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Centene Corporation · 3 days ago

Senior Compliance Administrator

Florida, United States

Full-time

Hybrid

Mid, Senior Level

$88K/yr - $158K/yr

6+ years exp

Centene Corporation is transforming the health of our communities, one person at a time. The Senior Compliance Administrator will design and implement programs to ensure compliance with state and federal regulations, conduct audits, and serve as a primary contact for compliance professionals.

Hospital & Health Care

Responsibilities

Conduct compliance audits and monitoring activities to assess adherence to local, state, and federal regulatory requirements

Identify areas of non-compliance and the need for corrective action plans to ensure timely resolution

Serve as a primary point of contact for Compliance professionals at provider practices, ensuring contractual and regulatory obligations are met

Assist management with enforcement actions and disciplinary measures in instances of non-compliance

Identify and implement process improvements to enhance the effectiveness and efficiency of audit and monitoring activities

Maintain subject matter expertise in auditing, monitoring, and regulatory compliance requirements

Modify procedures or processes as needed, and conduct fact-gathering and investigative activities to evaluate the effectiveness of compliance implementation

Support the maintenance of the compliance risk assessment process, ensuring it remains current and aligned with organizational priorities

Provide guidance and support for the execution of the annual audit and monitoring plan

Performs other duties as assigned

Complies with all policies and standards

Qualification

Regulatory complianceCompliance auditingProcess improvementCompliance certificationHealthcare administrationCross-functional team managementCommunication skills