Compliance Analyst - Marketplace Compliance

Centene Corporation•Remote-MO, MO

2d•$56,200 - $101,000•Remote

About The Position

The Compliance Analyst assists in maintaining Centene Corporation's Compliance Program, guides special projects, provides regulatory interpretation, performs compliance reporting, and develops and implements compliance auditing and monitoring strategies. The position may be performed remotely from anywhere in the Continental United States. The role supports regulatory filings and communications with state and federal regulatory agencies, monitors legislation and regulations affecting Centene services, and maintains related reference materials. It also helps develop and maintain compliance policies and procedures, identify and resolve compliance issues, review regulatory documentation, and create and conduct compliance training. The Compliance Analyst performs audits, risk assessments, and ongoing monitoring; assists health plans with regulatory agency relationships and policy issues that may affect member services; coordinates implementation of Compliance Committee policy; and serves as a company-wide resource on policies, contract matters, communications, workflow, and quality improvement initiatives. Other duties may be assigned, and the employee must comply with all policies and standards.

Requirements

Bachelor’s degree in a related field or equivalent experience.
At least 1 year of related experience in compliance, privacy, and/or regulatory affairs.
Working knowledge of laws and/or regulations in the area of compliance, particularly HIPAA and state regulations.

Nice To Haves

Master’s degree or Juris Doctorate degree preferred; either may be considered in lieu of experience.

Responsibilities

Respond to external requests for information needed for the organization's regulatory filings.
Respond to inquiries from state and federal regulatory agencies.
Monitor pending legislation and regulations affecting Centene Corporation services.
Maintain databases and reference materials related to legislative and regulatory issues and compliance.
Communicate state and federal requirements to internal and external clients.
Provide development guidance and assist with identifying, implementing, and maintaining compliance policies, procedures, and work instructions.
Assist in identifying, analyzing, and resolving compliance issues.
Maintain and review regulatory documentation necessary to meet corporate standards.
Assist in developing, producing, and conducting compliance training programs.
Perform periodic compliance audits and risk assessments, and conduct related ongoing compliance monitoring activities.
Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues that may negatively affect services to members.
Plan, direct, and coordinate implementation of Compliance Committee policy to ensure decisions are properly executed.
Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvement initiatives.
Perform other duties as assigned and comply with all policies and standards.