Senior Manager, Enterprise Compliance Corrections
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Montana • United States
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Salary
💰 $87,700 - $157,800 per year
Job Level
About the role
- Lead a team within Compliance Corrections responsible for the remediation and reporting activities to ensure successful resolution of identified non-compliance with Medicaid, Medicare, Marketplace, and Commercial regulatory requirements, contractual obligations and Company policies and procedures.
- Supports the internal and external corrective action plan lifecycle and related reporting.
- Partners with Product Compliance teams, Shared Services leadership, and market leaders to ensure successful and timely remediation of identified compliance issues.
- Lead and manage the assessment, and prioritization of non-compliance issues referred to the Corrections team.
- Oversee the execution and continuous improvement of the Corrections Compliance program, ensuring alignment with organizational standards.
- Provide regular updates on program performance to senior management and key stakeholders.
- Recruit, supervise, and develop team members in support of the organization’s mission and culture.
- Identify and recommend strategic improvements that significantly impact organizational goals and performance.
- Respond to inquiries from internal stakeholders and leadership regarding compliance matters.
- Offer expert guidance to departments on non-compliance issues and the progress of remediation efforts.
- Influence management to enhance performance and support leadership in achieving organizational objectives.
- Foster trusted, collaborative relationships with leadership to ensure active engagement in the Corrections process.
- Serve as the designated point of contact in the absence of the Senior Director of Compliance Corrections.
- 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 preferred
- Juris Doctor (JD) preferred
- 5+ years Compliance experience, preferably in a healthcare environment required
- 3+ years Medicaid, Medicare or Commercial Managed Care experience preferred
- 2+ years Supervisory or management experience required
- Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed 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 & Tools
ComplianceRemediationReportingCorrective action planAssessmentPrioritizationContinuous improvementProgram performanceStrategic improvementsInteraction with regulatory agencies
Soft Skills
LeadershipTeam developmentCollaborationInfluencingCommunicationProblem-solvingRelationship buildingEngagementSupervisionOrganizational skills
Certifications
Bachelor's DegreeMaster's DegreeJuris Doctor (JD)