Senior Medicare Compliance Advisor (Remote)

Centene Corporation; North Carolina; Remote; 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

Flexible work arrangements

Job summary

Centene Corporation is seeking a Medicare Compliance Advisor to support day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements. You will provide regulatory guidance, conduct research, track issues, and support audit readiness across multiple departments.

You will translate complex requirements into practical guidance, develop communications, and assist with filings.

Qualifications

• 5+ years in Compliance, regulatory, operations, or risk management in a regulated industry.
• 4+ years Compliance advisory experience including regulatory research and drafting guidance.
• 2+ years supporting managed care, Medicare Advantage/Part D, or DSNP programs.
• Foundational knowledge of Medicare regulations and CMS guidance.

Responsibilities

• Execute the Medicare Compliance Program per CMS and state regulations.
• Translate federal/state requirements into clear compliance guidance for stakeholders.
• Develop regulatory communications and liaise with regulators as needed.
• Prepare regulatory reports, attestations, and filings with accuracy and timeliness.
• Identify compliance risks, perform risk stratification, and recommend mitigations.
• Lead or support root cause analysis and corrective action plans.
• Support audit scope, testing strategies, and ongoing compliance oversight.
• Collaborate with stakeholders to support audits and regulatory reviews.
• Evaluate remediation plans and validate corrective actions.
• Contribute to regulatory training and mentor stakeholders.
• Review policies and processes for regulatory alignment.

Skills

Regulatory compliance

Analytical skills

Written and verbal communication

Time management

Education

Bachelor’s degree in related field

Master’s or JD preferred

Job description

Centene Corporation is seeking a Medicare Compliance Advisor to support day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements. You will provide regulatory guidance, conduct research, track issues, and support audit readiness across multiple departments.

You will translate complex requirements into practical guidance, develop communications, and assist with filings.