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. Fully Remote Opportunity The ideal candidate will have: Knowledge of dual contract requirements (e.g., Medicare-Medicaid plans) Experience managing external audits and communicating with regulatory agencies Ability to review deliverables and provide clear, actionable feedback Skilled in developing and maintaining audit reporting, including tracking volume, identifying risks, and analyzing trends Proven ability to collaborate effectively with cross-functional teams to drive audit readiness and continuous improvement Position Purpose: Partners with leadership in maintaining Centene Corporation's Compliance with Duals (D-SNP) Program requirements. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies for the D-SNPs. Responds to external requests for information required by the organization for its Duals and SMAC regulatory filings. Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies. Leads Duals compliance projects or implementations. Reviews and synthesizes Duals regulatory requirements and create policy and/or position statements. Partners with leadership to manage annual SMAC assessment and tracking of caps. Communicate Duals (state and federal) requirements to internal and external clients. Provides development guidance and leads the identification, implementation, and maintenance of Duals and overlapping Medicare compliance policies, procedures and work instructions. Leads the identification, analysis, and resolution of Duals compliance issues. Maintains and reviews D-SNP regulatory documentation necessary to maintain corporate standards. Partners with leadership in developing, producing and conducting Duals compliance training programs. Perform periodic compliance audits, risk assessments and conducts related to ongoing Duals compliance monitoring activities. Partners with Duals Manager and health plans in managing relationships with regulatory agencies and seek to confirmation and clarification of D-SNP requirements and implementations where needed. Performs interim Duals Compliance manager responsibilities to include supporting the health plan compliance officer with D-SNP specific responsibilities. Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives. Serves as a company-wide resource and liaison on Duals policies, SMAC items and provisions, communications, workflow, and quality improvements initiatives. Performs other duties as assigned. Complies with all policies and standards.