Manager, Ethics & Compliance - Financial Examinations
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 role have the flexibility to work remotely anywhere in the Continental United States.
Position Purpose: Manage and implement strategies to ensure successful responses to inquiries from state insurance financial examiners across the entire company
• Work with internal and external stakeholders to establish relationships and ensure timely responses to examination requests.
• Serve as a subject matter expert within the External Audit team on financial examinations. Maintain archive of prior examination responses and company contacts that can be readily retrieved and updated.
• Develop, implement and maintain production and quality standards for the compliance program with a focus on financial examinations conducted by state departments of insurance.
• Manage analysts tracking multiple examinations and audits across all of Centene’s licensed insurers, ensuring deliverables are received internally and sent to the examiners timely and accurately.
• Evaluate and implement changes to team functions and performance in relation to company mission, philosophy objectives and policies.
• Plan, direct and coordinate the implementation of policy decisions and ensure compliance with the company’s strategic plan, establish the team’s strategic vision, objectives and attendant policies and procedures.
• Implement best practices into operations and ensure that department functions are coordinated with other operating departments.
Education/Experience:
• Bachelors’ degree in related field or equivalent experience. Master's or Juris Doctorate degree preferred.
• 4+ years of compliance experience, preferably in a healthcare environment with at least 2+ years of Medicaid, Medicare or Commercial Managed Care experience.
• Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment preferred.
• Prior experience with financial examinations conducted by state departments of insurance and familiarity with National Association of Insurance Commissioners standards and procedures for financial examinations preferred, obtained either by experience in the insurance industry or as a state insurance regulator.
Pay Range: $87,700.00 - $157,800.00 per year
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. 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 may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Apply Now
Apply Now
Applicants for this role have the flexibility to work remotely anywhere in the Continental United States.
Position Purpose: Manage and implement strategies to ensure successful responses to inquiries from state insurance financial examiners across the entire company
• Work with internal and external stakeholders to establish relationships and ensure timely responses to examination requests.
• Serve as a subject matter expert within the External Audit team on financial examinations. Maintain archive of prior examination responses and company contacts that can be readily retrieved and updated.
• Develop, implement and maintain production and quality standards for the compliance program with a focus on financial examinations conducted by state departments of insurance.
• Manage analysts tracking multiple examinations and audits across all of Centene’s licensed insurers, ensuring deliverables are received internally and sent to the examiners timely and accurately.
• Evaluate and implement changes to team functions and performance in relation to company mission, philosophy objectives and policies.
• Plan, direct and coordinate the implementation of policy decisions and ensure compliance with the company’s strategic plan, establish the team’s strategic vision, objectives and attendant policies and procedures.
• Implement best practices into operations and ensure that department functions are coordinated with other operating departments.
Education/Experience:
• Bachelors’ degree in related field or equivalent experience. Master's or Juris Doctorate degree preferred.
• 4+ years of compliance experience, preferably in a healthcare environment with at least 2+ years of Medicaid, Medicare or Commercial Managed Care experience.
• Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment preferred.
• Prior experience with financial examinations conducted by state departments of insurance and familiarity with National Association of Insurance Commissioners standards and procedures for financial examinations preferred, obtained either by experience in the insurance industry or as a state insurance regulator.
Pay Range: $87,700.00 - $157,800.00 per year
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. 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 may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Apply Now
Apply Now