Compliance Officer, Indiana

Remote Full-time
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 be located in the state of Indiana. Position Purpose: Oversee all compliance functions for the Indiana 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. • Comply 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 Apply tot his job
Apply Now →

Similar Jobs

Export-Import Compliance Officer; Remote - SAFRAN INC.

Remote Full-time

Geometric Computer Vision Engineer (Remote)

Remote Full-time

Senior Engineering Manager, Computer Vision

Remote Full-time

Medical Credit Balance Analyst

Remote Full-time

Senior Manager, Marketing Communications

Remote Full-time

Remote- Commercial Construction Project Manager

Remote Full-time

Senior Project Manager - Construction Observation & Testing (Remote)

Remote Full-time

Senior Project Manager, OR Renovation - Sacramento

Remote Full-time

Senior Construction Project Manager – Corporate Real Estate, Facilities

Remote Full-time

SR. PROJECT MANAGER-DESIGN & CONSTRUCTION (REMOTE-NY, VA, TX)

Remote Full-time

**Job Title:** Experienced Customer Service Representative Agent – Flexible Part-Time Remote Work Opportunity with blithequark's Focus Group Panel

Remote Full-time

**Experienced Data Entry Professional – Flexible Work Opportunities for Teens at blithequark**

Remote Full-time

Experienced Seasonal Chat and Phone Technical Support and Customer Service Agent for Dynamic Customer Experience Team at arenaflex

Remote Full-time

[Hiring] Oncology Data Specialist @HEALTH INFORMATION ALLIANCE INC

Remote Full-time

[Remote] CMA/RMA/LPN/Clinic Tech

Remote Full-time

Experienced Remote Data Entry Specialist – Critical Information Management for Delta Airlines

Remote Full-time

100% Remote Lead Data Engineer.

Remote Full-time

Architect, Software I - Now Hiring

Remote Full-time

Experienced Customer Support Representative – Remote Work Opportunity in Aviation Industry with blithequark

Remote Full-time

HR Manager, Stores

Remote Full-time
← Back to Home