Centene Corporation

Senior Compliance Administrator – Corrective Action Plans

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

Senior

About the role

  • A member of the Compliance Corrections team responsible for the remediation and reporting activities to ensure successful resolution of identified non-compliance with 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.
  • Collaborates with compliance and business stakeholders to ensure adequate root cause analysis and development of corrective actions plans to effectively address non-compliance.
  • Reviews and oversees progress towards remediation and documented key milestones in GRC tool.
  • Identifies issues that require escalation and ensures they are addressed timely through established paths and processes.
  • Conducts review of evidence to address root cause of issue and facilitate timely closure of issues.
  • Facilitates escalation of barriers identified by other Corrections staff.
  • Develops, implements and continually refines corrections reporting that provides meaningful trend analysis for business stakeholders and senior leadership on new, in progress and closed issues as well as regulatory sanctions.
  • Supports management in the development and maintenance of corrections processes and tools designed to effectively remediate compliance issues in a timely manner, ensure timely escalation and sustainable resolutions.
  • Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance to meet the requirements of Government-sponsored health care programs.
  • Performs other duties as assigned.
  • Complies with all policies and standards

Requirements

  • Bachelor's Degree Healthcare Administration, Compliance or related field required
  • 4+ years Compliance and/or regulatory experience in a health care and/or managed care setting/organization required
  • Previous experience as a lead in a functional area, managing cross functional teams on large scale projects required
  • Excellent Microsoft Office skills and experience with data analytics preferred
  • Certified in HealthCare Compliance (CHC) preferred
  • Certified Compliance & Ethics Professional (CCEP) 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
data analyticsroot cause analysiscorrective action plansremediationregulatory compliancetrend analysisreporting
Soft Skills
collaborationcommunicationleadershipproblem-solvingorganizational skills
Certifications
Certified in HealthCare Compliance (CHC)Certified Compliance & Ethics Professional (CCEP)