Centene Corporation logo
Centene Corporation

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

Senior Compliance Corrections Specialist

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

Location

United States

Posted

26 days ago

Salary

$70.1K - $126.2K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• Participates in corrections process for all lines of business • Intakes and triages suspected issues of non-compliance • Entry of compliance issues into GRC tool and assignment/coordination of issues to corrections team members • Collaborates with compliance and business stakeholders to gather information, develop corrective action plans, identify and escalate barriers to progress and gather evidence of remediation • Updates GRC tool to support corrections reporting • Reviews and oversees progress towards remediation and documents key milestones in GRC tool • Identifies issues that require escalation and ensures they are addressed timely through established paths and processes • Conducts review of evidence to address root cause of issue and facilitate timely closure of issues • Develops, implements and continually refines corrections reporting that provides meaningful trend analysis for business stakeholders and senior leadership on new, in progress and closed issues as well as regulatory sanctions • Supports management in the development and maintenance of corrections processes and tools designed to effectively remediate compliance issues in a timely manner, ensure timely escalation and sustainable resolutions • Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs • Performs other duties as assigned • Complies with all policies and standards

Job Requirements

  • Bachelor's Degree Managed Care/Health Insurance or related field, or equivalent experience required
  • 5+ years experience in Managed Care/Health Insurance or related experience required
  • Excellent Microsoft Office skills preferred
  • Experience with data analytics preferred
  • Certified in HealthCare Compliance (CHC) preferred
  • Certified Compliance & Ethics Professional (CCEP) preferred

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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