Director, Compliance & Risk Processes – Initiatives
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Montana • United States
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Job Level
About the role
- Develops and implements strategies to ensure successful maintenance and implementation of compliance and risk programs that meet regulatory requirements for assigned products across the enterprise
- Champions cross-functional collaboration by working closely with Risk & Compliance teams, business units, legal, IT, and operational leaders
- Oversees the review and periodic update of compliance process documentation to reflect evolving regulatory requirements and organizational priorities
- Coordinates with the GRC Administration team, Compliance Systems & Reporting to translate business needs into actionable technology requirements
- Serves as the principal liaison between business/process stakeholders, GRC Administration team, and technology teams
- Architects and implements governance structures for the GRC application
- Designs and maintains robust standards and criteria for business cases submitted to the governance committee
- Develops a framework to evaluate and interpret data outputs and reporting generated from activities recorded in the GRC tool
- Champions other strategic initiatives as assigned supporting Risk & Compliance Programs
- Complies with all policies and standards
Requirements
- Bachelor's Degree Business Administration or related field; or equivalent experience required
- 7+ years Compliance program management and contract experience with state Medicaid, Medicare or commercial programs, including internal and state audits required
- Working with healthcare regulatory agencies to develop compliance and fraud prevention programs preferred
- Overseeing the implementation of federal and state insurance or program requirement preferred
- Utilization of various Governance, Risk, and Compliance applications 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
compliance program managementcontract managementdata evaluationrisk managementgovernance structuresprocess documentationfraud prevention programsaudit managementregulatory compliancebusiness case development
Soft Skills
cross-functional collaborationcommunicationleadershiporganizational skillsstrategic thinkingliaison skillsproblem-solvingadaptabilitystakeholder managementteamwork