Job Description
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Assist in maintaining Centene Corporation’s Compliance Program. Responsibilities include: • Provide regulatory interpretation and perform compliance reporting • Lead special projects and develop compliance auditing and monitoring strategies • Respond to external requests for information required by the organization for its 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 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 • 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 conduct ongoing compliance monitoring activities • Assist health plans in managing relationships with regulatory agencies and resolve policy issues impacting service to members • 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, communications, workflow, and quality improvement initiatives Qualifications • Bachelor’s degree in related legal field or equivalent experience • Master’s or Juris Doctorate degree preferred and may be considered in lieu of 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 compliance, particularly HIPAA and state regulations • External Audit experience strongly preferred Requirements • Flexibility to work remote from home anywhere in the Continental United States Benefits • Competitive pay • Health insurance • 401K and stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field, or office work schedules Apply tot his job