Compliance Officer, Washington

About the role

Ensure regulatory compliance with Washington state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries.

Responsibilities

• Candidates must reside in the state of Washington and be willing to travel throughout the state as needed.
• Ensure Washington health plan and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements.
• Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.
• Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards.
• Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA.
• Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language.
• Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors.
• Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives.
• Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact.
• Represent senior management at various committees, meetings, and seminars.
• Performs other duties as assigned.
• Comply with all policies and standards.

Requirements

• Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field required.
• Master's Degree or Law degree preferred.
• 8+ years of compliance program management and contract experience required.