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Centene Corporation · 11 hours ago

Senior Compliance Analyst - Program Integrity

United States

Full-time

Remote

Mid, Senior Level

$69K/yr - $124K/yr

3+ years exp

Centene Corporation is transforming the health of communities across the United States, and they are seeking a Senior Compliance Analyst to assist in maintaining their Compliance Program. The role involves providing regulatory interpretation, performing compliance reporting, and developing compliance auditing strategies to ensure adherence to state and federal regulations.

Hospital & Health Care

Responsibilities

Respond to external requests for information required by the organization for its regulatory filings

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 conducts related to ongoing compliance monitoring activities

Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which 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 improvements initiatives

Qualification

Compliance Program ManagementRegulatory InterpretationHIPAA KnowledgeCompliance AuditingProject ManagementAnalytical SkillsTraining DevelopmentCommunication Skills