Senior Medicare Compliance Analyst (Remote)

Centene Corporation; North Carolina; 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 and holidays

Job summary

Centene Corporation is seeking a Medicare Compliance Advisory expert to support day-to-day execution of the compliance program in alignment with CMS requirements and state regulations. You will provide regulatory guidance, conduct research, track issues, and support audit readiness while collaborating with stakeholders across the organization.

The role emphasizes risk assessment, action-oriented guidance, and documentation of compliance trends, with opportunities to contribute to training and

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• 5+ years in compliance, regulatory, operations, or risk in a regulated industry.
• 4+ years Compliance advisory incl regulatory research & drafting guidance.
• 2+ years experience with managed care or Medicare programs.
• Foundational knowledge of Medicare regulations and CMS guidance.
• CHC certification preferred.
• Familiarity with CMS audits or monitoring activities preferred.

Responsibilities

• Execute Medicare Compliance Program per CMS regs.
• Translate requirements into actionable guidance for stakeholders.
• Prepare regulatory reports and attestations timely.
• Identify risks and propose mitigation strategies.
• Support audit readiness and monitoring activities.

Skills

Regulatory research

Regulatory guidance

Risk assessment

Issue tracking

Cross-functional

Communication skills

Documentation

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 compliance program in alignment with CMS requirements and state regulations. You will provide regulatory guidance, conduct research, track issues, and support audit readiness while collaborating with stakeholders across the organization.

The role emphasizes risk assessment, action-oriented guidance, and documentation of compliance trends, with opportunities to contribute to training and