Senior Compliance Analyst

4 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. • Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies. • Respond to external requests for information required by the organization for its regulatory filings. • Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies. • Manage ethics and compliance projects or implementations. • Review and synthesize regulatory requirements and create policy and/or position statements. • Assist in managing annual code of conduct attestation and remediation. • Communicate state and federal requirements to internal and external clients. • Provide development guidance and assist 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 review 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 to 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. • Assist management with interim health plan compliance officer responsibilities. • 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.

Requirements

• Bachelor’s degree in related legal field or equivalent experience. • Master’s or Juris Doctorate degree preferred and maybe considered in lieu of experience. • 3+ years of related experience in compliance privacy and/or regulatory affairs. • Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular HIPAA, and state regulations. • Experience with research and interpretation of healthcare (pharmacy benefits and pharmacy practice) contract, policies, laws, regulations, regulatory guidance and accreditation standards strongly preferred. • Experience translating complex legislation, rules and regulations for business unit partners strongly preferred.

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.