Senior Medicare Compliance Advisor (Remote)

Centene Corporation; Clifton (TX); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K

Stock purchase plan

Tuition reimbursement

PTO and holidays

Flexible work

Job summary

Centene Corporation is seeking a Manager, Medicare Compliance Advisory to guide day-to-day activities aligning with CMS requirements and state regulations. You will translate complex rules into clear guidance for the business and support audit readiness and compliance workplans.

In this role you will monitor regulatory developments, advise on remediation actions, and contribute to training and policy updates. Remote/hybrid work options are available with competitive compensation.

Qualifications

• Bachelor’s degree in a related field or equivalent experience.
• 5+ years in Compliance, regulatory, operations, or risk management in a regulated industry.
• ~4+ years Compliance advisory experience including regulatory research and drafting guidance.
• ~Foundational knowledge of Medicare regulations (CMS guidance).
• ~CHC certification preferred.
• ~CMS audit protocols or monitoring experience preferred.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and state regulations, preventing, detecting, and correcting noncompliance and FWA.
• Translate federal and state requirements into actionable guidance for stakeholders.
• Coordinate regulatory communications including responses and disclosures with regulators as appropriate.
• Support preparation and submission of regulatory reports and attestations, ensuring accuracy and timeliness.
• Identify compliance risks, evaluate processes, and recommend mitigations.
• Lead or support root cause analyses and corrective action plans.
• Provide SME support to audit and monitoring activities and testing strategies.
• Partner with stakeholders to support audits and regulatory reviews.
• Evaluate remediation plans to ensure sustainable resolutions and disclosures.
• Contribute to development and delivery of compliance training for stakeholders.

Skills

Regulatory research

Drafting compliance guidance

Risk assessment

Issue tracking

Auditing / monitoring

Corrective action plans

Advisory experience

Education

Bachelor's degree

Job description

Centene Corporation is seeking a Manager, Medicare Compliance Advisory to guide day-to-day activities aligning with CMS requirements and state regulations. You will translate complex rules into clear guidance for the business and support audit readiness and compliance workplans.

In this role you will monitor regulatory developments, advise on remediation actions, and contribute to training and policy updates. Remote/hybrid work options are available with competitive compensation.