Compliance Analyst - Marketplace jobs in United States
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Centene Corporation · 1 day ago

Compliance Analyst - Marketplace

Centene Corporation is transforming the health of communities through a diversified approach. The Compliance Analyst will assist in maintaining the Compliance Program, guide special projects, provide regulatory interpretation, and develop compliance auditing strategies.

Hospital & Health Care

Responsibilities

Respond to external requests for information required by the organization for its regulatory filings
Respond to inquiries from state and federal regulatory agencies
Monitor pending legislation and regulations affecting Centene Corporation services
Maintain database and other reference materials related to legislative and regulatory issues and compliance
Communicate state and federal requirements to internal and external clients
Provide development guidance and assists in the identification, implementation, and maintenance of compliance policies, procedures and work instructions
Assist in the identification, analysis, and resolution of compliance issues
Maintain and reviews regulatory documentation necessary to maintain corporate standards
Assist in developing, producing and conducting compliance training programs
Perform periodic compliance audits, risk assessments and conducts related ongoing compliance monitoring activities
Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members
Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed
Serve as a company wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives
Performs other duties as assigned
Complies with all policies and standards

Qualification

Compliance Program ManagementRegulatory InterpretationHIPAA KnowledgeCompliance AuditingRisk AssessmentCommunication SkillsProblem SolvingTeam Collaboration

Required

Bachelor's degree in related field or equivalent experience
1+ years of related experience in compliance, privacy and/or regulatory affairs
Working knowledge of laws and/or regulations in area of compliance; in particular HIPAA, and state regulations

Preferred

Master's or Juris Doctorate degree preferred and may be considered in lieu of experience

Benefits

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