Centene
health care
SeniorComplianceAdministrator,ProgramAdministration
Neural analysis suggests this role is
optimal for Senior candidates.
“Senior Compliance Administrator, Program Administration at Centene. Skills: Compliance Program Administration, State and Federal program contract compliance, federal and state legal and regulatory requirements. Design and implement programs, policies, and practices to ensure State and Federal program contract compliance, as well as compliance with federal and state legal and regulatory requirements.. Represent the Compliance Program Administration team at meetings and help shape policy and proce”
What You'll Achieve.
ensure State and Federal program contract compliance; ensure compliance with federal and state legal and regulatory requirements; ensure timely review, triage, escalation and routing of requests; ensure escalation and action planning; measure Compliance Program Effectiveness; ensure timely completion and compliance with local, state and regulatory requirements.; ensure accurate and timely communication to all departments.; monitor the effectiveness of implementation.
Industry & Context.
Apply judgment to help resolve issues; clarify requirements; support consistent execution; Identify trends, risks, or recurring issues and ensure escalation and action planning; undertake fact gathering and investigation activity to monitor the effectiveness of implementation.
What They're Looking For.
Must Have
Bachelor's Degree Healthcare Administration, Compliance or related field required, 4+ years Compliance and/or regulatory experience in a health care and/or managed care setting/organization, Previous experience as a lead in a functional area, managing cross functional teams on large scale projects required
What You'll Do.
Design and implement programs
and practices to ensure State and Federal program contract compliance
as well as compliance with federal and state legal and regulatory requirements.
Represent the Compliance Program Administration team at meetings and help shape policy and processes.
Own and manage shared inboxes and ensure timely review
escalation and routing of requests
or recurring issues and ensure escalation and action planning
Serve as a knowledgeable point of contact for stakeholders seeking guidance on Compliance Program Administration processes
Support the ongoing maintenance
and refinement of metrics and scorecards used to measure Compliance Program Effectiveness
Support preparation of summaries
and materials used for compliance leadership
and governance forums
Conduct compliance audits
write corrective action plans and work with department managers to ensure timely completion and compliance with local
state and regulatory requirements.
Represent the key leadership position for compliance
oversee communication
coordinate of policy development and ensure accurate and timely communication to all departments.
May modify procedures or processes
undertake fact gathering and investigation activity to monitor the effectiveness of implementation.
Complies with all policies and standards.
How You'll Work.
Team & Collaboration
Represent the Compliance Program Administration team at meetings; Serve as a knowledgeable point of contact for stakeholders seeking guidance on Compliance Program Administration processes; work with department managers to ensure timely completion and compliance with local, state and regulatory requirements.; oversee communication, coordinate of policy development and ensure accurate and timely communication to all departments.
Communication Scope
oversee communication; coordinate of policy development and ensure accurate and timely communication to all departments.
Process & Methodology
managing cross functional teams on large scale 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. **Position Purpose:** Design and implement programs, policies, and practices to ensure State and Federal program contract compliance, as well as compliance with federal and state legal and regulatory requirements. Represent the Compliance Program Administration team at meetings and help shape policy and processes. * Own and manage shared inboxes and ensure timely review, triage, escalation and routing of requests * Identify trends, risks, or recurring issues and ensure escalation and action planning * Serve as a knowledgeable point of contact for stakeholders seeking guidance on Compliance Program Administration processes * Support the ongoing maintenance, analysis, and refinement of metrics and scorecards used to measure Compliance Program Effectiveness * Support preparation of summaries, dashboards, and materials used for compliance leadership, committees, and governance forums * Apply judgment to help resolve issues, clarify requirements, and support consistent execution * Conduct compliance audits, write corrective action plans and work with department managers to ensure timely completion and compliance with local, state and regulatory requirements. * Represent the key leadership position for compliance, oversee communication, coordinate of policy development and ensure accurate and timely communication to all departments. * May modify procedures or processes, undertake fact gathering and investigation activity to monitor the effectiveness of implementation. * Complies with all policies and standards. **Education/Experience:** * Bachelor's Degree Healthcare Administra
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