Job Description
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
- Assist in maintaining Centene Corporation’s Compliance Program. Responsibilities include:
- Provide regulatory interpretation and perform compliance reporting
- Lead special projects and develop compliance auditing and monitoring strategies
- Respond to external requests for information required by the organization for its regulatory filings
- Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies
- Manage ethics and compliance projects or implementations
- Review and synthesize regulatory requirements and create policy and/or position statements
- Assist in managing annual code of conduct attestation and remediation
- Communicate state and federal requirements to internal and external clients
- Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures, and work instructions
- Assist in the identification, analysis, and resolution of compliance issues
- Maintain and review regulatory documentation necessary to maintain corporate standards
- Assist in developing, producing, and conducting compliance training programs
- Perform periodic compliance audits, risk assessments, and conduct ongoing compliance monitoring activities
- Assist health plans in managing relationships with regulatory agencies and resolve policy issues impacting service to members
- Assist management with interim health plan compliance officer responsibilities
- Plan, direct, and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed
- Serve as a company-wide resource and liaison on policies, contract issues, communications, workflow, and quality improvement initiatives
- Qualifications
- Bachelor’s degree in related legal field or equivalent experience
- Master’s or Juris Doctorate degree preferred and may be considered in lieu of experience
- 3+ years of related experience in compliance privacy and/or regulatory affairs
- Experience in project management with working knowledge of laws and/or regulations in compliance, particularly HIPAA and state regulations
- External Audit experience strongly preferred
- Requirements
- Flexibility to work remote from home anywhere in the Continental United States
- Benefits
- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field, or office work schedules
Apply tot his job
Apply To this Job