Senior Medicare Compliance Advisor - Remote, Audit & Risk

Centene Corporation; Oklahoma City (OK); Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

PTO and holidays

Job summary

Centene Corporation seeks a Medicare Compliance Advisory expert to support day-to-day CMS-aligned activities, interpret federal/state requirements, and advise business lines on regulatory risk. You will contribute to audits, reporting, and corrective actions while collaborating with cross-functional partners across the organization.

You will leverage deep CMS knowledge and healthcare compliance experience to ensure timely, accurate deliverables and drive continuous improvement in compliance

Qualifications

• Minimum 5+ years in compliance, regulatory, operations or risk within a regulated industry.
• 4+ years Compliance advisory experience including regulatory research, drafting guidance, risk assessment, auditing and monitoring.
• 2+ years experience supporting managed care, Medicare Advantage/Part D, or DSNP programs.
• Foundational knowledge of Medicare regulations, CMS guidance and compliance expectations.
• Strong written and verbal communication with attention to detail.
• CHC certification preferred.

Responsibilities

• Support day-to-day execution of Medicare Compliance Advisory program per CMS and regulations.
• Provide regulatory guidance to business and compliance leadership and document risks and actions.
• Translate federal/state requirements into clear compliance guidance for stakeholders.
• Prepare, validate and submit regulatory reports, attestations and filings accurately.
• Identify compliance risks, assess exposure and suggest mitigations.
• Lead or assist in root cause analysis and corrective action plans.

Skills

Regulatory compliance

CMS guidance

Risk assessment

Audit support

Cross-functional

Communication 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 day-to-day CMS-aligned activities, interpret federal/state requirements, and advise business lines on regulatory risk. You will contribute to audits, reporting, and corrective actions while collaborating with cross-functional partners across the organization.

You will leverage deep CMS knowledge and healthcare compliance experience to ensure timely, accurate deliverables and drive continuous improvement in compliance