field or equivalent experience.
• Master's or JD preferred; may be considered in lieu of experience.
• 3+ years of related experience in compliance, privacy and/or regulatory affairs.
• Experience in HIPAA and state regulations.

Responsibilities

• Respond to external requests for information for regulatory filings.
• Manage compliance reporting and respond to inquiries from state and federal agencies.
• Manage ethics and compliance projects or implementations.
• Review regulatory requirements and create policy statements.
• Assist in annual code of conduct attestation and remediation.
• Communicate state and federal requirements to clients.

Skills

Regulatory compliance

HIPAA knowledge

Project management

Communication

Education

Bachelor's degree in related field

Master's or JD preferred

Job description

Position Purpose

Assist in maintaining Centene Corporation's Compliance Program. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies.

Key Details

Per contract requirements, the selecated candidate must reside in South Carolina and have the ability to travel to Columbia, SC for occasional meetings and events.

• Respond to external requests for information required by the organization for its regulatory filings


• Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies


• Manage ethics and compliance projects or implementations


• Review and synthesize regulatory requirements and create policy and/or position statements


• Assist in managing annual code of conduct attestation and remediation


• Communicate state and federal requirements to internal and external clients


• Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures and work instructions


• Assist in the identification, analysis, and resolution of compliance issues.


• Maintain and review regulatory documentation necessary to maintain corporate standards


• Assist in developing, producing and conducting compliance training programs


• Perform periodic compliance audits, risk assessments and conducts related to ongoing compliance monitoring activities


• Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members


• Assist management with interim health plan compliance officer responsibilities


• Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed


• Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives

Education / Experience

• Bachelor's degree in related legal field or equivalent experience.


• Master's or Juris Doctorate degree preferred and maybe considered in lieu of experience.


• 3+ years of related experience in compliance privacy and/or regulatory affairs.


• Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular HIPAA, and state regulations.

Pay Range

$70,100.00 - $126,200.00 per year

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

• Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law , including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act