Senior Compliance Oversight Lead - Remote

Centene Corporation; United States; À distance; USD 110 000 - 160 000; Plein temps

Avantages offerts par ce poste

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible remote/hybrid/onsite work

Résumé du poste

Centene Corporation seeks a senior compliance professional to lead and mentor the team across planning, execution, and reporting of compliance projects. You will review staff and senior specialists’ work and ensure corrective action plans are completed timely in line with state and federal requirements.

The role involves collaboration with management, in-house counsel, and external auditors, promoting awareness of the Corporate Ethics and Compliance Program, and delivering regular reports to Sr.

Qualifications

• Bachelor’s Degree in a related field; an additional 2 years of Compliance/Auditing experience may be substituted in lieu of the degree
• 5+ years of experience in Compliance/Auditing required
• 3+ years of experience in State or Federal Managed Care Programs required
• 1+ year of experience in reading, analyzing, and interpreting State and Federal laws, rules and regulations required
• Certifications in CHC/CCEP/CIA/CFE preferred

Responsabilités

• Guides and mentors department associates and staffs effectively.
• Collaborates with other departments to route compliance issues for research and resolution.
• Communicates the importance of the compliance program to health plan staff and audits.
• Maintains status of projects and deliverables with Corporate Compliance management.
• Provides independent analyses of business processes, controls, and regulatory compliance.
• Ensures monitoring and oversight testing, documentation, and reporting are completed on time to professional standards.
• Tracks internal and external corrective action plans to completion.
• Educates staff to promote integrity and compliance with State Medicaid, OIG, and CMS requirements.
• Coordinates with external auditors and supports management reporting to Sr. Management and the Board.

Connaissances

Mentoring

Leadership

Compliance program awareness

Project coordination

Communication with auditors

Formation

Bachelor’s degree in a related field

Certified HealthCare Compliance (CHC) preferred

Certified Compliance Ethics Professional (CCEP) preferred

Certified Internal Auditor (CIA) preferred

Certified Fraud Examiner (CFE) preferred

Description du poste

Centene Corporation seeks a senior compliance professional to lead and mentor the team across planning, execution, and reporting of compliance projects. You will review staff and senior specialists’ work and ensure corrective action plans are completed timely in line with state and federal requirements.

The role involves collaboration with management, in-house counsel, and external auditors, promoting awareness of the Corporate Ethics and Compliance Program, and delivering regular reports to Sr.