Manager, Compliance

Centene•West Des Moines, IA

9d•Remote

About The Position

You could be the one who changes everything for our 28 million members. 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. This position will allow for remote work flexibility, but it is preferred that the selected candidate reside in Iowa. Position Purpose: Manage the compliance department functions, including but not limited to, periodic monitoring and auditing activities based on established compliance program, policies, and practices to ensure and maintain compliance with federal, state, and local regulatory, contractual and legal requirements.

Requirements

Bachelor's degree in health care administration, compliance or related field or equivalent experience.
4-6 years of compliance experience including risk assessment against contract and regulatory requirements, creation and execution of auditing, monitoring and reporting processes, administration of correction action plans, implementation of written policies and procedures, developing and delivering compliance training and education.

Nice To Haves

Managed health and/or behavioral health experience preferred.

Responsibilities

Conduct periodic assessments to ensure compliance against contract requirements
Oversee creation and implementation of corrective action plans to reduce or eliminate risk resulting from non-compliance with contract requirements or performance deficiencies
Manage and oversee the composition and delivery of responses to state regulatory agency complaints and inquiries
Determine licensure requirements and administration of ongoing licensure maintenance, including research in new markets and timely filing for recurring deliverables, such as licensure renewals
Support responses to “request for proposals” (RFPs) and new business implementations by completing assigned compliance tasks timely and accurately
Participate in new business implementations, including the identification and tracking of required contract report deliverables as well as new reporting and provider/member materials.
Design, implement and improve processes to prevent, detect and respond to compliance issues and concerns related to all federal and state regulatory requirements and contract requirements.
Create and deliver compliance training for all employees on an annual basis and as needed basis, such as in response to a compliance issue or concern
Oversee execution of compliance activities across team
Ensures consistency, quality, and alignment with organizational standards
Serves as a key point of contact for cross-functional collaboration