Senior Compliance Analyst - Marketplace Compliance

Centene Corporation•Remote-MO, MO

18h•$70,100 - $126,200•Remote

About The Position

The Senior Compliance Analyst assists 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. Applicants may work remotely from anywhere in the continental United States. The position responds to external requests for information needed for regulatory filings; manages compliance reporting and inquiries from state and federal regulatory agencies; and manages ethics and compliance projects or implementations. It reviews and synthesizes regulatory requirements into policies or position statements, supports the annual code of conduct attestation and remediation process, and communicates state and federal requirements to internal and external clients. The analyst provides guidance on developing, implementing, and maintaining compliance policies, procedures, and work instructions; helps identify, analyze, and resolve compliance issues; and maintains and reviews regulatory documentation. The role also supports the development and delivery of compliance training, conducts periodic audits and risk assessments, and performs ongoing compliance monitoring. It assists health plans with regulatory-agency relationships and policy issues that may affect member services, provides interim health plan compliance officer support to management, coordinates implementation of Compliance Committee policy, and serves as a company-wide resource on policies, contract matters, communications, workflows, 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 regulations in the area of compliance, particularly HIPAA and state regulations.

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 policies or position statements.
Assist with annual code of conduct attestation and remediation.
Communicate state and federal requirements to internal and external clients.
Provide development guidance and assist in 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 resolving 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.