Senior Medicare Compliance Advisor — Remote/Hybrid

Centene Corporation; Lexington (KY); 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 plus holidays

remote, hybrid, field or office work

Job summary

Centene Corporation seeks a Medicare Compliance Advisor to serve as a subject matter expert supporting day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and applicable regulations. The role provides advisory support to business and compliance leadership, conducts regulatory research, tracks issues, and supports audit readiness and the compliance workplan.

You will interpret and translate requirements for stakeholders, develop regulatory

Qualifications

• Bachelor's degree in related field or equivalent experience required.
• 5+ years compliance, regulatory, operations, or risk management in a regulated industry.
• 4+ years compliance advisory experience including regulatory research and drafting guidance.
• 2+ years experience supporting managed care or DSNP programs.
• CHC certification preferred.
• Familiarity with CMS audit protocols or monitoring activities preferred.

Responsibilities

• Execute Medicare Compliance Program in line with CMS and federal/state regulations to prevent, detect, and correct noncompliance and FWA.
• Translate federal, state, and contractual requirements into clear compliance guidance for stakeholders.
• Develop regulatory communications and disclosures; liaise with regulators as appropriate.
• Prepare, validate, and submit regulatory reports and attestations.
• Identify compliance risks, evaluate processes, and recommend mitigations.
• Lead or support root-cause analysis and corrective action plans.
• Provide SME support to audits, monitoring, and regulatory reviews.
• Collaborate with stakeholders to ensure ongoing audit readiness.
• Evaluate remediation plans and validate corrective actions.
• Contribute to compliance training and mentoring on regulatory requirements.
• Review policies and processes for alignment with regulations and standards.
• Support cross-functional initiatives to improve compliance and efficiency.
• Monitor regulatory developments and industry trends.

Skills

Regulatory research

Regulatory guidance

Analytical skills

Documentation

Project coordination

Communication

Audit readiness

Stakeholder management

Education

Bachelor's degree in a related field

Master's Degree or Juris Doctor preferred

CHC certification preferred

Job description

Centene Corporation seeks a Medicare Compliance Advisor to serve as a subject matter expert supporting day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and applicable regulations. The role provides advisory support to business and compliance leadership, conducts regulatory research, tracks issues, and supports audit readiness and the compliance workplan.

You will interpret and translate requirements for stakeholders, develop regulatory