Compliance Officer, Illinois
6 days ago
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Applicants for this role need to reside in the state of Illinois and travel to our Chicago office weekly.
Position Purpose: Oversee all compliance functions for the Illinois health plan including communication and coordination of policy development. Oversee the accurate and timely submission of over-contact deliverables for all lines of business and service delivery areas.
-
Oversee the accurate and timely submission of all CMS Medicare SNP requirements.
-
Serve as senior leadership and single point of contact in all State compliance meetings and interactions.
-
Manage direct correspondence and daily interaction with all state regulators.
-
Serve as senior leadership in all Department of Insurance and HHSC audit processes.
-
Managing all facets of the audit and communications.
-
Serve as senior leadership in Enterprise Risk Management process working directly with corporate ERM and Executive Management team to ensure current evaluation and documentation of business risks.
-
Conduct internal compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with federal, state and local regulatory requirements.
-
Accountable for the management and oversight of compliance for all health plan material subcontractors to include directing the performance of annual oversight.
-
Performs other duties as assigned.
-
Complies with all policies and standards.
Education/Experience:
-
Bachelor's degree in related field or equivalent experience. Master's degree preferred.
-
7+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits.
-
5-7 years of experience with health care regulatory agencies in development of compliance and fraud programs.
-
5+ years experience with overseeing implementation of contract requirements.
Pay Range: $145,100.00 - $268,800.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene 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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
-
Compliance Specialist
3 days ago
Springfield, IL, United States SIU Medicine Full timeWe recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description This position has the primary function of assisting the Deputy Chief Compliance Officer in the execution of the operations and duties of the SIU School of Medicine's (SOM) compliance program. This...
-
Compliance Specialist
2 days ago
Springfield, IL, United States SIU Medicine Full timeWe recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description This position has the primary function of assisting the Deputy Chief Compliance Officer in the execution of the operations and duties of the SIU School of Medicine's (SOM) compliance program. This...
-
Legislative Receptionist
2 weeks ago
Springfield, IL, United States Illinois House of Representatives Full timeThe Illinois House of Representatives seeks a legislative receptionist, within the Office of the Clerk, to provide clerical and administrative support for members of the House of Representatives. This position is located in Springfield, Illinois. The primary responsibilities of this position include: - Receiving, screening, and routing correspondence and...
-
Springfield, IL, United States Southern Illinois University School of Medicine Full timeLocation : Springfield, IL Job Type: Faculty Job Number: N2201728 Department: Internal Medicine Clinic-SMS Division: Dermatology Opening Date: 12/08/2023 Closing Date: Continuous FLSA: Exempt Bargaining Unit: N/A Shift: Days ExemptorNon_Exempt: Exempt We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with...
-
Cardiac Chief
2 weeks ago
Springfield, IL, United States Southern Illinois University School of Medicine Full timeLocation : Springfield, IL Job Type: Faculty Job Number: N950091 Department: Surgery-SMS Division: Cardiothoracic Surgery Opening Date: 04/01/2024 Closing Date: Continuous FLSA: Exempt Bargaining Unit: N/A Shift: Days ExemptorNon_Exempt: Exempt We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium...
-
Orthopaedic Surgeon
2 weeks ago
Springfield, IL, United States Southern Illinois University School of Medicine Full timeLocation : Springfield, IL Job Type: Faculty Job Number: N1600561 Department: Surgery-SMS Division: Orthopaedic Surgery Opening Date: 12/08/2023 Closing Date: Continuous FLSA: Exempt Bargaining Unit: N/A Shift: Days ExemptorNon_Exempt: Exempt We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium...
-
Pediatric Orthopaedic Surgeon
2 weeks ago
Springfield, IL, United States Southern Illinois University School of Medicine Full timeLocation : Springfield, IL Job Type: Faculty Job Number: N937868 Department: Surgery-SMS Division: Orthopaedic Surgery Opening Date: 02/23/2024 Closing Date: Continuous FLSA: Exempt Bargaining Unit: N/A Shift: Days ExemptorNon_Exempt: Exempt We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium...
-
Travel RN
2 weeks ago
Springfield, IL, United States Vetted Health Full timeTravel RN - Telemetry - Springfield, Illinois - $3092/week at Vetted Health summary: This is a temporary Travel RN position specializing in telemetry nursing at Coast Medical Service in Springfield, Illinois, with an 8-week contract duration. The role involves coordinating nursing care for adult-geriatric patients, providing patient and family education, and...
-
Travel RN
1 week ago
Springfield, IL, United States Vetted Health Full timeTravel RN - Telemetry - Springfield, Illinois - $2229/week at Vetted Health summary: This position is for a Travel Registered Nurse specializing in telemetry, providing adult-geriatric patient care in Springfield, Illinois on a 14-week temporary contract. The role involves coordinating nursing care, patient and family education, and collaborating with...
-
Travel RN
1 week ago
Springfield, IL, United States Vetted Health Full timeTravel RN - Telemetry - Springfield, Illinois - $2229/week at Vetted Health summary: This position is for a Travel Registered Nurse specializing in telemetry, providing adult-geriatric patient care in Springfield, Illinois on a 14-week temporary contract. The role involves coordinating nursing care, patient and family education, and collaborating with...
