Senior Compliance Analyst

About the Role

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. This position allows remote work from anywhere in the Continental United States, though it is strongly preferred that the selected candidate reside in Ohio. Occasional travel to the Ohio office will be required.

Position Purpose

Assist in maintaining Centene Corporation’s Compliance Program. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies. Respond to external requests for information required by the organization for its regulatory filings.

Responsibilities

• Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies.
• Manage ethics and compliance projects or implementations.
• Review and synthesize regulatory requirements and create policy and/or position statements.
• Assist in managing annual code of conduct attestation and remediation.
• Communicate state and federal requirements to internal and external clients.
• Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures, and work instructions.
• Assist in the identification, analysis, and resolution of compliance issues.
• Maintain and review regulatory documentation necessary to maintain corporate standards.
• Assist in developing, producing, and conducting compliance training programs.
• Perform periodic compliance audits, risk assessments, and ongoing compliance monitoring activities.
• Assist health plans in managing relationships with regulatory agencies and resolve policy issues that may negatively impact service to members.
• Assist management with interim health plan compliance officer responsibilities.
• Plan, direct, and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed.
• Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvement initiatives.

Qualifications

• Bachelor’s degree in a related legal field or equivalent experience.
• Master’s or Juris Doctorate degree preferred and may be considered in lieu of experience.
• 3+ years of related experience in compliance, privacy, and/or regulatory affairs.
• Experience in project management with working knowledge of laws and/or regulations in the area of compliance, particularly HIPAA and state regulations.

Pay

Pay Range: $70,100.00 - $126,200.00 per year. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives.

Benefits

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field, or office work schedules. Benefits may be subject to program eligibility.