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
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
Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.
Funding
Current Stage
Late StageLeadership Team
Recent News
Business Journals
2024-05-06
FierceHealthcare
2024-04-28
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