[Hiring] Director, Compliance Program Administration @Centene Corporation

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description 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. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. • Conduct compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with local, state and regulatory requirements. • Represent the key leadership position for compliance at the health plan, oversee communication, coordinate policy development and ensure accurate and timely communication to all departments. • Investigate instances of suspected fraud within the health plan and report to appropriate management and regulatory entities. • Assist management with enforcement and discipline in appropriate instances of non-compliance. • Regularly inform health plan’s Board of Directors of the status of and activities pertaining to compliance. • Perform other duties as assigned. • Comply with all policies and standards. Qualifications • Bachelor’s degree in related field or equivalent experience. • 5+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits. • 2+ years experience in the development of compliance and fraud programs. • 2 years experience with overseeing implementation of contract requirements. • Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Requirements • 7+ years experience preferred in Compliance/ERM. 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 Apply tot his job