Back

Senior Manager, Enterprise Compliance Corrections

Worldwide Salaried Open

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 job have the flexibility to work remote from home anywhere in the Continental United States* Position Purpose: Lead a team within Compliance Corrections responsible for the remediation and reporting activities to ensure successful resolution of identified non-compliance with Medicaid, Medicare, Marketplace, and Commercial regulatory requirements, contractual obligations and Company policies and procedures. Supports the internal and external corrective action plan lifecycle and related reporting. Partners with Product Compliance teams, Shared Services leadership, and market leaders to ensure successful and timely remediation of identified compliance issues. Lead and manage the assessment, and prioritization of non-compliance issues referred to the Corrections team. Oversee the execution and continuous improvement of the Corrections Compliance program, ensuring alignment with organizational standards. Provide regular updates on program performance to senior management and key stakeholders. Recruit, supervise, and develop team members in support of the organization’s mission and culture. Identify and recommend strategic improvements that significantly impact organizational goals and performance. Respond to inquiries from internal stakeholders and leadership regarding compliance matters. Offer expert guidance to departments on non-compliance issues and the progress of remediation efforts. Influence management to enhance performance and support leadership in achieving organizational objectives. Foster trusted, collaborative relationships with leadership to ensure active engagement in the Corrections process. Serve as the designated point of contact in the absence of the Senior Director of Compliance Corrections. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree Business Administration, Public Policy, Public Health, or Health Administration or related field; or equivalent experience required Master's Degree Business Administration, Public Policy, Public Health, or Health Administration preferred Juris Doctor (JD) preferred 5+ years Compliance experience, preferably in a healthcare environment required 3+ years Medicaid, Medicare or Commercial Managed Care experience preferred 2+ years Supervisory or management experience required Previous experience demonstrating effective interaction with federal and state regulatory agencies in a manage care or insurance environment preferred. preferred Pay Range: $87,700.00 - $157,800.00 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 To This Job

More jobs

Clinical Data Management Associate II

Worldwide Salaried

Inside Sales Specialist

Worldwide Salaried

Strategic Accounts Director

Worldwide Salaried

Full-Stack Developer Senior

Worldwide Salaried

Senior Manager Contracts & Pricing – RDBU Infused Brands

Worldwide Salaried

Global E-commerce Manager, Automotive/Hardware

Worldwide Salaried

Inside Sales Rep

Worldwide Salaried

Imaging Specialist

Worldwide Salaried

Training Manager, FTP

Worldwide Salaried

Associate Clinical Consultant/Clinical Consultant - (Baltimore, MD) - Johnson & Johnson MedTech – Heart Recovery

Worldwide Salaried

Senior Aviation Engineering Specialist – Aircraft Maintenance & Operations Support (Remote-Friendly)

Worldwide Salaried

Mid-Market Account Executive, Inbound

Worldwide Salaried

Sales Development Representative

Worldwide Salaried

Remote Sales Associate - No Experience Required

Worldwide Salaried

Experienced Remote Chat Support Agent – Flexible Schedule with Competitive Hourly Rate

Worldwide Salaried

Claims Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: Reciprocal Required (Remote)

Worldwide Salaried

Program Manager

Worldwide Salaried

Experienced Data Entry Clerk – Work From Home – 100% Remote Opportunity at arenaflex

Worldwide Salaried

Remote Customer Service Representative – Passenger Support & Travel Solutions for arenaflex (Work‑From‑Home)

Worldwide Salaried

Experienced Remote Data Entry Operator – High-Touch Customer Service & Data Integrity Specialist

Worldwide Salaried