Compliance Analyst - Managed Care @ Centene Corporation | Jobright.ai
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Compliance Analyst - Managed Care jobs in Greater Enid Area
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Centene Corporation · 20 hours ago

Compliance Analyst - Managed Care

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Hospital & Health Care
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Actively Hiring

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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

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Compliance Program ManagementRegulatory InterpretationHIPAA KnowledgeCompliance AuditingRisk AssessmentsLegislative MonitoringCompliance Training DevelopmentRegulatory AffairsJuris Doctorate

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
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