Senior Medicare Compliance Advisor

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

Benefits offered by this job

Benefits package

Job summary

Centene Corp. is seeking a Medicare Compliance Advisory expert to support day-to-day execution of the program in alignment with CMS requirements and applicable regulations.

The role provides advisory support to business and compliance leaders, conducts research, tracks issues, and contributes to audit readiness and workplan activities. The candidate will translate federal and state requirements into actionable guidance, develop regulatory communications, and collaborate across internal and

Qualifications

• Bachelor's degree in related field or equivalent experience required.
• 5+ years compliance, regulatory, operations, or risk management in a regulated industry.
• 4+ years compliance advisory experience including regulatory research and drafting guidance.
• 2+ years experience supporting managed care or Medicare programs.
• Foundational knowledge of Medicare regulations and CMS guidance.
• Certified in Healthcare Compliance (CHC) preferred.

Responsibilities

• Execute Medicare Compliance Program per CMS and state regulations.
• Translate requirements into actionable compliance guidance for stakeholders.
• Support regulatory communications, inquiries, and disclosures.
• Prepare and validate regulatory reports and attestations.
• Identify compliance risks and evaluate business processes.
• Lead or support root cause analysis and corrective actions.
• Provide SME support for audit and monitoring activities.
• Collaborate with stakeholders for audits and regulatory reviews.
• Evaluate remediation plans and validate actions.
• Contribute to compliance training and guidance materials.
• Review policies to ensure regulatory alignment.
• Support cross-functional initiatives to improve compliance.
• Monitor regulatory developments and industry trends.

Skills

Regulatory knowledge

Strong written communication

Strong verbal communication

Analytical skills

Documentation skills

Organizational skills

Project coordination

Issue tracking

Stakeholder engagement

Risk assessment

Education

Bachelor's degree or equivalent experience

Master's or JD preferred

Job description

Centene Corp. is seeking a Medicare Compliance Advisory expert to support day-to-day execution of the program in alignment with CMS requirements and applicable regulations.

The role provides advisory support to business and compliance leaders, conducts research, tracks issues, and contributes to audit readiness and workplan activities. The candidate will translate federal and state requirements into actionable guidance, develop regulatory communications, and collaborate across internal and