Manager, Compliance Policy Oversight

Centene Corporation • Remote-MO, MO

3d • $87,700 - $157,800 • Remote

About The Position

Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.

Requirements

• Bachelors’ degree in related field or equivalent experience.
• 4+ years of compliance experience, preferably in a healthcare environment
• at least 2+ years of Medicaid, Medicare or Commercial Managed Care experience.
• Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment preferred.

Nice To Haves

• Master's or Juris Doctorate degree preferred.

Responsibilities

• Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company
• Manage an end-to-end policy life cycle and governance processes
• Maintain clear policy standards, templates, and guidance to support consistent, high quality policy writing across the organization
• Support responses to audits, regulatory inquiries, and internal reviews related to company policies and procedures
• Investigate issues and mitigate any potential violations including: gathering information and recommending a course of action, preparing reports by researching, analyzing and summarizing information
• Develop, implement and maintain production and quality standards for the compliance program.
• Perform periodic audits, risk assessments and conduct related ongoing compliance monitoring activities.
• Evaluate and implement changes to service functions and performance in relation to company mission, philosophy objectives and policies.
• Plan, direct and coordinate the implementation of policy decisions and ensure compliance with the company’s strategic plan, establish the department’s strategic vision, objectives and attendant policies and procedures for the organization.
• Research and incorporate best practices into operations and ensure that department functions are coordinated with other operating departments.

Benefits

• competitive pay
• health insurance
• 401K
• stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager