Senior Medicare Communications Compliance Specialist

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

Job summary

A leading organization in healthcare is seeking a Senior Medicare Communications Compliance Specialist to manage regulatory compliance for Medicare materials. This full-time role offers flexibility to work remotely across the continental U.S., requiring extensive experience in Managed Care and compliance, ensuring the quality of member communications, and participating in special projects.

Benefits

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• 5+ years of experience in Managed Care or related field.
• Experience in State or Federal managed care compliance.
• Ability to mentor and coach specialists.

Responsibilities

• Reviews member communications for regulatory compliance.
• Conducts comprehensive regulatory analyses.
• Provides leadership on project documentation and recommendations.

Skills

Regulatory analysis

Compliance

Project leadership

Education

Bachelor’s degree in Health Administration or related field

Job description

Senior Medicare Communications Compliance Specialist

Join to apply for the Senior Medicare Communications Compliance Specialist role at Centene Corporation

Senior Medicare Communications Compliance Specialist

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Join to apply for the Senior Medicare Communications Compliance Specialist role at Centene Corporation

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 the management of regulatory requirements associated with the Medicare materials and sales compliance. Participates in the ongoing oversight, analysis, review, and approval of all beneficiary-facing Medicare materials. In addition, may also support the department with special projects.

• Conducts review of difficult or detailed member and prospective member communications against regulations to ensure compliance.
• Performs comprehensive, complex regulatory analyses, including the review, summarization and dissemination of key regulatory updates and changes with the Medicare Marketing Guidelines and relevance on material review.
• Provides project leadership, including the review of departmental documents, summarizing results, and implementing recommendations.
• Provides mentoring or coaching to specialists or operational business partners on review of materials.
• Assists department 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 required.
• 5+ years of experience in Managed Care/Health Insurance/Public Health/Health Care Administration/ Medicare Part D or related field required.
• Some experience in State or Federal managed care compliance and project coordination required.
  
  

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

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Hospitals and Health Care and Insurance

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