Senior Compliance and Vendor Management Oversight Specialist
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Montana • United States
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Salary
💰 $70,100 - $126,200 per year
Job Level
About the role
- Leads the integrity and governance of Centene's and/or its vendors corporate ethics and compliance program
- ongoing oversight and analysis of regulatory compliance practices
- Collaborates with internal teams and external vendors or subcontractors to promote contract compliance and uphold program integrity
- Oversee the management of the entire contract lifecycle, from drafting to finalization
- Conducts reviews, audits, and assessments of vendor relationships to ensure adherence to Centene and Government-sponsored health care program Requirements.
- Collaborates with business owners and vendors to drive process improvements
- Leads the timely, consistent, and accurate communication of state and federal regulatory updates impacting Medicaid and Marketplace regulatory filings
- Prepares, organizes, and packages subcontractor files for approval/notification
- Develop clear, accurate and timely written reports detailing oversight and monitoring findings and recommendations
- Ensures all supporting documentation and workpapers meet Centene and department standards
- Partners with internal departments and subcontractors to route compliance concerns to the appropriate channels for investigation and resolution
- Supports regulatory notifications and documentation of approvals/notifications
Requirements
- Bachelor's Degree in related field; or, equivalent experience required
- Master's Degree preferred
- Juris Doctor (JD) preferred
- 4+ years Managed Care/Health Insurance and knowledge of relevant legal and regulatory frameworks required
- 2+ years Project oversight with demonstrated ability to drive implementation and influence others preferred
- 2+ years Reading, analyzing, and interpreting State and Federal laws, rules and regulations preferred
- 2+ years State Medicaid or government sponsored healthcare compliance preferred
- HealthCare Compliance (CHC) 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 compliancecontract managementauditingprocess improvementreport writingdata analysisvendor managementhealthcare complianceproject oversightlegal analysis
Soft skills
leadershipcommunicationcollaborationorganizational skillsproblem-solvinginfluenceattention to detailtimelinessadaptabilitycritical thinking
Certifications
Certified in Healthcare Compliance (CHC)