Senior Compliance Analyst

Centene Corporation•Remote-SC, SC

5d•$70,100 - $126,200

About The Position

Assist in maintaining Centene Corporation’s Compliance Program. The role provides regulatory interpretation, performs compliance reporting, leads special projects, and develops and implements compliance auditing and monitoring strategies. The selected candidate must reside in South Carolina and be able to travel to Columbia, SC, for occasional meetings and events. The position responds to external information requests needed for regulatory filings, manages compliance reporting and inquiries from state and federal agencies, and leads ethics and compliance projects or implementations. It reviews and synthesizes regulatory requirements, develops policy or position statements, supports code of conduct attestation and remediation, and communicates requirements to internal and external clients. The analyst provides guidance on compliance policies, procedures, and work instructions; assists with identifying, analyzing, and resolving compliance issues; maintains regulatory documentation; and supports compliance training. The role also performs periodic audits, risk assessments, and monitoring activities, helps health plans manage regulatory relationships and resolve policy issues, and may assist with interim health plan compliance officer responsibilities. It coordinates implementation of Compliance Committee policy and serves as a company-wide resource on policies, contract matters, communications, workflow, and quality improvement initiatives.

Requirements

Bachelor’s degree in a related legal field or equivalent experience.
At least 3 years of related experience in compliance privacy and/or regulatory affairs.
Project management experience.
Working knowledge of laws and/or regulations in compliance, particularly HIPAA and state regulations.
Must reside in South Carolina and be able to travel to Columbia, SC, for occasional meetings and events.

Nice To Haves

Master’s degree or Juris Doctorate degree; may be considered in lieu of experience.

Responsibilities

Respond to external requests for information required for regulatory filings.
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 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 with identifying, implementing, and maintaining compliance policies, procedures, and work instructions.
Assist in identifying, analyzing, and resolving compliance issues.
Maintain and review regulatory documentation necessary to maintain corporate standards.
Assist in developing, producing, and conducting compliance training programs.
Perform periodic compliance audits and risk assessments, and conduct ongoing compliance monitoring activities.
Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues that may negatively affect member services.
Assist management with interim health plan compliance officer responsibilities.
Plan, direct, and coordinate 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 improvement initiatives.