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Centene Corporation · 3 days ago

Manager, Compliance

Iowa, United States

Full-time

Hybrid

Mid Level

$88K/yr - $158K/yr

4+ years exp

Centene Corporation is transforming the health of our communities, one person at a time. The Manager of Compliance will oversee the compliance department functions, ensuring adherence to regulatory and legal requirements while managing audits and corrective action plans.

Hospital & Health Care

Responsibilities

Conduct periodic assessments to ensure compliance against contract requirements

Oversee creation and implementation of corrective action plans to reduce or eliminate risk resulting from non-compliance with contract requirements or performance deficiencies

Manage and oversee the composition and delivery of responses to state regulatory agency complaints and inquiries

Determine licensure requirements and administration of ongoing licensure maintenance, including research in new markets and timely filing for recurring deliverables, such as licensure renewals

Support responses to “request for proposals” (RFPs) and new business implementations by completing assigned compliance tasks timely and accurately

Participate in new business implementations, including the identification and tracking of required contract report deliverables as well as new reporting and provider/member materials

Design, implement and improve processes to prevent, detect and respond to compliance issues and concerns related to all federal and state regulatory requirements and contract requirements

Create and deliver compliance training for all employees on an annual basis and as needed basis, such as in response to a compliance issue or concern

Oversee execution of compliance activities across team

Ensures consistency, quality, and alignment with organizational standards

Serves as a key point of contact for cross-functional collaboration

Qualification

Compliance managementRisk assessmentAuditing processesHealth care administrationCompliance trainingCorrective action plansRegulatory requirementsCross-functional collaboration

Required

Bachelor's degree in health care administration, compliance or related field or equivalent experience

4-6 years of compliance experience including risk assessment against contract and regulatory requirements, creation and execution of auditing, monitoring and reporting processes, administration of correction action plans, implementation of written policies and procedures, developing and delivering compliance training and education