Compliance Officer
Centene Corporation
full-time
Posted on:
Location Type: Hybrid
Location: Remote-IL • Illinois • 🇺🇸 United States
Visit company websiteSalary
💰 $145,100 - $268,800 per year
Job Level
SeniorLead
About the role
- Oversee all compliance functions for the Illinois health plan including communication and coordination of policy development
- Oversee the accurate and timely submission of over-contact deliverables for all lines of business and service delivery areas
- Oversee the accurate and timely submission of all CMS Medicare SNP requirements
- Serve as senior leadership and single point of contact in all State compliance meetings and interactions
- Manage direct correspondence and daily interaction with all state regulators
- Serve as senior leadership in all Department of Insurance and HHSC audit processes
- Managing all facets of the audit and communications
- Serve as senior leadership in Enterprise Risk Management process
- Conduct internal compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with federal, state and local regulatory requirements
- Accountable for the management and oversight of compliance for all health plan material subcontractors to include directing the performance of annual oversight
Requirements
- Bachelor’s degree in related field
- Master's degree preferred
- 7+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits
- 5-7 years of experience with health care regulatory agencies in development of compliance and fraud programs
- 5+ years experience with overseeing implementation of contract requirements
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
compliance program managementcontract managementinternal auditscorrective action plansregulatory compliancefraud program developmentoversight of contract requirementsaudit processesEnterprise Risk Managementpolicy development
Soft skills
leadershipcommunicationcoordinationinterpersonal skillsorganizational skills
Certifications
Bachelor's degreeMaster's degree