Senior Medicare Compliance Advisor (Remote) - Audit & Risk

Centene Corporation; Alton (IL); Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Remote/hybrid/office schedules

Comprehensive benefits package

Job summary

Centene Corporation seeks a Medicare Compliance Advisory expert to support the day-to-day execution of the Medicare Compliance Program in alignment with CMS requirements. You will provide regulatory guidance, conduct research, track issues, and support audit readiness across the organization.

You will translate federal/state requirements into actionable guidance for business stakeholders, develop communications, and contribute to corrective actions and training. This role reports to the Sr.

Qualifications

• Bachelor’s degree in healthcare administration, public health, policy or equivalent experience.
• 5+ years in Compliance, regulatory operations, or risk management in regulated industries.
• 4+ years Compliance advisory experience with regulatory research and drafting guidance.
• 2+ years supporting Medicare Advantage/Part D or DSNP programs is a plus.
• Foundational knowledge of Medicare regulations (CMS guidance, Parts C & D).
• Strong written and verbal communication with attention to detail.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and regulations to prevent noncompliance and FWA.
• Interpret and translate requirements into actionable guidance for business stakeholders.
• Develop regulatory communications and liaise with regulators as appropriate.
• Support preparation and submission of regulatory reports and attestations.
• Identify compliance risks, assess processes, and propose mitigations.
• Lead or support root cause analysis and corrective action plans.
• Provide SME support to audits and monitoring activities.
• Collaborate with stakeholders to ensure audit readiness across domains.
• Evaluate remediation plans and validate corrective actions.
• Contribute to compliance training and education for stakeholders.
• Review policies and processes for regulatory alignment.
• Participate in cross-functional initiatives to improve compliance processes.

Skills

Regulatory guidance

Regulatory research

Issue tracking

Audit readiness

Cross-functional collaboration

Written communication

Analytical skills

Education

Bachelor’s degree in related field

Master’s degree or JD preferred

Job description

Centene Corporation seeks a Medicare Compliance Advisory expert to support the day-to-day execution of the Medicare Compliance Program in alignment with CMS requirements. You will provide regulatory guidance, conduct research, track issues, and support audit readiness across the organization.

You will translate federal/state requirements into actionable guidance for business stakeholders, develop communications, and contribute to corrective actions and training. This role reports to the Sr.