Senior Medicare Compliance Advisor (Remote)

Centene Corporation; Clayton (MO); Hybride; USD 120 000 - 160 000; Plein temps

Avantages offerts par ce poste

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible, remote/hybrid/office work

Résumé du poste

Centene Corporation seeks a Manager, Medicare Compliance Advisory to lead the day-to-day execution of the Medicare Compliance Advisory program, ensuring accurate interpretation of CMS requirements and timely completion of assignments. You will document compliance risks, trends, and corrective actions while supporting audit readiness and regulatory reporting.

The role involves collaborating with business and compliance leadership, translating requirements into actionable guidance, and mentoring

Qualifications

• Bachelor’s degree in a related field (e.g., healthcare administration, public health, policy) or equivalent experience.
• 5+ years of Compliance, regulatory, operations, or risk management within a regulated industry.
• ~4+ years Compliance advisory experience including regulatory research and drafting compliance guidance, risk assessment, issue tracking, auditing/monitoring, and corrective action plans.
• 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.

Responsabilités

• Execute the Medicare Compliance Program in alignment with CMS and applicable federal and state regulations.
• Translate federal, state, and contractual requirements into clear compliance guidance for business stakeholders.
• Develop regulatory communications, issue summaries, and disclosures; liaise with regulators as appropriate.
• Support preparation and submission of regulatory reports, attestations, and filings; ensure accuracy and timeliness.
• Identify compliance risks and evaluate business processes for exposure, risk stratification, and mitigation.

Connaissances

Regulatory research

Policy interpretation

Risk assessment

Audit readiness

Cross-functional collaboration

Mentoring

Formation

Bachelor’s degree in healthcare administration/public health/policy

CHC certification

Description du poste

Centene Corporation seeks a Manager, Medicare Compliance Advisory to lead the day-to-day execution of the Medicare Compliance Advisory program, ensuring accurate interpretation of CMS requirements and timely completion of assignments. You will document compliance risks, trends, and corrective actions while supporting audit readiness and regulatory reporting.

The role involves collaborating with business and compliance leadership, translating requirements into actionable guidance, and mentoring