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Centene Corporation · 1 month ago

Director, Compliance Program Administration

United States

Full-time

Remote

Lead/Staff, Director/Executive

$118K/yr - $219K/yr

5+ years exp

Centene Corporation is transforming the health of communities across the nation. The role involves conducting compliance audits, overseeing policy development, and investigating instances of suspected fraud, ensuring compliance with regulations and timely communication across departments.

Hospital & Health Care

Responsibilities

Conduct compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with local, state and regulatory requirements

Represent the key leadership position for compliance at the health plan, oversee communication, coordinate of policy development and ensure accurate and timely communication to all departments

Investigate instances of suspected fraud within the health plan and report to appropriate management and regulatory entities

Assist management with enforcement and discipline in appropriate instances of non-compliance

Regularly inform health plan’s Board of Directors of the status of and activities pertaining to compliance

Performs other duties as assigned

Complies with all policies and standards

Qualification

Compliance program managementContract managementFraud program developmentState Medicaid programsInternal auditsManagement experiencePolicy developmentCommunication skills