Senior Compliance Analyst, Duals Audit job at Centene Corporation in FL, MO

Remote, USA Full-time
Title: Senior Compliance Analyst, Duals Audit Location: Remote-MO Job Description: 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 job have the flexibility to work remote from home anywhere in the Continental United States. Position Purpose: Partners with leadership in maintaining Centene Corporation's Compliance with Duals (D-SNP) Program requirements. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies for the D-SNPs. Responds to external audit requests for information required by the organization for its Duals and SMAC regulatory filings. Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies. Leads Duals compliance projects or implementations. Reviews and synthesizes Duals regulatory requirements and create policy and/or position statements. Partners with leadership to manage annual SMAC assessment and tracking of caps. Communicate Duals (state and federal) requirements to internal and external clients. Provides development guidance and leads the identification, implementation, and maintenance of Duals and overlapping Medicare compliance policies, procedures and work instructions. Leads the identification, analysis, and resolution of Duals compliance issues. Maintains and reviews D-SNP regulatory documentation necessary to maintain corporate standards. Partners with leadership in developing, producing and conducting Duals compliance training programs. Perform periodic compliance audits, risk assessments and conducts related to ongoing Duals compliance monitoring activities. Serves as a company-wide resource and liaison on Duals policies, SMAC items and provisions, communications, workflow, and quality improvements initiatives. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree Law or related field; or, equivalent experience required 4+ years Compliance and/or regulatory affairs required Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular Medicare, D-SNP, and state regulations required Pay Range: $70,100.00 - $126,200.00 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 Apply tot his job
Apply Now

Similar Jobs

PHP Development Team Lead- Remote US Based

Remote, USA Full-time

Compliance Advisory Manager

Remote, USA Full-time

Portfolio Specialist – Capital Appreciation Strategies Suite

Remote, USA Full-time

Enterprise Compliance Analyst (Hybrid)

Remote, USA Full-time

[Remote] REMOTE – Compliance Analyst III (Must Live in Indiana) – R10496

Remote, USA Full-time

Software Engineer / PHP / Next.js / React

Remote, USA Full-time

Security Policy & Compliance Analyst

Remote, USA Full-time

Compliance Specialist- Corporate Office

Remote, USA Full-time

Privacy Compliance Analyst

Remote, USA Full-time

RWE Portfolio/Project Manager Consultant

Remote, USA Full-time

Experienced Remote Data Entry Technician – Customs Brokerage and Logistics Support Specialist

Remote, USA Full-time

Senior Machine Learning Engineer - AI Eval & Safety

Remote, USA Full-time

i3 Insider Risk Analyst – Public Sector

Remote, USA Full-time

Experienced Data Entry Specialist – Remote Work Opportunity with Competitive Pay and Comprehensive Benefits at blithequark

Remote, USA Full-time

(Remote)Data Entry Specialist Part-Time

Remote, USA Full-time

Legal Recruiter - Commission Only-Fully Remote-US

Remote, USA Full-time

**Experienced Data Entry Operator / Data Collections Manager – US Remote Opportunity at blithequark**

Remote, USA Full-time

Experienced Remote Live Chat Manager – Customer Support Team Leadership and Live Chat Operations Expertise

Remote, USA Full-time

Audit Manager job at Cherry Bekaert in Richmond, VA

Remote, USA Full-time

Experienced Full-Time Senior Customer Service Representative - National Remote Opportunity with Comprehensive Benefits and Career Growth

Remote, USA Full-time
Back to Home