Manager, Ethics & Compliance

Centene Corporation

1d•Hybrid

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. Position Purpose: Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company Enhance the enterprise‑wide COI and Exclusions compliance program, including governance, controls, documentation, and reporting. Provide strategic oversight of COI intake, review, adjudication, mitigation, and monitoring processes, including the enterprise-wide annual conflict of interest attestation campaign. Oversee COI case management systems, workflows, and data integrity to support timely, consistent, and defensible decision‑making. Identify, assess, and implement effective risk mitigation strategies for actual, potential, or perceived conflicts. Lead the enterprise‑wide COI and Exclusions compliance programs, including governance, controls, documentation, and reporting. Provide strategic oversight of COI intake, review, adjudication, mitigation, and monitoring processes. Maintain awareness of applicable federal and state laws, regulations, guidance, and contractual requirements impacting COI and Exclusions compliance (including Medicare, Medicaid, and managed care regulations). Draft compliance policies, procedures, and standards consistent with regulatory expectations and industry best practices. Ensure timely updates to policies and processes in response to regulatory or contractual changes. Serve as a trusted compliance advisor to business partners. Identify emerging COI and Exclusions risks, trends, and control gaps. Promote a strong culture of ethics, transparency, and accountability through education and stakeholder engagement. Prepare clear, concise compliance reports and metrics for leadership and governance committees. Analyze data and trends to drive continuous improvement and program maturity.

Requirements

Bachelor’s degree in related field (e.g., Compliance, Healthcare Administration, Business, Law).
Minimum of 3+ years of progressive compliance experience, preferably within healthcare, managed care, insurance, or regulated industries.
Hands on experience managing COI, Exclusions, or related ethics compliance programs strongly preferred.
Proven ability to lead complex, cross functional initiatives.
Excellent analytical, communication, and presentation skills.
High level of professional judgment, discretion, and integrity.
Experience with compliance case management systems.

Nice To Haves

Master's or Juris Doctorate degree strongly preferred.
Hands on experience managing COI, Exclusions, or related ethics compliance programs strongly 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
Enhance the enterprise‑wide COI and Exclusions compliance program, including governance, controls, documentation, and reporting.
Provide strategic oversight of COI intake, review, adjudication, mitigation, and monitoring processes, including the enterprise-wide annual conflict of interest attestation campaign.
Oversee COI case management systems, workflows, and data integrity to support timely, consistent, and defensible decision‑making.
Identify, assess, and implement effective risk mitigation strategies for actual, potential, or perceived conflicts.
Lead the enterprise‑wide COI and Exclusions compliance programs, including governance, controls, documentation, and reporting.
Provide strategic oversight of COI intake, review, adjudication, mitigation, and monitoring processes.
Maintain awareness of applicable federal and state laws, regulations, guidance, and contractual requirements impacting COI and Exclusions compliance (including Medicare, Medicaid, and managed care regulations).
Draft compliance policies, procedures, and standards consistent with regulatory expectations and industry best practices.
Ensure timely updates to policies and processes in response to regulatory or contractual changes.
Serve as a trusted compliance advisor to business partners.
Identify emerging COI and Exclusions risks, trends, and control gaps.
Promote a strong culture of ethics, transparency, and accountability through education and stakeholder engagement.
Prepare clear, concise compliance reports and metrics for leadership and governance committees.
Analyze data and trends to drive continuous improvement and program maturity.