Senior Compliance Corrections Specialist - Medicare

Centene Corporation; Missouri; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading company in healthcare is seeking a Senior Compliance Corrections Specialist to manage compliance issues across various business lines. The role involves collaboration with stakeholders, oversight of remediation efforts, and development of correction processes to ensure adherence to healthcare program requirements. This position offers the flexibility of remote work and a comprehensive benefits package.

Benefits

Comprehensive benefits package

401K

Tuition reimbursement

Paid time off

Flexible work arrangements

Qualifications

• 5+ years of experience in Managed Care/Health Insurance or related areas.
• Proficiency in Microsoft Office and data analytics preferred.
• CHC and CCEP certifications are preferred.

Responsibilities

• Collaborating with compliance and business stakeholders for root cause analysis.
• Overseeing progress on remediation efforts and documenting milestones.
• Developing and refining correction reports for trend analysis.

Skills

Data analytics

Collaboration

Problem solving

Education

Bachelor's Degree in Managed Care/Health Insurance or related field

Tools

Microsoft Office

Job description

Senior Compliance Corrections Specialist - Medicare

Join us as a Senior Compliance Corrections Specialist - Medicare at Centene Corporation. This role involves participating in the corrections process across all lines of business, including intake, triage, and resolution of non-compliance issues, collaboration with stakeholders, and maintaining accurate reporting and documentation.

Responsibilities include:

1. Collaborating with compliance and business stakeholders for root cause analysis and corrective action development.
2. Overseeing progress on remediation efforts and documenting milestones in the GRC tool.
3. Escalating issues promptly and reviewing evidence to facilitate timely closures.
4. Developing and refining correction reports for trend analysis and leadership updates.
5. Supporting the development of correction processes and tools to ensure timely and sustainable resolutions.
6. Educating and encouraging staff to uphold integrity and meet healthcare program requirements.
7. Performing additional duties as assigned and ensuring compliance with policies and standards.

Qualifications:

• Bachelor's Degree in Managed Care/Health Insurance or related field, or equivalent experience.
• 5+ years of experience in Managed Care/Health Insurance or related areas.
• Proficiency in Microsoft Office and data analytics preferred.

Certifications: CHC and CCEP certifications are preferred.

Applicants may work remotely from anywhere in the Continental United States. The position offers a comprehensive benefits package, including competitive salary, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, and flexible work arrangements.