Compliance Analyst

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 will have the flexibility to work remotely anywhere in the Continental United States.

Position Purpose: The Compliance Analyst reviews and analyzes new and existing laws, regulations and policies for their impact on the Medicaid line of business. This position monitors and helps to ensure compliance with regulations in accordance with the specific areas they support. Educates Compliance associates on regulatory and legal issues.

• Reviews and monitors policies and procedures to ensure compliance with regulations.
• May help draft policies and procedures in response to changes and updates of specific laws and regulations.
• Assists with the implementation of new policies and procedures that affect compliance
• Research and analyzes regulatory requirements as needed to ensure compliance.
• Interprets regulations regarding benefits and provides information and education to Health Plan associates.
• Monitors compliance in regard to regulatory related communications including training and manuals
• Assists with informing management and Health Plan associates of changes or updates to regulatory requirements.
• Assists in the coordination of responses for Corrective Action Plans, inquiries, follow-up, reporting and any other requests.
• Assist in the preparation of materials and requirements for regulatory audits
• May act as subject matter expert in reviews of Request for Proposals (“RFPs”) and non-standard contracts with large employer groups.
• Performs other duties as assigned
• Comply with all policies and standards

Education/Experience:

• Bachelor’s degree in business or related field.
• Three years’ experience in compliance-related field, preferably in healthcare.
• Three to five years’ experience in Medicaid contracts.

Pay Range: $56,200.00 - $101,000.00 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