Senior Medicare Communications Compliance Specialist

Centene Corporation; Alabama; Remote; USD 68,000 - 124,000; Full time

Job summary

A leading healthcare company is seeking a Senior Medicare Communications Compliance Specialist to support regulatory requirements for Medicare materials. The role involves conducting compliance reviews, regulatory analysis, and project leadership within a flexible work environment. Candidates should have a bachelor's degree and substantial relevant experience in managed care and compliance.

Benefits

Comprehensive benefits package

401K and stock purchase plans

Tuition reimbursement

Paid time off

Flexible work arrangements

Qualifications

• 5+ years of experience in Managed Care, Health Insurance, or related fields.
• Experience in State or Federal managed care compliance and project coordination.

Responsibilities

• Conducts review of member communications for compliance.
• Performs regulatory analyses and disseminates updates.
• Mentors specialists on material review.

Skills

Regulatory Compliance

Project Coordination

Analytical Skills

Communication

Education

Bachelor’s degree in Health Administration or related field

Job description

Senior Medicare Communications Compliance Specialist

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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.

Position Purpose

Supports the Medicare Communications Compliance team in managing regulatory requirements related to Medicare materials and sales compliance. Participates in oversight, analysis, review, and approval of all beneficiary-facing Medicare materials. May also support the department with special projects.

• Conducts review of complex member and prospective member communications against regulations to ensure compliance.
• Performs comprehensive regulatory analyses, including review, summarization, and dissemination of regulatory updates relevant to Medicare Marketing Guidelines.
• Provides project leadership, including reviewing departmental documents, summarizing results, and implementing recommendations.
• Mentors or coaches specialists or operational partners on material review.
• Assists management with review of new or updated regulations.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience

• Bachelor’s degree in Health Administration, related field, or equivalent experience.
• 5+ years of experience in Managed Care, Health Insurance, Public Health, Health Care Administration, Medicare Part D, or related field.
• Experience in State or Federal managed care compliance and project coordination.

Pay Range: $68,700.00 - $123,700.00 per year.

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, and flexible work arrangements. Actual pay will be based on skills, experience, education, and other factors. Total compensation may include additional incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Applicants with arrest or conviction records will be considered as per applicable laws.

Additional Details

• Seniority level: Not Applicable
• Employment type: Full-time
• Job function: Finance and Sales
• Industries: Hospitals, Healthcare, Insurance