Centene Corporation logo
Centene Corporation

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

Senior Manager, Enterprise Compliance Corrections

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

Location

Missouri

Posted

26 days ago

Salary

$87.7K - $157.8K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• Lead a team within Compliance Corrections responsible for the remediation and reporting activities to ensure successful resolution of identified non-compliance with Medicaid, Medicare, Marketplace, and Commercial regulatory requirements, contractual obligations and Company policies and procedures. • Supports the internal and external corrective action plan lifecycle and related reporting. • Partners with Product Compliance teams, Shared Services leadership, and market leaders to ensure successful and timely remediation of identified compliance issues. • Lead and manage the assessment, and prioritization of non-compliance issues referred to the Corrections team. • Oversee the execution and continuous improvement of the Corrections Compliance program, ensuring alignment with organizational standards. • Provide regular updates on program performance to senior management and key stakeholders. • Recruit, supervise, and develop team members in support of the organization’s mission and culture. • Identify and recommend strategic improvements that significantly impact organizational goals and performance. • Respond to inquiries from internal stakeholders and leadership regarding compliance matters. • Offer expert guidance to departments on non-compliance issues and the progress of remediation efforts. • Influence management to enhance performance and support leadership in achieving organizational objectives. • Foster trusted, collaborative relationships with leadership to ensure active engagement in the Corrections process. • Serve as the designated point of contact in the absence of the Senior Director of Compliance Corrections. • Performs other duties as assigned. Complies with all policies and standards.

Job Requirements

  • Bachelor's Degree in Business Administration, Public Policy, Public Health, or Health Administration or related field; or equivalent experience required
  • Master's Degree in Business Administration, Public Policy, Public Health, or Health Administration preferred
  • Juris Doctor (JD) preferred
  • 5+ years Compliance experience, preferably in a healthcare environment required
  • 3+ years Medicaid, Medicare or Commercial Managed Care experience preferred
  • 2+ years Supervisory or management experience required
  • Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment 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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