Senior Manager, Ethics & Compliance – Internal Audit
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Montana • United States
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Salary
💰 $107,700 - $199,300 per year
Job Level
About the role
- Manage and implement strategies to ensure successful maintenance and implementation of compliance programs
- Ensure all Medicare and Medicaid product and services are being tested for compliance with program regulations
- Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures
- Develop policies, procedures, and process to comply with federal program regulations
- Provide guidance to various departments regarding compliance issues
- Conduct compliance audits, develop and implement corrective action plans
- Perform plan risk assessments and report emerging trends, deficiencies and variances
- Provide required Ethics, Compliance, Risk Management, FWA, privacy, and security training
Requirements
- Bachelors’ degree in related field or equivalent experience
- Master's or Juris Doctorate degree preferred
- 5+ years of compliance experience, preferably in a healthcare environment
- at least 3+ years of Medicaid, Medicare or Commercial Managed Care experience
- Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment preferred.
- Corporate: Bachelors’ degree, CPA, CISA, JD, MHA, MBA, MIS, or similar preferred or equivalent experience.
- 5+ years of experience implementing business initiatives in process, risk, and control measures
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 & Tools
compliance programscompliance auditsrisk assessmentscorrective action planspolicy developmentprocedure developmentprocess implementationMedicaid experienceMedicare experiencemanaged care experience
Soft Skills
guidanceeffective interactioncommunicationorganizational skillsproblem-solving
Certifications
CPACISAJDMHAMBAMIS