Director, Compliance Program Administration jobs in United States
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Centene Corporation · 6 hours ago

Director, Compliance Program Administration

Centene Corporation is transforming the health of our communities, one person at a time. The Director of Compliance Program Administration will oversee compliance audits, policy development, and communication within the health plan while addressing issues of suspected fraud and ensuring adherence to regulatory requirements.

Hospital & Health Care

Responsibilities

Conduct compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with local, state and regulatory requirements
Represent the key leadership position for compliance at the health plan, oversee communication, coordinate of policy development and ensure accurate and timely communication to all departments
Investigate instances of suspected fraud within the health plan and report to appropriate management and regulatory entities
Assist management with enforcement and discipline in appropriate instances of non-compliance
Regularly inform health plan’s Board of Directors of the status of and activities pertaining to compliance
Performs other duties as assigned
Complies with all policies and standards

Qualification

Compliance program managementContract managementFraud program developmentState Medicaid programsTrainingPerformance managementLeadershipCommunication

Required

Bachelor's degree in related field or equivalent experience
5+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits
2+ years experience in the development of compliance and fraud programs
2 years experience with overseeing implementation of contract requirements
Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff

Preferred

Compliance/ERM 7+ years experience preferred

Benefits

Competitive pay
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules

Company

Centene Corporation

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Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.

Funding

Current Stage
Late Stage

Leadership Team

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Beth Johnson
President and CEO, Coordinated Care
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Clyde White
President & CEO (New Hampshire Healthy Families)
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Company data provided by crunchbase