Senior Compliance Administrator - Corrective Action Plans

Centene Corporation

1d • 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. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States Position Purpose: A member of the Compliance Corrections team responsible for the remediation and reporting activities to ensure successful resolution of identified non-compliance with Marketplace and Commercial regulatory requirements, contractual obligations and Company policies and procedures. Supports the internal and external corrective action plan lifecycle and related reporting. Partners with Product Compliance teams, Shared Services leadership, and market leaders to ensure successful and timely remediation of identified compliance issues. Collaborates with compliance and business stakeholders to ensure adequate root cause analysis and development of corrective actions plans to effectively address non-compliance. Reviews and oversees progress towards remediation and documented key milestones in GRC tool Identifies issues that require escalation and ensures they are addressed timely through established paths and processes. Conducts review of evidence to address root cause of issue and facilitate timely closure of issues. Facilitates escalation of barriers identified by other Corrections staff. Develops, implements and continually refines corrections reporting that provides meaningful trend analysis for business stakeholders and senior leadership on new, in progress and closed issues as well as regulatory sanctions. Supports management in the development and maintenance of corrections processes and tools designed to effectively remediate compliance issues in a timely manner, ensure timely escalation and sustainable resolutions. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance to meet the requirements of Government-sponsored health care programs. Performs other duties as assigned Complies with all policies and standards

Requirements

• Bachelor's Degree Healthcare Administration, Compliance or related field required
• 4+ years Compliance and/or regulatory experience in a health care and/or managed care setting/organization required
• Previous experience as a lead in a functional area, managing cross functional teams on large scale projects required
• Excellent Microsoft Office skills and experience with data analytics preferred

Nice To Haves

• Certified in HealthCare Compliance (CHC) preferred
• Certified Compliance & Ethics Professional (CCEP) preferred

Responsibilities

• Supports the internal and external corrective action plan lifecycle and related reporting.
• Partners with Product Compliance teams, Shared Services leadership, and market leaders to ensure successful and timely remediation of identified compliance issues.
• Collaborates with compliance and business stakeholders to ensure adequate root cause analysis and development of corrective actions plans to effectively address non-compliance.
• Reviews and oversees progress towards remediation and documented key milestones in GRC tool
• Identifies issues that require escalation and ensures they are addressed timely through established paths and processes.
• Conducts review of evidence to address root cause of issue and facilitate timely closure of issues.
• Facilitates escalation of barriers identified by other Corrections staff.
• Develops, implements and continually refines corrections reporting that provides meaningful trend analysis for business stakeholders and senior leadership on new, in progress and closed issues as well as regulatory sanctions.
• Supports management in the development and maintenance of corrections processes and tools designed to effectively remediate compliance issues in a timely manner, ensure timely escalation and sustainable resolutions.
• Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance to meet the requirements of Government-sponsored health care programs.
• Performs other duties as assigned
• Complies with all policies and standards

Benefits

• Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.

What This Job Offers

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