Senior Medicare Compliance Advisor (Remote/Hybrid)

Centene Corporation; United States; Hybride; USD 88 000 - 158 000; Plein temps

Avantages offerts par ce poste

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible remote/hybrid/field/office

Résumé du poste

Centene Corporation is seeking an experienced Medicare Compliance Advisory subject matter expert to support day-to-day execution of the program in alignment with CMS and state regulations. The role provides regulatory guidance to business and compliance leadership, conducts research and analysis, tracks issues, and supports audit readiness and workplan activities.

Responsibilities include translating federal and state requirements into actionable guidance, coordinating regulatory communications,

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.
• 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, analytical, organizational, and documentation skills.

Responsabilités

• Execute the Medicare Compliance Program in alignment with CMS and state regulations, ensuring prevention, detection, and correction of noncompliance and FWA.
• Translate regulatory requirements into clear, actionable guidance for business stakeholders.
• Develop regulatory communications and disclosures, liaising with regulators as appropriate.
• Assist in regulatory reports, attestations, and filings with accuracy and timeliness.
• Identify compliance risks, assess exposure, and recommend mitigations.
• Lead or support root cause analysis and corrective action plans for identified gaps.
• Support audit scope development, testing strategies, and ongoing oversight.

Connaissances

Regulatory guidance

CMS regulations

Issue tracking

Compliance advisory

Formation

Bachelor's degree

Master's degree

Juris Doctor

Description du poste

Centene Corporation is seeking an experienced Medicare Compliance Advisory subject matter expert to support day-to-day execution of the program in alignment with CMS and state regulations. The role provides regulatory guidance to business and compliance leadership, conducts research and analysis, tracks issues, and supports audit readiness and workplan activities.

Responsibilities include translating federal and state requirements into actionable guidance, coordinating regulatory communications,