Manager, Enterprise Compliance Corrections
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • Montana • 🇺🇸 United States
Visit company websiteSalary
💰 $86,000 - $154,700 per year
Job Level
Mid-LevelSenior
About the role
- Manages team within the Compliance Corrections department responsible for remediation of non-compliance issues with Medicaid, Medicare, Marketplace, and Commercial regulatory requirements, contractual obligations, and Company policies and procedures.
- Supports data integrity and reporting related to the internal and external corrective action plan lifecycle.
- Ensures data quality, interprets non-compliance trends, and develops Corrections reporting methodology in conjunction with Compliance leadership.
- Develops policies, procedures, and process to comply with federal program regulations, and any applicable state regulations.
- Develops reports and deliverables and make recommendations to management.
- Identifies recommendations that have a significant impact on organization goals and objectives.
- Appropriately influences management to improve performance and assist leadership in meeting organization goals.
- Assists management in driving business decisions based on data.
- Manages compliance reporting responsibilities and respond to inquiries from stakeholders and leaders within the organization.
- Assists in the identification, analysis, and resolution of compliance issues.
- Communicates program status to management and key stakeholders.
- Maintains trusted, collaborative relationships with leadership to promote an appropriate level of engagement in the Corrections process.
- Hires, manages, and develops direct reports that supports the organization mission.
- Performs other duties as assigned.
- Complies with all policies and standards.
Requirements
- Bachelor's Degree in Business Administration, Public Policy, Public Health, or Health Administration or related field; or equivalent experience required
- Master's Degree in Business Administration, Public Policy, Public Health, or Health Administration or related field preferred
- 4+ years Compliance experience, preferable in healthcare environment required
- 1+ years Medicaid, Medicare or Commercial Managed Care experience required
- 2+ years Supervisory or management experience preferred
- Previous experience demonstrating effective interaction with federal and state regulatory agencies in a manage care or insurance environment 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
data integrityreportingcompliance reportingpolicy developmentprocess developmentdata analysiscorrective action plannon-compliance trend interpretationrecommendation developmentbusiness decision support
Soft skills
influencing managementcollaborative relationshipscommunicationteam managementleadershiporganizational skillsstakeholder engagementproblem-solvinginterpersonal skillsperformance improvement