Centene Corporation · 2 days ago

Compliance Analyst

South Carolina, United States

Full-time

Onsite

Entry Level

$54K/yr - $97K/yr

1+ years exp

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Hospitals and Health Care

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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.

Qualification

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ComplianceRegulatory affairsHIPAAState regulationsInterpretingCMS state codingBilling guidelinesExcel