Centene Corporation

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

Compliance Analyst

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

Location

Florida + 2 moreAll locations: Florida, Missouri, Texas

Posted

18 days ago

Salary

$56.2K - $101K / year

Bachelor Degree3 yrs expEnglish

Job Description

• reviews and analyzes new and existing laws, regulations and policies for their impact on the Medicaid line of business. • monitors and helps to ensure compliance with regulations in accordance with the specific areas they support. • educates Compliance associates on regulatory and legal issues. • reviews and monitors policies and procedures to ensure compliance with regulations. • may help draft policies and procedures in response to changes and updates of specific laws and regulations. • assists with the implementation of new policies and procedures that affect compliance. • researches and analyzes regulatory requirements as needed to ensure compliance. • interprets regulations regarding benefits and provides information and education to Health Plan associates. • monitors compliance in regard to regulatory related communications including training and manuals. • assists with informing management and Health Plan associates of changes or updates to regulatory requirements. • assists in the coordination of responses for Corrective Action Plans, inquiries, follow-up, reporting and any other requests. • assists in the preparation of materials and requirements for regulatory audits. • may act as subject matter expert in reviews of Request for Proposals (“RFPs”) and non-standard contracts with large employer groups.

Job Requirements

  • Bachelor’s degree in business or related field.
  • Three years’ experience in compliance-related field, preferably in healthcare.
  • Three to five years’ experience in Medicaid contracts.

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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