Senior Compliance and Vendor Management Oversight Specialist

Remote, USA Full-time
Job Description: • Leads the integrity and governance of Centene's and/or its vendors corporate ethics and compliance program • ongoing oversight and analysis of regulatory compliance practices • Collaborates with internal teams and external vendors or subcontractors to promote contract compliance and uphold program integrity • Oversee the management of the entire contract lifecycle, from drafting to finalization • Conducts reviews, audits, and assessments of vendor relationships to ensure adherence to Centene and Government-sponsored health care program Requirements. • Collaborates with business owners and vendors to drive process improvements • Leads the timely, consistent, and accurate communication of state and federal regulatory updates impacting Medicaid and Marketplace regulatory filings • Prepares, organizes, and packages subcontractor files for approval/notification • Develop clear, accurate and timely written reports detailing oversight and monitoring findings and recommendations • Ensures all supporting documentation and workpapers meet Centene and department standards • Partners with internal departments and subcontractors to route compliance concerns to the appropriate channels for investigation and resolution • Supports regulatory notifications and documentation of approvals/notifications Requirements: • Bachelor's Degree in related field; or, equivalent experience required • Master's Degree preferred • Juris Doctor (JD) preferred • 4+ years Managed Care/Health Insurance and knowledge of relevant legal and regulatory frameworks required • 2+ years Project oversight with demonstrated ability to drive implementation and influence others preferred • 2+ years Reading, analyzing, and interpreting State and Federal laws, rules and regulations preferred • 2+ years State Medicaid or government sponsored healthcare compliance preferred • HealthCare Compliance (CHC) preferred Benefits: • competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules Apply tot his job
Apply Now

Similar Jobs

Verizon Remote Part Time Data Entry Clerk - $1400 Weekly

Remote, USA Full-time

Video Editor / Designer

Remote, USA Full-time

Staff Appraiser -Valuations job at ServiceLink in Chicago, IL

Remote, USA Full-time

Sr Asset Valuation Specialist

Remote, USA Full-time

Vendor Implementation, Senior Manager- Full Time Remote

Remote, USA Full-time

Vice President, Sourcing & Vendor Management Analyst (San Francisco)

Remote, USA Full-time

Vendor Management Analyst – Property Preservation

Remote, USA Full-time

Empleo de REMOTE Vendor Management QA Analyst, I en Carrington en Springfield

Remote, USA Full-time

Analyst, Procurement & Vendor Management

Remote, USA Full-time

Broker Dealer Vendor Manager Specialist (HYBRID or REMOTE)

Remote, USA Full-time

Nurse Care Manager – Compassionate Care Program, Anywhere

Remote, USA Full-time

Experienced Manager, Data Science and Customer Support – Leading Data-Driven Solutions and Teams at blithequark

Remote, USA Full-time

Email Marketing Coordinator

Remote, USA Full-time

Experienced Remote Administrative Assistant and Data Entry Specialist – Flexible Work from Home Opportunity with blithequark

Remote, USA Full-time

**Experienced Live Chat Support Specialist – Remote Customer Service Representative at blithequark**

Remote, USA Full-time

Experienced Remote Data Entry Clerk – Logistics Operations and Administration at Blithequark

Remote, USA Full-time

Flexible Amazon Data Entry Opportunity for Teens: Work from Home with Competitive Pay

Remote, USA Full-time

Associate Director, Vendor Management

Remote, USA Full-time

Legal Operations Manager - Spend & Vendor Management

Remote, USA Full-time

Data Migration Specialist (Customer Support)

Remote, USA Full-time
Back to Home