Senior Medicare Compliance Advisor — Remote

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

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off & holidays

Job summary

Centene Corporation seeks a Medicare Compliance Advisory expert to support day-to-day execution of the compliance program in alignment with CMS requirements. The role provides regulatory guidance, conducts research, tracks issues, and supports audit readiness while documenting compliance risks and corrective actions.

You will translate complex regulatory requirements into actionable guidance, engage with stakeholders, and assist in the development of remediation plans and training to strengthen

Qualifications

• Bachelor’s degree in a related field or equivalent experience required.
• 5+ years Compliance, regulatory, operations, or risk management within a regulated industry.
• 4+ years Compliance advisory experience: regulatory research, drafting guidance, risk assessment, issue tracking, audits/monitoring, corrective actions.
• 2+ years experience supporting managed care, Medicare Advantage/Part D, or DSNP programs.
• Foundational knowledge of Medicare regulations, CMS guidance and compliance expectations (Parts C & D).
• Strong written and verbal communication skills.
• CHC certification preferred.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and regulations to prevent, detect, and correct noncompliance and FWA.
• Translate federal, state, and contractual requirements into clear compliance guidance for business stakeholders.
• Develop regulatory communications and disclosures, liaising with regulators as needed.
• Support preparation and submission of regulatory reports, attestations, and filings.
• Identify compliance risks, evaluate processes, and recommend mitigation strategies.
• Lead or support root-cause analyses and corrective action plans for gaps.
• Provide SME support for audits and monitoring activities.
• Collaborate with stakeholders to support audits, regulatory reviews, and readiness.
• Assess remediation plans to ensure sustainable resolution of issues.
• Contribute to compliance training and coaching for stakeholders.

Skills

Written communication

Verbal communication

Analytical thinking

Organizational skills

Documentation

Education

Bachelor's degree in related field

Master's degree or JD preferred

CHC certification preferred

Job description

Centene Corporation seeks a Medicare Compliance Advisory expert to support day-to-day execution of the compliance program in alignment with CMS requirements. The role provides regulatory guidance, conducts research, tracks issues, and supports audit readiness while documenting compliance risks and corrective actions.

You will translate complex regulatory requirements into actionable guidance, engage with stakeholders, and assist in the development of remediation plans and training to strengthen