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
Regulatory Operations Filing Analyst
4 days ago
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
• Responsible for the timely, consistent, and accurate communication of state and federal regulatory updates related to regulatory filing • Prepares, organizes, and submits the annual QHP and Off-Exchange product filings for assigned states • Monitors regulatory guidance and requirements affecting Centene’s commercial products • Analyzes, interprets, summarizes and distributes regulatory filing guidance to impacted cross-functional departments • Provides guidance to business to help them understand regulatory filing requirements and timelines • Executes timely and accurate formal regulatory filings, including annual QHP and off-exchange product filings • Acts as the primary contact between Regulators and the company • Manages relationship with regulatory agencies related to commercial filings • Leads responses to DOI objections and CMS correction communications • Partners closely with health plans in managing regulatory agency relationships • Conducts assigned special projects and maintains multiple critical trackers related to filing work • Performs regulatory filing research to aid in the development of new products and initiatives • Creates and maintains a deliverables chart for state specific filings • Audits trackers and deliverables for assigned states to ensure consistency and quality
🎯 Requirements
• Bachelor's Degree in Business, Communications, Healthcare, Political Science/Pre-Law or equivalent experience required • 3+ years Regulatory experience, including product regulatory filings (CMS and/or State DOI) • Experience in commercial health insurance 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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