Manager, Ethics & Compliance
Sacramento, CA, United States
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Manager, Ethics & Compliance
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locations
Sacramento - 4191 E. Commerce Way, Bldg A (11086)
Woodland Hills-21281 Burbank Boulevard (10511)
time type
Full time
posted on
Posted 2 Days Ago
job requisition id
1504066
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.
Position Purpose:
Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company.
Ensure all Medicare and Medicaid product and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.
Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.
Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations.
Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language.
Conduct compliance audits, develop and implement corrective action plans.
Perform plan risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate.
Provide required Ethics, Compliance, Risk Management, FWA, privacy, and security training for existing and new employees and as required non-employees.
Education/Experience:
Bachelors’ degree in related field or equivalent experience. Master's or Juris Doctorate degree preferred.
4+ years of compliance experience, preferably in a healthcare environment with at least 2+ years of Medicaid, Medicare, or Commercial Managed Care experience.
Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment preferred.
Pay Range: $84,300.00 - $151,700.00 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. Total compensation may also include additional forms of incentives.
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.
Welcome
About Us
Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.
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