Manager, Regulatory Affairs

Centene Corporation•Remote-MI, MI

1d•$87,700 - $157,800•Remote

About The Position

Centene is transforming the health of its communities, one person at a time. As a diversified, national organization, this role offers competitive benefits and a fresh perspective on workplace flexibility. The purpose of this position is to develop and execute regulatory plans for complex projects, including new initiatives and the maintenance of licenses and reaccreditation for existing and new business opportunities. This role involves managing contracts, tracking performance against contractual requirements, providing consultation to other departments on requirements, and escalating gaps as necessary.

Requirements

Bachelor's degree in a related field or equivalent experience.
4+ years of public health policy, regulatory, or legal experience, preferably in the managed care or pharmacy industry.

Nice To Haves

Experience in Duals/HIDE SNP is highly preferred as this Manager role will directly act as the liaison between the Health Plan and the Regulator (MDHHS) for the Michigan Duals program.
Strong written and communication skills, this role has high visibility with senior leadership and with State Regulator.

Responsibilities

Develop procedures and reports to monitor contractually required deliverables, including regulatory reports and performance metrics.
Review complex laws and regulations and provide guidance to other departments to ensure processes are in compliance.
Conduct HIPAA compliance audits and provide a summary of outcomes and recommendations for improvement.
Perform gap analysis to current contract requirements and policies/procedures and offer recommendations to close gaps.
Monitor applicable regulatory requirements to ensure compliance with company and external standards.
Communicate with regulators as needed to seek clarification on contract requirements, regulations, processes, or documents submitted for approval.