Compliance Specialist

Posted 2 Days Ago
Be an Early Applicant
Hiring Remotely in CA
Remote
67K-121K Annually
Senior level
Healthtech
The Role
The Compliance Specialist will ensure adherence to contractual and regulatory requirements, act as a compliance resource, and oversee health plan policies. Responsibilities include conducting audits, developing compliance policies, and coordinating compliance projects in the government relations area.
Summary Generated by Built In

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 will allow for remote work flexibility, but selected candidate will need to be local to California to attend meetings at the Woodland Hills location as needed.

Position Purpose: Ensure compliance with contractual requirements and federal and state government reporting and regulations. Maintain government relations for compliance activities.

  • Ensure compliance with contract provisions with various agencies and applicable State and Federal laws.
  • Serve as compliance resource for day–to-day processes.
  • Analyze and determine the best course of action for each inquiry/problem.
  • Act as primary contact for initiating and coordinating compliance projects.
  • Develop and update plan policies and procedures to ensure compliance with federal and state requirements.
  • Conduct periodic assessments and audits to ensure compliance with contractual and regulatory requirements and timeliness of submission.
  • Oversee the day-to-day health plan policies and procedures to ensure federal and state regulatory compliance.

Education/Experience:

  • Bachelor’s degree in related field or equivalent experience.
  • 5+ years of compliance or regulatory experience.
  • Advanced experience with Microsoft Office applications. Knowledge of business operations related to managed care preferred.

Pay Range: $67,400.00 - $121,300.00 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.  Total compensation may also include additional forms of incentives.

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

The Company
Columbus, GA
19,002 Employees
On-site Workplace
Year Founded: 1984

What We Do

Centene provides healthcare solutions to individuals across the United States with more than 23 million members nationwide.

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