Senior Director, Regulatory Operations - Remote

Centene Corporation; Kentucky; Remote; USD 108,000 - 199,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off

Job summary

Centene Corporation in the United States seeks a Regulatory Compliance leader to direct and oversee operations ensuring adherence to CMS, HIPAA, and other laws for Ambetter product lines. The role is fully remote and requires authorization to work in the U.S.

without visa sponsorship. You will guide regulatory strategy, coordinate responses to information requests, and advise multiple departments on compliance changes.

Qualifications

• 7+ years of regulatory, compliance, operations experience in healthcare.
• Experience applying CMS, DOI, OIG, and HIPAA regulations to create compliant processes.
• Ability to research and communicate regulatory requirements across departments.

Responsibilities

• Oversee the Ambetter Regulatory Operations program including regulatory complaints and grievances.
• Coordinate and document CMS/regulator information requests.
• Provide guidance on compliance requirements and updates to contracts and policies.
• Identify and analyze CMS and Marketplace regulatory issues and advise management.
• Maintain laws, regulations, contracts, and compliance measures.
• Ensure marketplace products meet regulatory and insurance requirements.
• Develop and update policies to align with CMS and contract requirements.

Skills

Regulatory compliance

Healthcare compliance

Operations management

Policy development

CMS/Regulatory knowledge

Education

Bachelor's in Business Administration

Bachelor's in Healthcare Administration

Job description

Centene Corporation in the United States seeks a Regulatory Compliance leader to direct and oversee operations ensuring adherence to CMS, HIPAA, and other laws for Ambetter product lines. The role is fully remote and requires authorization to work in the U.S.

without visa sponsorship. You will guide regulatory strategy, coordinate responses to information requests, and advise multiple departments on compliance changes.