Compliance Analyst

6 days ago

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Centene Corporation

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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 • Respond to external requests for information required by the organization for its regulatory filings • Respond to inquiries from state and federal regulatory agencies • 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 and seek to resolve policy issues which may negatively impact service to members • 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 and provisions, communications, workflow, and quality improvements initiatives • Performs other duties as assigned

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 • 1+ years experience reading and providing regulatory and contractual interpretation strongly preferred • 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