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Centene Corporation · 1 day ago

Manager, Enterprise Compliance Corrections

United States

Full-time

Remote

Mid, Senior Level

$86K/yr - $155K/yr

4+ years exp

Centene Corporation is transforming the health of our communities, one person at a time. The role involves managing a team within the Compliance Corrections department to address non-compliance issues and ensure data integrity related to regulatory requirements and company policies.

Hospital & Health Care

Responsibilities

Develops policies, procedures, and process to comply with federal program regulations, and any applicable state regulations

Develops reports and deliverables and make recommendations to management

Identifies recommendations that have a significant impact on organization goals and objectives

Appropriately influences management to improve performance and assist leadership in meeting organization goals

Assists management in driving business decisions based on data

Manages compliance reporting responsibilities and respond to inquiries from stakeholders and leaders within the organization

Assists in the identification, analysis, and resolution of compliance issues

Communicates program status to management and key stakeholders

Maintains trusted, collaborative relationships with leadership to promote an appropriate level of engagement in the Corrections process

Hires, manages, and develops direct reports that supports the organization mission

Performs other duties as assigned

Complies with all policies and standards

Qualification

Compliance experienceMedicaid experienceMedicare experienceManagement experiencePublic Health knowledgeData analysisPolicy developmentInfluencing skillsCommunication skillsCollaboration skills

Required

Bachelor's Degree in Business Administration, Public Policy, Public Health, or Health Administration or related field; or equivalent experience required

4+ years Compliance experience, preferable in healthcare environment required

1+ years Medicaid, Medicare or Commercial Managed Care experience required

Preferred

Master's Degree in Business Administration, Public Policy, Public Health, or Health Administration or related field preferred

2+ years Supervisory or management experience preferred

Previous experience demonstrating effective interaction with federal and state regulatory agencies in a manage care or insurance environment preferred