remote Full-time

Centene Management Company LLC is hiring a Director, Enterprise Compliance Corrections

About the Role

Centene is hiring a Director of Enterprise Compliance Corrections to lead teams responsible for resolving regulatory non-compliance. This role manages remediation and reporting activities to address issues related to Medicaid, Medicare, Marketplace, and Commercial requirements, contractual obligations, and company policies.

What You'll Do

  • Support the remediation of compliance issues across all Centene lines of business.
  • Facilitate collaboration between compliance and business stakeholders to ensure timely completion of corrective action plans.
  • Assist in developing Board and Senior Management reporting on key metrics and Corrections team activities.
  • Coordinate oversight of corrective action plans for remediation of internally and externally identified deficiencies.
  • Employ corrections definitions, processes, and tools to ensure timely and sustainable resolution of compliance issues.
  • Manage and develop direct reports, including other supervisory personnel and/or exempt individual contributors.
  • Educate, encourage, and assist those within the company to maintain integrity through correction of identified non-compliance.
  • Participate in mock and actual CMS audits and coordinate responses to agency inquiries.
  • Oversee internal and external processes to ensure the Company maintains a consistent state of CMS Program Audit readiness.
  • Maintain a current working knowledge of laws, regulations, and industry guidance impacting the health industry.
  • Perform other duties as assigned.
  • Comply with all policies and standards.

What We're Looking For

  • Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, a related field, or equivalent experience.
  • 5+ years of experience in compliance for a managed care or health insurance company.

Nice to Have

  • Master's Degree in Business Administration, Public Policy, Public Health, Health Administration, or a related field.
  • 4+ years of management experience.
  • 7+ years of relevant experience.
  • HCCA certification (CHC) or equivalent.

Team & Environment

You will manage teams within the Compliance Corrections department. Your direct reports will include other supervisory personnel and/or exempt individual contributors.

Benefits & Compensation

  • 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.
  • Salary range: $118,400.00 - $219,000.00 per year.

Work Mode

This is a remote position open to candidates in the Continental United States.

Centene is committed to transforming the health of our communities, one person at a time.

Required Skills
complianceregulatory affairsrisk managementleadershipstrategypolicy developmentauditcommunicationproject managementteam managementanalytical skillsproblem solvinghealthcare industryMedicareMedicaid
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About company
Centene Management Company LLC

A diversified, national organization providing healthcare services to 28 million members.

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Job Details
Category management
Posted a month ago