Senior Compliance Program Lead (Remote/Hybrid)

Centene Management Company LLC; United States; Remote; USD 108,000 - 199,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote/hybrid/field or office work S

Job summary

Centene Corp. is seeking a senior Compliance leader to design and implement robust compliance programs across the organization, ensuring alignment with federal and state regulations.

The role leads training, governance, and risk assessments, while coordinating cross-functional teams and reporting program effectiveness to executives. The candidate will oversee policies, risk management, and development roadmaps, mentoring staff and serving as a backup to the department lead as needed.

Qualifications

• Bachelor's degree or equivalent in Healthcare Administration, Compliance or related field; 5+ years Compliance experience required.
• Master's degree preferred; JD preferred.
• 5+ years Compliance experience required; Medicaid/Medicare or managed care experience preferred.

Responsibilities

• Manage and implement strategies to ensure compliance programs meet regulatory requirements across the company.
• Maintain and track compliance work plans, governance records, and compliance measures.
• Develop policies, procedures, and processes supporting compliance operations, governance, and program administration to comply with federal and state regulations.
• Perform risk assessments and report trends, deficiencies and variances; report findings to other departments.
• Provide required Ethics, Compliance, Risk Management, FWA, privacy, and security training for employees and non-employees as required.
• Upskill others on Compliance Program Basics and develop a strategic development roadmap for the organization.
• Coordinate stakeholders, manage dependencies, and monitor deliverables across Compliance initiatives; provide cross-functional support.
• Prepare program updates, dashboards, and executive-level reporting on program effectiveness.
• Analyze compliance data and do horizon scanning to identify lessons learned.
• Support change management and communications for new or enhanced Compliance Program requirements, tools, and processes.
• Provide mentoring and guidance to subordinates; act as backup to department lead as necessary.
• Commercial Insurance: monitor product risks and manage filings/licensing to ensure regulatory compliance; collaborate with Marketing on ads.
• Medicare: monitor FDR oversight, report Medicare/Medicaid risks, and ensure business continuity/regulatory communications.
• Performs other duties as assigned; comply with all policies and standards.

Skills

Compliance management

Regulatory knowledge

Training & development

Education

Bachelor's Degree Healthcare Administration, Compliance or related field

Master's Degree preferred

Juris Doctor (JD) preferred

Job description

Centene Corp. is seeking a senior Compliance leader to design and implement robust compliance programs across the organization, ensuring alignment with federal and state regulations.

The role leads training, governance, and risk assessments, while coordinating cross-functional teams and reporting program effectiveness to executives. The candidate will oversee policies, risk management, and development roadmaps, mentoring staff and serving as a backup to the department lead as needed.