Senior Compliance Analyst - Marketplace Compliance

Centene Corporation; Missouri; Híbrido; USD 70 000 - 126 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health insurance

401K plan

Stock purchase plan

Tuition reimbursement

Paid time off

Flexible work options

Resumo da oferta

Centene Corporation is seeking a Regulatory Compliance professional to support its nationwide program. The role involves interpreting regulations, managing reporting, and leading audits and training initiatives remotely from anywhere in the Continental United States.

Ideal candidates have a legal-related degree and 3+ years in compliance/privacy/regulatory affairs, with HIPAA knowledge and experience in policy development and agency liaison work.

Qualificações

• Bachelor’s degree in related legal field or equivalent experience.
• 3+ years of experience in compliance privacy and/or regulatory affairs.
• Experience with HIPAA and state regulatory requirements.

Responsabilidades

• Respond to external information requests for regulatory filings.
• Manage compliance reporting and inquiries from state and federal agencies.
• Lead ethics and compliance projects or implementations.
• Review regulatory requirements and draft policy statements.
• Assist in annual code of conduct attestation and remediation.
• Communicate state and federal requirements to internal and external clients.
• Develop, implement, and maintain compliance policies and procedures.
• Identify, analyze, and resolve compliance issues.
• Maintain regulatory documentation to support corporate standards.
• Develop and conduct compliance training programs.
• Perform periodic audits and risk assessments for ongoing monitoring.
• Assist health plans with agency relationships and policy issues.

Conhecimentos

Regulatory compliance

Project management

HIPAA knowledge

Regulatory affairs

Policy development

Formação académica

Bachelor’s degree in related legal field

Master’s degree or Juris Doctorate

Descrição da oferta de emprego

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:

Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.

• 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