Senior Manager, Ethics & Compliance
Remote-MO, United States
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: Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company.
- Monitor federal regulations, executive action, agency rulemaking, and other regulatory guidance and prepare regular updates, white papers, executive level reporting on impactful regulatory actions.
- Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures
- Work in collaboration with Policy, Government Relations, Legal and other key departments to assess and analyze impact regulations and guidance.
- Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language.
- Provide mentoring and guidance to subordinates within the department as necessary.
- Serve as primary backup to department lead as necessary.
Knowledge/Experience:
- Bachelors’ degree in related field or equivalent experience. Master's or Juris Doctorate degree preferred.
- 5+ years of compliance experience, preferably in a healthcare environment with at least 3+ years of Medicaid, Medicare or Commercial Managed Care experience.
- Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment preferred.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Job Profile
Holidays MO Must be located in the continental United States
Benefits/Perks401(k) Competitive benefits Competitive pay Comprehensive benefits Comprehensive benefits package Flexible approach Flexible work schedules Health insurance Holidays Paid Time Off Stock purchase Stock purchase plans Tuition reimbursement Workplace flexibility
Tasks- Analyze
- Collaborate with departments
- Collaboration
- Compliance
- Manage compliance programs
- Monitor regulations
- Prepare updates and reports
- Provide guidance
- Provide guidance and mentoring
- Reporting
Access Benefits Collaboration Compliance Compliance requirements Education Flexibility Government relations Healthcare Healthcare Compliance Health Insurance Implementation Insurance Managed Care Managed care experience Medicaid Medicare Mentoring Regulatory Regulatory Analysis Regulatory Guidance Regulatory requirements Reporting
Experience5 years
EducationAS Bachelor's degree Doctorate Education Equivalent Equivalent experience Healthcare Insurance Juris Doctorate Master's Master's degree Related Field
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9