Senior Compliance Analyst - External Audit

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: Assist in maintaining Centene Corporation’s Compliance Program. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies. Act as lead coordinator and primary contact for external auditors for assigned regulatory audits. Respond to external requests for information required by the organization for its regulatory external audits. Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies. Manage ethics and compliance projects or implementations. Review and synthesize regulatory requirements and create policy and/or position statements. Assist in managing annual code of conduct attestation and remediation. Communicate state and federal requirements to internal and external clients. Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures and work instructions. Assist in the identification, analysis, and resolution of compliance issues identified through external audits. Maintain and review regulatory documentation necessary to maintain corporate standards. Assist in developing, producing and conducting compliance training programs. Perform periodic compliance audits, risk assessments and conducts related to ongoing compliance monitoring activities. Assist health plans in managing relationships with regulatory agencies and by effectively managing external audits and regulatory requests. Assist management with interim health plan compliance officer responsibilities. Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed. Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives.

Requirements

Bachelor’s degree in related legal field or equivalent experience.
3+ years of related experience in compliance privacy and/or regulatory affairs.
Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular HIPAA, and state regulations.

Nice To Haves

Master’s or Juris Doctorate degree preferred and maybe considered in lieu of experience.

Responsibilities

Assist in maintaining Centene Corporation’s Compliance Program.
Provide regulatory interpretation
Perform compliance reporting
Lead special projects
Develop and implement compliance auditing and monitoring strategies.
Act as lead coordinator and primary contact for external auditors for assigned regulatory audits.
Respond to external requests for information required by the organization for its regulatory external audits.
Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies.
Manage ethics and compliance projects or implementations.
Review and synthesize regulatory requirements and create policy and/or position statements.
Assist in managing annual code of conduct attestation and remediation.
Communicate state and federal requirements to internal and external clients.
Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures and work instructions.
Assist in the identification, analysis, and resolution of compliance issues identified through external audits.
Maintain and review regulatory documentation necessary to maintain corporate standards.
Assist in developing, producing and conducting compliance training programs.
Perform periodic compliance audits, risk assessments and conducts related to ongoing compliance monitoring activities.
Assist health plans in managing relationships with regulatory agencies and by effectively managing external audits and regulatory requests.
Assist management with interim health plan compliance officer responsibilities.
Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed.
Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives.