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 plus holidays

Flexible work arrangements (remote,hyb

Field or office work schedules

Job summary

Centene Corporation is seeking a Medicare Compliance Advisor to support day-to-day execution of the Compliance Advisory program. You will provide regulatory guidance, conduct research, track issues, and assist with audits and oversight across the organization.

You will translate CMS requirements into actionable guidance for business stakeholders, contribute to risk assessments, and support training and documentation efforts.

Qualifications

• Bachelor’s degree in a related field (e.g., healthcare administration, public health, policy) or equivalent experience required.
• Master’s Degree or Juris Doctor preferred.
• 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 including regulatory research and drafting compliance guidance, assessing risk, issue tracking, auditing/monitoring, and overseeing the development of corrective action plans.
• 2+ years experience supporting managed care, Medicare Advantage/Part D, or Dual Eligible (DSNP) programs.
• Foundational knowledge of Medicare regulations.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and applicable federal and state regulations.
• Interpret and translate regulatory requirements into clear compliance guidance for stakeholders.
• Develop and coordinate regulatory communications and disclosures.
• Prepare, validate, and submit regulatory reports and attestations.
• Identify compliance risks and evaluate business processes for mitigation.

Skills

Communication skills

Analytical skills

Organizational skills

Documentation skills

Deadline management

Education

Bachelor’s degree in related field

Master’s Degree

Juris Doctor

Job description

Centene Corporation is seeking a Medicare Compliance Advisor to support day-to-day execution of the Compliance Advisory program. You will provide regulatory guidance, conduct research, track issues, and assist with audits and oversight across the organization.

You will translate CMS requirements into actionable guidance for business stakeholders, contribute to risk assessments, and support training and documentation efforts.