Support change management and communications for new or enhanced Compliance Program requirements, tools, and processes
Provide cross-functional program support by coordinating stakeholders, managing dependencies, resolving barriers, and monitoring deliverables across Compliance initiatives
Provide mentoring and guidance to subordinates within the department as necessary
Serve as primary backup to department lead as necessary
Commercial Insurance (additional responsibilities)
Monitor Commercial product risks in accordance with the risk reporting policies
Manage Benefit Filings and entity licensures for all products to ensure compliance with state and federal regulatory requirements
Work in collaboration with Marketing teams to monitor Sales & Marketing representatives and materials used in advertisements
Medicare (additional responsibilities)
Monitor the FDR oversight program to ensure all Medicare and MMP plans are conducting the appropriate oversight in a timely manner
Report all Medicare and Medicaid product risks in accordance with the risk reporting policies
Partner with various departments as the local executive responsible for ensuring that state and/or federal regulatory requirements relating to business continuity and disaster recovery are communicated and met
Performs other duties as assigned
Complies with all policies and standards
Education/Experience
Bachelor's Degree Healthcare Administration, Compliance or related field; or equivalent experience required
Master's Degree preferred
Juris Doctor (JD) preferred
5+ years Compliance experience required
3+ years Medicaid, Medicare or commercial Managed Care required
Prior experience working with federal and state regulatory agencies in a managed care or insurance environment preferred
Pay Range: $107,700.00 - $199,300.00 per year
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
