IT Governance, Risk and Compliance Analyst
American Red Cross
CloudCyber SecurityServiceNow
Compliance Analyst – Program Integrity
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • Montana • 🇺🇸 United States
Visit company websiteSalary
💰 $55,100 - $99,000 per year
Job Level
JuniorMid-Level
About the role
- Maintain compliance with program integrity related regulatory laws and standards
- Support Program Integrity in maintaining compliance with all regulatory laws and standards
- Prepare and timely file annual and renewal program integrity filings
- Review and analyze state program integrity, including fraud, waste and abuse detection, investigation and prevention requirements
- Review reports for program integrity related regulatory requirements
- Assist with maintaining program integrity related policies & procedures
- Maintain databases relating to federal and state program integrity requirements
- Assist with facilitation of education of employees regarding program integrity
- Assist in audits of organization for regulatory oversight
Requirements
- Bachelor’s degree in Business, Public Health, Health Care Administration, related field or equivalent experience
- 2+ years in a regulatory, compliance or legal role, preferably in healthcare or in a government agency
- Certified Professional Coder (CPC) or other Compliance related certificates or credentials 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
regulatory compliancefraud detectionwaste preventionabuse preventionpolicy developmentdata analysisfiling proceduresaudit facilitationdatabase management
Soft skills
communicationorganizational skillsattention to detailproblem-solvingteam collaboration
Certifications
Certified Professional Coder (CPC)compliance certifications
