Senior Medicare Compliance Specialist (Remote)

Centene Corporation; Austin (TX); Hybrid; USD 110,000 - 170,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase

Tuition reimbursement

Paid time off

Holidays

Flexible work arrangements

Job summary

Centene Corporation seeks an experienced Medicare Compliance Advisory expert to support day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and applicable regulations. You will translate federal and state requirements into actionable guidance for business stakeholders, develop regulatory communications, and contribute to audit readiness.

The role involves risk assessment, corrective action planning, and collaboration with auditors and regulators to

Qualifications

• Bachelor’s degree in a related field or equivalent experience.
• 5+ years Compliance, regulatory, operations, or risk management within a regulated industry.
• ~4+ years Compliance advisory experience including regulatory research and drafting guidance, risk assessment, and corrective action oversight.

Responsibilities

• Support day-to-day execution of the Medicare Compliance Advisory program in line with CMS requirements.
• Provide regulatory guidance and analyses to business and compliance leadership.
• Develop regulatory communications, responses to inquiries, and disclosures.
• Assist in preparation, validation, and submission of regulatory reports and attestations.
• Identify compliance risks, assess processes, and recommend mitigations.
• Lead or support root cause analysis and corrective action plans for gaps.

Skills

Regulatory compliance

Risk management

Stakeholder advisory

Audit readiness

Education

Bachelor's degree in healthcare admin / public health / policy

Job description

Centene Corporation seeks an experienced Medicare Compliance Advisory expert to support day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and applicable regulations. You will translate federal and state requirements into actionable guidance for business stakeholders, develop regulatory communications, and contribute to audit readiness.

The role involves risk assessment, corrective action planning, and collaboration with auditors and regulators to