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:

• 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

Education/Experience:

• Bachelor’s degree in related field or equivalent experience.
• 5+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits;
• 2+ years experience in the development of compliance and fraud programs;
• 2 years experience with overseeing implementation of contract requirements. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

Compliance/ERM: 7+ years experience preferred

Pay Range: $118,400.00 - $219,000.00 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act