Centene
managed care
Manager,RegulatoryAffairs
Neural analysis suggests this role is
optimal for Mid candidates.
“Manager, Regulatory Affairs at Centene. Skills: Develop and execute regulatory plans, Manage contracts and track performance to contractual requirements, provide consultation to other departments on requirements, escalate gaps as necessary. Develop and execute regulatory plans for complex projects including new projects and maintenance of licenses and reaccreditation for existing and new business opportunities. Manage contracts and track performance to contractual requirements”
What You'll Achieve.
ensure processes are in compliance; ensure compliance with company and external standards
Industry & Context.
Perform gap analysis; offer recommendations to close gaps
Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States
What They're Looking For.
Must Have
Bachelor's degree in a related field or equivalent experience, 4+ years of public health policy, regulatory or legal experience
Nice to Have
resides in Michigan, Duals experience is highly preferred
What You'll Do.
Develop and execute regulatory plans for complex projects including new projects and maintenance of licenses and reaccreditation for existing and new business opportunities
Manage contracts and track performance to contractual requirements
provide consultation to other departments on requirements
escalate gaps as necessary
Develop procedures and reports to monitor contractually required deliverables
including but not limited to
regulatory reports and performance metrics
Review complex laws and regulations and provide guidance to other departments to ensure processes are in compliance
Conduct HIPAA compliance audits and provide summary of outcomes and recommendations for improvement
Perform gap analysis to current contract requirements and policies/procedures and offer recommendations to close gaps
Monitor applicable regulatory requirements to ensure compliance with company and external standards
Communicate with regulators as needed to seek clarification on contract requirements
processes or documents submitted for approval
How You'll Work.
Team & Collaboration
provide consultation to other departments on requirements
Communication Scope
Communicate with regulators
Process & Methodology
Develop and execute regulatory plans for complex projects
Full Job Description
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, however it is highly preferred that the selected candidate resides in Michigan.** **Position Purpose:** Develop and execute regulatory plans for complex projects including new projects and maintenance of licenses and reaccreditation for existing and new business opportunities. Manage contracts and track performance to contractual requirements, provide consultation to other departments on requirements and escalate gaps as necessary. **In this Manager, Regulatory Affairs role, you will:** * Develop procedures and reports to monitor contractually required deliverables, including but not limited to, regulatory reports and performance metrics * Review complex laws and regulations and provide guidance to other departments to ensure processes are in compliance * Conduct HIPAA compliance audits and provide summary of outcomes and recommendations for improvement * Perform gap analysis to current contract requirements and policies/procedures and offer recommendations to close gaps * Monitor applicable regulatory requirements to ensure compliance with company and external standards * Communicate with regulators as needed to seek clarification on contract requirements, regulations, processes or documents submitted for approval **Education/Experience:** * Bachelor's degree in a related field or equivalent experience. * 4+ years of public health policy, regulatory or legal experience, preferably in managed care or pharmacy industry. * Duals experience is highly preferred. Pay Range: $87,700.00 - $157,800.00 per year Centene offers a comprehensive benefits package including: competiti
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