Senior Medicare Compliance Advisor (Remote)

Centene Corporation; Athens (GA); Hybrid; USD 100,000 - 150,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work arrangements

Job summary

Centene Corporation seeks an experienced Manager for Medicare Compliance Advisory to support day-to-day execution of the program in alignment with CMS requirements. You will provide regulatory guidance, conduct research, track issues, and support audit readiness and workplan activities.

Responsibilities include translating requirements into actionable guidance, coordinating regulatory communications, and assisting in the preparation of regulatory reports and filings.

Qualifications

• Bachelor’s degree or equivalent experience required.
• 5+ years in compliance, regulatory, operations, or risk management in a regulated industry.
• ~4+ years compliance advisory including regulatory research, drafting compliance guidance, assessing risk, auditing/monitoring.
• ~Foundational knowledge of Medicare regulations, CMS guidance and compliance expectations (Parts C & D).
• ~Certified in Healthcare Compliance (CHC) preferred.
• Familiarity with CMS audit protocols, program audits, or monitoring activities preferred.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and regulations to prevent, detect, and correct noncompliance.
• Translate federal, state, and contractual requirements into clear guidance for business stakeholders.
• Develop regulatory communications, responses to inquiries, and disclosures with regulators as appropriate.
• Support preparation, validation, and submission of regulatory reports, attestations, and filings.
• Identify compliance risks, evaluate processes, and recommend mitigation strategies.
• Lead or support root cause analysis and corrective action plans to resolve gaps.

Skills

Regulatory compliance

Healthcare policy

Regulatory research

Risk assessment

Education

Bachelor's degree or equivalent experience

Job description

Centene Corporation seeks an experienced Manager for Medicare Compliance Advisory to support day-to-day execution of the program in alignment with CMS requirements. You will provide regulatory guidance, conduct research, track issues, and support audit readiness and workplan activities.

Responsibilities include translating requirements into actionable guidance, coordinating regulatory communications, and assisting in the preparation of regulatory reports and filings.