Compliance Officer, Arizona

Centene Corporation•Remote-AZ, AZ

1d•$134,600 - $249,000•Hybrid

About The Position

Centene is seeking a Compliance Officer for its health plan in Arizona. This role is responsible for overseeing all compliance functions, including policy development, communication, and coordination. The Compliance Officer will ensure the accurate and timely submission of contract deliverables across all lines of business and service delivery areas. The position requires a strong understanding of state and federal regulations, particularly those related to Medicare SNP requirements, and involves significant interaction with state regulators and participation in audit processes. The role also includes a key function in Enterprise Risk Management, working with executive management to evaluate and document business risks. The Compliance Officer will conduct internal audits, develop corrective action plans, and ensure compliance with all regulatory requirements. This position represents senior management at various state committees and meetings.

Requirements

Applicants for this role must reside in the state of Arizona.
Bachelor's Degree in related field, or equivalent experience required.
7+ years Compliance program management and contract experience with State Medicaid programs including internal and State audits required.
5+ years Health care regulatory agencies in development of compliance and fraud programs; required.
5+ years Overseeing implementation of contract requirements required.

Nice To Haves

Master's Degree in related field preferred.
10+ years Compliance/Enterprise Risk Management preferred.

Responsibilities

Oversee all compliance functions for the health plan including communication and coordination of policy development.
Oversee the accurate and timely submission of over contract deliverables for all lines of business and service delivery areas.
Oversee the accurate and timely submission of all CMS Medicare SNP requirements.
Serve as senior leadership and single point of contact in all State compliance meetings and interactions.
Manage direct correspondence and daily interaction with all state regulators.
Serve as senior leadership in all Department of Insurance and HHSC audit processes.
Managing all facets of the audit and communications.
Serve as senior leadership in Enterprise Risk Management process working directly with corporate ERM and Executive Management team to ensure current evaluation and documentation of business risks.
Conduct internal compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with federal, state and local regulatory requirements.
Accountable for the management and oversight of compliance for all health plan material subcontractors to include directing the performance of annual oversight.
Represent senior management at various state committees, meetings, and seminars.
Performs other duties as assigned.
Comply with all policies and standards.