Job description
You could be the one who changes everything for our 26 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.
Position Purpose: Perform assurance activities to ensure compliance with contractual requirements and federal and state government reporting and regulations. Maintain government relations for compliance activities.- Perform internal audit assurance activities to evaluate business compliance with contract provisions with various agencies and applicable State and Federal laws
- Serve as compliance resource for day–to-day processes and subject matter expert on regulatory requirements for Georgia Medicaid, Medicare and Marketplace lines of business.
- Analyze documentation, processes and evidence to formulate a conclusion on compliance and determine the best course of action for each inquiry/problem
- Act as primary contact for initiating and coordinating compliance projects
- Develop and update plan policies and procedures to ensure compliance with federal and state requirements
- Serve as a compliance consultant to various market business units in ensuring new developing processes are structured accordance to regulatory requirements.
Education/Experience: Bachelor’s degree in related field or equivalent experience. 5+ years of compliance or regulatory experience. Advanced experience with Microsoft Office applications. Knowledge of business operations related to managed care preferred. Internal or external auditing experience preferred.
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
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.
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