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
Senior Compliance Specialist - Medicare
March 26
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
• Participates in corrections process for the Medicare line of business. • Responsibilities include intaking and triaging suspected issues of non-compliance. • Collaborates with compliance and business stakeholders to develop corrective action plans. • Reviews and oversees progress towards remediation and documented key milestones. • Conducts review of evidence to address root cause of issue and facilitate timely closure.
🎯 Requirements
• Bachelor's Degree Healthcare or related field • 5+ years experience in Managed Care/Health Insurance or related experience required • Excellent Microsoft Office skills and experience with data analytics preferred • Certified in HealthCare Compliance (CHC) preferred • Certified Compliance & Ethics Professional (CCEP) preferred
🏖️ Benefits
• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work
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