Centene Corporation
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting • Network Development • Managed Care
Medicare Sales Compliance Specialist
March 26
🐊 Florida – Remote
🌪️ Kansas – Remote
+1 more states
💵 $55.1k - $99k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🚔 Compliance
Centene Corporation
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting • Network Development • Managed Care
📋 Description
• Supports the Medicare Sales Compliance team in managing regulatory requirements • Consults on sales compliance topics and audits of Medicare sales activities • Participates in oversight, analysis, review, and approval of third-party beneficiary-facing Medicare materials • Performs comprehensive regulatory analyses including review and dissemination of regulatory updates • Provides regulatory support and advice to business owners as new regulations emerge • Partners with business areas to ensure processes comply with CMS requirements • Performs routine audits of various sales activities • Reviews marketing materials for adherence to regulatory requirements • Monitors and reports on project status to management • Coordinates filing of regulatory forms and reports • Assists other departments in understanding and complying with regulatory requirements • Performs special projects as assigned
🎯 Requirements
• Bachelor’s degree in Health Administration, related field, or equivalent experience required • 3+ years of experience in Managed Care/Health Insurance/Public Health/Health Care Administration/ Medicare Part D or related field required • Some experience in State or Federal managed care compliance required
🏖️ 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
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