Senior Compliance Analyst - Marketplace Compliance

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

Benefits offered by this job

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off

Flexible work options

Job summary

Centene Corporation is seeking a Compliance Professional to assist in maintaining the company's Compliance Program. This role involves regulatory interpretation, reporting, and leading monitoring strategies across the enterprise.

You will respond to inquiries from state and federal regulators, develop policies and training, and coordinate audits and risk assessments in support of Centene's commitment to compliant, high-quality care.

Qualifications

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

Responsibilities

• Respond to external requests for information for regulatory filings.
• Manage compliance reporting and inquiries from state and federal regulators.
• Lead compliance projects and implement auditing and monitoring strategies.
• Review regulatory requirements and create policy statements.
• Assist in managing annual code of conduct attestation and remediation.
• Communicate requirements to internal and external clients.
• Develop and maintain compliance policies, procedures, and work instructions.
• Assist in identification, analysis, and resolution of compliance issues.
• Maintain and review regulatory documentation for corporate standards.
• Assist in developing and conducting compliance training programs.
• Perform periodic compliance audits, risk assessments and monitoring activities.
• Assist health plans in managing relationships with regulatory agencies.
• Assist management with interim health plan compliance officer responsibilities.
• Plan, direct and coordinate the implementation of Compliance Committee policy.
• Serve as a company-wide resource on policies and provisions.

Skills

Compliance

Regulatory affairs

HIPAA knowledge

Project management

Communication

Education

Bachelor's degree in a related legal field

Master's degree or Juris Doctorate

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: 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
• 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