Manager, Enterprise Compliance Corrections

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Introduction

Centene Corporation is actively seeking a Manager for their Enterprise Compliance Corrections team. This position offers a unique opportunity to play a crucial role in ensuring compliance within the healthcare sector for over 28 million members. The position emphasizes the importance of compliance with Medicaid, Medicare, and Commercial regulatory requirements, making it essential for applicants to have a strong foundation in compliance management and healthcare regulations.

Company Overview

Centene Corporation is a diversified national organization dedicated to transforming the health of communities one person at a time. Known for its competitive benefits and commitment to workplace flexibility, Centene is recognized as an industry leader in health services. This leaves the opportunity to engage with millions while being part of a purpose-driven organization.

Position Overview

The Manager, Enterprise Compliance Corrections will oversee the Compliance Corrections department, which focuses on through intake, triage, and reporting activities. This role involves identifying and remediating non-compliance issues, ensuring compliance with contractual obligations, and providing significant support in data integrity related to internal and external corrective action plans.

Key Responsibilities

  • Manage a team dedicated to compliance corrections, focusing on the identification and remediation of non-compliance issues.
  • Develop policies and procedures that adhere to federal and state regulations affecting healthcare programs.
  • Generate reports and deliverables for management and make recommendations that support the company's goals.
  • Coordinate initial investigations and staff discussions to identify potential compliance issues and ensure long-term resolutions.
  • Build and maintain trusted relationships with leadership teams to engage effectively in the compliance process.

Required Skills & Qualifications

Education:

  • A Bachelor's Degree in fields such as Business Administration, Public Policy, Public Health, or Health Administration is necessary.
  • A Master's Degree in similar fields is preferred.

Experience:

  • A minimum of 4 years of compliance experience in a healthcare setting is required.
  • At least 1 year of experience dealing with Medicaid, Medicare, or Commercial Managed Care is necessary.
  • Preferred experience includes 2 years in a supervisory or managerial capacity, and interaction with federal and state regulatory agencies in a managed care environment.

Competencies:

Strong analytical skills, effective stakeholder communication, and a collaborative mindset are crucial for success in this role. Additionally, the manager should be capable of multitasking and driving critical business decisions based on empirical data.



Compensation & Benefits

The salary range for this position is between $86,000.00 and $154,700.00 per year. Centene provides a comprehensive benefits package, including:

  • Competitive pay
  • Health insurance coverage y- 401K and stock purchase plans y- Tuition reimbursement
  • Paid time off in addition to holidays y- Flexible work arrangements, including remote, hybrid, field, or office settings.

It's crucial to note that the final pay offer will depend on factors such as individual skills, experience, education, and other job-related considerations.

Diversity Commitment

Centene Corporation is dedicated to fostering an inclusive working environment. They are an equal opportunity employer, actively seeking to hire individuals from diverse backgrounds without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Centene also invites qualified applicants with arrest or conviction records to apply in accordance with the LA County Ordinance and the California Fair Chance Act.

Conclusion

In conclusion, this position at Centene Corporation holds substantial potential for compliance professionals eager to contribute to the health and well-being of communities. The role encapsulates a mix of managerial responsibilities, compliance oversight, and strategic influence in an organization committed to making a difference. For applicants possessing the requisite qualifications and a commitment to excellence, this job could represent a significant career opportunity while supporting the mission of improving community health.



This job offer was originally published on himalayas.app

Centene Corporation

United States

Operations

Full-time

January 31, 2025

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