Compliance Analyst - Managed Care

November 5

Apply Now

Receive Emails with Similar Jobs

Centene Corporation

WebsiteLinkedInAll Job Openings

Contracting • Network Development • Managed Care

10,000+

Description

• Assist in maintaining Centene Corporation’s Compliance Program • Guide special projects • Provide regulatory interpretation • Perform compliance reporting • Develop and implement compliance auditing and monitoring strategies • Responsible for consulting with business units • Doing regulatory research • Addressing identified non-compliance • Executing on our Auditing and Monitoring Plan • Oversight of Iowa Total Care business units • Monitor pending legislation and regulations affecting Centene Corporation services • Maintain database and other reference materials related to legislative and regulatory issues and compliance • Communicate state and federal requirements to internal and external clients • Provide development guidance and assists 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 reviews regulatory documentation necessary to maintain corporate standards • Assist in developing, producing and conducting compliance training programs • Perform periodic compliance audits, risk assessments and conducts related ongoing compliance monitoring activities • Assist health plans in managing relationships with regulatory agencies

Requirements

• Bachelor’s degree in related field or equivalent experience • Master's or Juris Doctorate degree preferred and may be considered in lieu of experience • 1+ years of related experience in compliance, privacy and/or regulatory affairs • Working knowledge of laws and/or regulations in area of compliance; in particular HIPAA, and state regulations

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