Compliance Analyst – Marketplace
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Florida • Montana • United States
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Salary
💰 $56,200 - $101,000 per year
Job Level
About the role
- Assist in maintaining Centene Corporation's Compliance Program
- Guide special projects
- Provide regulatory interpretation
- Perform compliance reporting
- Develop and implement compliance auditing and monitoring strategies
- Respond to external requests for information required by the organization for its regulatory filings
- Respond to inquiries from state and federal regulatory agencies
- Monitor pending legislation and regulations affecting Centene Corporation services
- Maintain database and other reference materials related to legislative and regulatory issues and compliance
- Communicate state and federal requirements to internal and external clients
- Provide development guidance and assists in the identification, implementation, and maintenance of compliance policies, procedures and work instructions
- Assist in the identification, analysis, and resolution of compliance issues
- Maintain and reviews regulatory documentation necessary to maintain corporate standards
- Assist in developing, producing and conducting compliance training programs
- Perform periodic compliance audits, risk assessments and conducts related ongoing compliance monitoring activities
- Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members
- Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed
- Serve as a company wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives
- Performs other duties as assigned
- Complies with all policies and standards
Requirements
- Bachelor’s degree in related field or equivalent experience
- Master's or Juris Doctorate degree preferred and may be considered in lieu of experience
- 1+ years of related experience in compliance, privacy and/or regulatory affairs
- Working knowledge of laws and/or regulations in area of compliance; in particular HIPAA, and state regulations
Benefits
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Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
compliance auditingcompliance reportingregulatory interpretationrisk assessmentscompliance monitoringpolicy developmentcompliance trainingdatabase managementlegislative analysisregulatory documentation
Soft Skills
communicationproblem-solvingproject managementinterpersonal skillsorganizational skillsanalytical skillsleadershipcollaborationattention to detailadaptability
Certifications
Bachelor's degreeMaster's degreeJuris Doctorate