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Senior Compliance Analyst
4 weeks ago
Centene Corporation is seeking a highly skilled Senior Compliance Analyst to join our team. As a key member of our Compliance Program, you will play a critical role in maintaining our organization's Compliance Program.
Key Responsibilities:- Assist in maintaining Centene Corporation's Compliance Program, ensuring compliance with regulatory requirements and company policies.
- Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies.
- Respond to external requests for information required by the organization for its regulatory filings.
- Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies.
- Manage ethics and compliance projects or implementations.
- Review and synthesize regulatory requirements and create policy and/or position statements.
- Assist in managing annual code of conduct attestation and remediation.
- Communicate state and federal requirements to internal and external clients.
- Provide development guidance and assist 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 review 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 to ongoing compliance monitoring activities.
- Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues that may negatively impact service to members.
- Assist management with interim health plan compliance officer responsibilities.
- 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.
- Bachelor's degree in a related legal field or equivalent experience.
- Master's or Juris Doctorate degree preferred and may be considered in lieu of experience.
- 3+ years of related experience in compliance, privacy, and/or regulatory affairs.
- Experience in project management with working knowledge of laws and/or regulations in the area of compliance, in particular HIPAA, and state regulations.
- Experience with research and interpretation of healthcare (pharmacy benefits and pharmacy practice) contract, policies, laws, regulations, regulatory guidance, and accreditation standards strongly preferred.
- Experience translating complex legislation, rules, and regulations for business unit partners strongly preferred.
- Competitive pay range: $67,400.00 - $121,300.00 per year.
- Comprehensive benefits package, including health insurance, 401K, and stock purchase plans.
- Tuition reimbursement, paid time off, and a flexible approach to work with remote, hybrid, field, or office work schedules.
Centene Corporation is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
