Senior Compliance Administrator, Program Administration

Centene Corporation

4d • 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: Design and implement programs, policies, and practices to ensure State and Federal program contract compliance, as well as compliance with federal and state legal and regulatory requirements. Represent the Compliance Program Administration team at meetings and help shape policy and processes. Own and manage shared inboxes and ensure timely review, triage, escalation and routing of requests Identify trends, risks, or recurring issues and ensure escalation and action planning Serve as a knowledgeable point of contact for stakeholders seeking guidance on Compliance Program Administration processes Support the ongoing maintenance, analysis, and refinement of metrics and scorecards used to measure Compliance Program Effectiveness Support preparation of summaries, dashboards, and materials used for compliance leadership, committees, and governance forums Apply judgment to help resolve issues, clarify requirements, and support consistent execution Conduct compliance audits, write corrective action plans and work with department managers to ensure timely completion and compliance with local, state and regulatory requirements. Represent the key leadership position for compliance, oversee communication, coordinate of policy development and ensure accurate and timely communication to all departments. May modify procedures or processes, undertake fact gathering and investigation activity to monitor the effectiveness of implementation. 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
• Previous experience as a lead in a functional area, managing cross functional teams on large scale projects required

Responsibilities

• Design and implement programs, policies, and practices to ensure State and Federal program contract compliance, as well as compliance with federal and state legal and regulatory requirements.
• Represent the Compliance Program Administration team at meetings and help shape policy and processes.
• Own and manage shared inboxes and ensure timely review, triage, escalation and routing of requests
• Identify trends, risks, or recurring issues and ensure escalation and action planning
• Serve as a knowledgeable point of contact for stakeholders seeking guidance on Compliance Program Administration processes
• Support the ongoing maintenance, analysis, and refinement of metrics and scorecards used to measure Compliance Program Effectiveness
• Support preparation of summaries, dashboards, and materials used for compliance leadership, committees, and governance forums
• Apply judgment to help resolve issues, clarify requirements, and support consistent execution
• Conduct compliance audits, write corrective action plans and work with department managers to ensure timely completion and compliance with local, state and regulatory requirements.
• Represent the key leadership position for compliance, oversee communication, coordinate of policy development and ensure accurate and timely communication to all departments.
• May modify procedures or processes, undertake fact gathering and investigation activity to monitor the effectiveness of implementation.
• 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.
• Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.

What This Job Offers

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