Senior Manager, Enterprise Compliance Corrections

Centene Corporation•Remote-MO, MO

7d•$87,700 - $157,800•Remote

About The Position

Centene is seeking a Senior Manager, Enterprise Compliance Corrections to lead a team responsible for the remediation and reporting activities to ensure successful resolution of identified non-compliance with Medicaid, Medicare, Marketplace, and Commercial regulatory requirements, contractual obligations and Company policies and procedures. This role supports the internal and external corrective action plan lifecycle and related reporting. The Senior Manager will partner with Product Compliance teams, Shared Services leadership, and market leaders to ensure successful and timely remediation of identified compliance issues. The role involves leading and managing the assessment and prioritization of non-compliance issues, overseeing the execution and continuous improvement of the Corrections Compliance program, and providing regular updates on program performance to senior management and key stakeholders. Additionally, the Senior Manager will recruit, supervise, and develop team members, identify strategic improvements, respond to inquiries, offer expert guidance, influence management, foster collaborative relationships, and serve as the designated point of contact in the absence of the Senior Director of Compliance Corrections. The position also includes performing other duties as assigned and complying with all policies and standards.

Requirements

Bachelor's Degree Business Administration, Public Policy, Public Health, or Health Administration or related field; or equivalent experience required
5+ years Compliance experience, preferably in a healthcare environment required
2+ years Supervisory or management experience required

Nice To Haves

Master's Degree Business Administration, Public Policy, Public Health, or Health Administration preferred
Juris Doctor (JD) preferred
3+ years Medicaid, Medicare or Commercial Managed Care experience preferred
Previous experience demonstrating effective interaction with federal and state regulatory agencies in a manage care or insurance environment preferred.

Responsibilities

Lead a team within Compliance Corrections responsible for the remediation and reporting activities to ensure successful resolution of identified non-compliance with Medicaid, Medicare, Marketplace, and Commercial regulatory requirements, contractual obligations and Company policies and procedures.
Supports the internal and external corrective action plan lifecycle and related reporting.
Partners with Product Compliance teams, Shared Services leadership, and market leaders to ensure successful and timely remediation of identified compliance issues.
Lead and manage the assessment, and prioritization of non-compliance issues referred to the Corrections team.
Oversee the execution and continuous improvement of the Corrections Compliance program, ensuring alignment with organizational standards.
Provide regular updates on program performance to senior management and key stakeholders.
Recruit, supervise, and develop team members in support of the organization’s mission and culture.
Identify and recommend strategic improvements that significantly impact organizational goals and performance.
Respond to inquiries from internal stakeholders and leadership regarding compliance matters.
Offer expert guidance to departments on non-compliance issues and the progress of remediation efforts.
Influence management to enhance performance and support leadership in achieving organizational objectives.
Foster trusted, collaborative relationships with leadership to ensure active engagement in the Corrections process.
Serve as the designated point of contact in the absence of the Senior Director of Compliance Corrections.
Performs other duties as assigned.
Complies with all policies and standards.