Senior Medicare Compliance Advisor (Remote)

Centene Corporation; Missouri; Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Job summary

Centene Corporation is seeking an experienced Compliance Advisor to support the Medicare Compliance Advisory program in alignment with CMS requirements and federal/state regulations. You will provide regulatory guidance, perform research, track issues, and support audit readiness and work plan activities in a fast-paced environment.

You will translate complex requirements into clear guidance for stakeholders, prepare regulatory communications, and help identify and mitigate compliance risks

Qualifications

• Bachelor’s degree in a related field (e.g., healthcare administration, public health, policy) or equivalent experience required.
• 5+ years Compliance, regulatory, operations, or risk management within a regulated industry (e.g., healthcare, managed care, insurance, or public sector).
• 4+ years Compliance advisory experience to include regulatory research and drafting compliance guidance, assessing risk, issue tracking, auditing/monitoring, and overseeing the development and implementation of correction action plans required.
• 2+ years experience supporting managed care, Medicare Advantage/Part D, or Dual Eligible (DSNP) programs.
• Foundational knowledge of Medicare regulations, including CMS guidance and compliance expectations (e.g., Parts C & D).
• Strong written and verbal communication skills.
• Strong analytical, organizational and documentation skills with attention to detail.
• Ability to manage multiple assignments and meet deadlines in a fast-paced environment.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and applicable federal and state regulations, ensuring prevention, detection, and correction of noncompliance and FWA.
• Interprets and translates federal, state, and contractual requirements into clear, actionable compliance guidance for business stakeholders.
• Develops and coordinates regulatory communications, including responses to inquiries and disclosures, liaising with regulators as appropriate.
• Supports the preparation, validation, and submission of regulatory reports, attestations, and filings.
• Proactively identifies compliance risks and evaluates business processes to assess exposure, risk stratification, and mitigation.

Skills

Regulatory research

Compliance advisory

Written communication

Verbal communication

Analytical thinking

Documentation

Education

Bachelor's degree in related field

Master's degree or JD preferred

CHC certification preferred

Job description

Centene Corporation is seeking an experienced Compliance Advisor to support the Medicare Compliance Advisory program in alignment with CMS requirements and federal/state regulations. You will provide regulatory guidance, perform research, track issues, and support audit readiness and work plan activities in a fast-paced environment.

You will translate complex requirements into clear guidance for stakeholders, prepare regulatory communications, and help identify and mitigate compliance risks