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