Centene Corporation · 17 hours ago
Compliance Analyst - Healthcare
United States
Full-time
Remote
Entry Level
$56K/yr - $101K/yr
1+ years expCentene Corporation is transforming the health of our communities, one person at a time. The Compliance Analyst will assist in maintaining the Compliance Program, guide special projects, provide regulatory interpretation, and perform compliance reporting, among other responsibilities.
Hospital & Health Care
Responsibilities
Assist in maintaining Centene Corporation's Compliance Program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring strategies
Duties would include regulatory research, new legislation implementation, review and response to consumer complaints, interaction with state Departments of Insurance, coordination and review of 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
Time Management for regulatory deadlines
Organized, concise, and has an eye for detail
Microsoft Office (Word, PowerPoint, Excel, etc.) and SharePoint
Benefits
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
A 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.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Beth Johnson
President and CEO, Coordinated Care
Clyde White
President & CEO (New Hampshire Healthy Families)
Recent News
Business Journals
2024-05-06
FierceHealthcare
2024-04-28
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