Centene Corporation logo
Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Senior Compliance Analyst – Duals Audit

ComplianceComplianceFull TimeRemoteSeniorTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

Florida + 1 moreAll locations: Florida, Missouri

Posted

63 days ago

Salary

$70.1K - $126.2K / year

Seniority

Senior

Bachelor Degree4 yrs expEnglish

Job Description

• Partners with leadership in maintaining Centene Corporation's Compliance with Duals (D-SNP) Program requirements • Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies for the D-SNPs • Responds to external audit requests for information required by the organization for its Duals and SMAC regulatory filings • Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies • Leads Duals compliance projects or implementations • Reviews and synthesizes Duals regulatory requirements and create policy and/or position statements • Partners with leadership to manage annual SMAC assessment and tracking of caps • Communicate Duals (state and federal) requirements to internal and external clients • Provides development guidance and leads the identification, implementation, and maintenance of Duals and overlapping Medicare compliance policies, procedures and work instructions • Leads the identification, analysis, and resolution of Duals compliance issues • Maintains and reviews D-SNP regulatory documentation necessary to maintain corporate standards • Partners with leadership in developing, producing and conducting Duals compliance training programs • Perform periodic compliance audits, risk assessments and conducts related to ongoing Duals compliance monitoring activities • Serves as a company-wide resource and liaison on Duals policies, SMAC items and provisions, communications, workflow, and quality improvements initiatives • Performs other duties as assigned • Complies with all policies and standards

Job Requirements

  • Bachelor's Degree in Law or related field; or equivalent experience required
  • 4+ years Compliance and/or regulatory affairs required
  • Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular Medicare, D-SNP, and state regulations required

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

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