Senior Medicare Compliance Advisor (Remote/Hybrid)

Centene Corporation; North Carolina; 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 + holidays

Flexible work schedules (remote,Hybrid

Job summary

Centene Corporation in the United States seeks an experienced Medicare Compliance Advisor to support day-to-day execution of the Medicare Compliance Advisory program. As an expert, you will translate CMS requirements into practical guidance for business teams, research regulatory questions, track issues, and help maintain audit readiness and on-going compliance across operations.

In this role you will partner with leaders to evaluate risks, develop corrective actions, support training, and

Qualifications

• Bachelor’s degree in healthcare administration, public health, policy, or related field.
• 5+ years in Compliance, regulatory, operations, or risk management.
• 4+ years in compliance advisory including regulatory research and risk tracking.
• 2+ years experience with managed care or Medicare Advantage/Part D.
• Foundational knowledge of CMS guidance and Medicare regulations.

Responsibilities

• Execute the Medicare Compliance Program in alignment with CMS and applicable regulations.
• Translate requirements into actionable guidance for business stakeholders.
• Support preparation and submission of regulatory reports, attestations, and filings.
• Identify compliance risks and recommend mitigations.
• Lead or support root cause analysis and corrective actions.
• Provide SME to audit and monitoring activities.
• Collaborate with stakeholders to ensure audit readiness.
• Review policies to ensure regulatory alignment.
• Monitor regulatory developments.

Skills

Communication skills

Analytical skills

Time management

Education

Bachelor’s degree in healthcare administration / public health / policy

Master’s degree or Juris Doctor preferred

CHC certification preferred

Job description

Centene Corporation in the United States seeks an experienced Medicare Compliance Advisor to support day-to-day execution of the Medicare Compliance Advisory program. As an expert, you will translate CMS requirements into practical guidance for business teams, research regulatory questions, track issues, and help maintain audit readiness and on-going compliance across operations.

In this role you will partner with leaders to evaluate risks, develop corrective actions, support training, and