Senior Medicare Compliance Advisor

Centene Corp.; United States; Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedule (remote, hybrid

Job summary

Centene Corporation is seeking an experienced Medicare Compliance Advisory professional to serve as a subject matter expert and advisor. You will support day-to-day execution of the Medicare Compliance Advisory program, translate CMS requirements into actionable guidance, and help prepare regulatory filings.

You will identify risks, assist with corrective action plans, support audits, and contribute to training and policy reviews while working with cross-functional teams to ensure timely,

Qualifications

• Bachelor’s degree or equivalent experience required, in healthcare or related field.
• Master’s Degree or JD preferred for advanced roles.
• 5+ years in compliance, regulatory, operations, or risk in regulated industries.
• 4+ years in compliance advisory: regulatory research, drafting guidance, risk assessment, auditing, monitoring, corrective action.
• 2+ years supporting managed care, Medicare Advantage/Part D or DSNP programs.
• Foundational knowledge of Medicare regulations and CMS guidance.
• Strong written and verbal communication skills.
• Analytical, organizational, and documentation skills with attention to detail.
• Ability to manage multiple assignments and meet deadlines in a fast-paced environment.
• CHC preferred; CMS audit familiarity helpful.
• Experience in matrixed organizations is a plus.

Responsibilities

• Execute Medicare Compliance Program aligned with CMS regulations and ensure detection and correction of noncompliance and FWA.
• Translate complex requirements into clear guidance for business stakeholders.
• Prepare and submit regulatory reports, attestations, and filings accurately and timely.
• Identify compliance risks, assess exposure, and propose mitigations.
• Lead or support root cause analysis and corrective action plans.
• Support audit scope, testing strategies, and ongoing compliance oversight.
• Collaborate with stakeholders to support audit execution and regulatory reviews.
• Evaluate remediation plans and validate corrective actions.
• Contribute to compliance training and mentoring on regulatory requirements.
• Review policies and processes for alignment with regulatory and contractual requirements.
• Lead cross-functional initiatives to improve compliance processes and efficiency.
• Monitor regulatory developments and industry trends for continuous improvement.
• Coordinate with compliance, legal, audit and operations partners.

Education

Bachelor’s degree in related field

Master’s Degree or Juris Doctor preferred

5+ years Compliance, regulatory, operations, or risk management

4+ years Compliance advisory experience

2+ years experience supporting managed care

Foundational knowledge of Medicare regulations

Strong written and verbal communication skills

Strong analytical, organizational and documentation skills

Ability to manage multiple assignments and meet deadlines

Certified in Healthcare Compliance (CHC) preferred

Familiarity with CMS audit protocols

Experience in matrixed environment preferred

Job description

Centene Corporation is seeking an experienced Medicare Compliance Advisory professional to serve as a subject matter expert and advisor. You will support day-to-day execution of the Medicare Compliance Advisory program, translate CMS requirements into actionable guidance, and help prepare regulatory filings.

You will identify risks, assist with corrective action plans, support audits, and contribute to training and policy reviews while working with cross-functional teams to ensure timely,