PA Health & Wellness · 1 day ago
Compliance Analyst - Marketplace
Missouri, United States
Full-time
Onsite
Entry Level
$56K/yr - $101K/yr
1+ years expCentene is a diversified national organization focused on transforming the health of communities. The Compliance Analyst will assist in maintaining Centene Corporation's Compliance Program, guide special projects, and provide regulatory interpretation while performing compliance reporting and developing auditing strategies.
FitnessHealth CareWellness
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
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
Competitive pay
Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
A flexible approach to work with remote, hybrid, field or office work schedules
Company
PA Health & Wellness
Established to deliver quality healthcare in the state of Pennsylvania through local, regional and community-based resources, PA Health & Wellness is a Managed Care Organization and subsidiary of Centene Corporation (Centene).
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Justin Davis
President and Chief Executive Officer
Recent News
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