Senior Medicare Compliance Advisor — Remote/Hybrid

Centene Management Company LLC; United States; Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off

Job summary

Centene Management Company LLC is seeking a subject-matter expert to support the Medicare Compliance Advisory program. You will interpret CMS requirements, provide guidance to business and compliance leadership, and contribute to audits, reporting, issue tracking, and risk mitigation.

The role partners closely with leadership to ensure timely delivery, robust documentation, and effective remediation of regulatory gaps while aligning with CMS and state regulations.

Qualifications

• Bachelor’s degree in a related field (e.g., healthcare administration, public health, policy) or equivalent experience required.
• Master’s Degree or Juris Doctor preferred.
• 5+ years Compliance, regulatory, operations, or risk management within a regulated industry.
• 4+ years Compliance advisory experience including regulatory research and drafting guidance, issue tracking, auditing/monitoring, and corrective actions.
• 2+ years experience supporting managed care, Medicare Advantage/Part D, or DSNP programs.
• Foundational knowledge of Medicare regulations, including CMS guidance and compliance expectations.
• Strong written and verbal communication skills.
• Strong analytical, organizational and documentation skills.
• Certified in Healthcare Compliance (CHC) preferred.
• Familiarity with CMS audit protocols, program audits, or monitoring activities preferred.
• Experience working in a matrixed or cross-functional environment preferred.

Responsibilities

• Support day-to-day execution of the Medicare Compliance Advisory program.
• Provide regulatory guidance and conduct research and analysis.
• Support audit readiness and corrective action plans.
• Collaborate with stakeholders to ensure timely regulatory reporting and disclosures.

Skills

Regulatory research

Compliance guidance

Audit/monitoring

Written communication

Analytical skills

Education

Bachelor’s degree in related field

Master’s or JD preferred

Job description

Centene Management Company LLC is seeking a subject-matter expert to support the Medicare Compliance Advisory program. You will interpret CMS requirements, provide guidance to business and compliance leadership, and contribute to audits, reporting, issue tracking, and risk mitigation.

The role partners closely with leadership to ensure timely delivery, robust documentation, and effective remediation of regulatory gaps while aligning with CMS and state regulations.