Centene

managed care

Manager,RegulatoryAffairs

$88–158k Remote-MI FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid candidates.

The Brief

“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.

managed care
Problems you'll solve

Perform gap analysis; offer recommendations to close gaps

Eligibility Requirements

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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