Senior Medicare Compliance Advisor — Remote/Hybrid

Centene Corporation; Alton (IL); 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 and holidays

Flexible work schedules (remote,hybrid

Job summary

Centene Corporation is seeking a Medicare Compliance Advisory expert to support day-to-day execution of the program in alignment with CMS requirements and state regulations. You will translate complex requirements into actionable guidance for business stakeholders and assist with audits, reporting, and risk mitigation.

The role emphasizes regulatory research, documentation, and collaboration with leadership to ensure timely deliverables and continuous improvement of the compliance program.

Qualifications

• Bachelor’s degree in a related field required. Master’s Degree or Juris Doctor preferred.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and applicable regulations to prevent, detect, and correct noncompliance and FWA.
• Interpret and translate federal and state requirements into clear compliance guidance for business stakeholders.
• Develop regulatory communications and liaise with regulators as appropriate.
• Support preparation and submission of regulatory reports, attestations, and filings with accuracy and timeliness.
• Identify compliance risks, evaluate processes, and recommend mitigation strategies.
• Lead or support root cause analysis and corrective action plans for gaps identified.
• Provide SME support to audit and monitoring activities, including test strategies and scope.
• Collaborate with stakeholders to support audits, regulatory reviews, and audit readiness.
• Evaluate remediation plans and ensure sustainable resolution of issues.
• Contribute to training and mentoring on regulatory requirements and best practices.
• Review policies and processes for alignment with regulatory standards.
• Lead cross-functional initiatives to enhance compliance and efficiency.
• Monitor regulatory developments and industry trends.

Skills

Regulatory guidance

CMS regulations

Audits & monitoring

Communication skills

Regulatory research

Education

Bachelor’s degree in related field

Master’s Degree or JD preferred

Job description

Centene Corporation is seeking a Medicare Compliance Advisory expert to support day-to-day execution of the program in alignment with CMS requirements and state regulations. You will translate complex requirements into actionable guidance for business stakeholders and assist with audits, reporting, and risk mitigation.

The role emphasizes regulatory research, documentation, and collaboration with leadership to ensure timely deliverables and continuous improvement of the compliance program.