Regional Compliance BP as a strategy partner providing compliance consultation and oversight. Involved in compliance function in a leading healthcare company based in China.
About the role
- Overseeing compliance functions for the Illinois health plan at Centene. Managing audits and interactions with state regulators while ensuring compliance with federal, state, and local regulations.
Responsibilities
- Oversee all compliance functions for the Illinois health plan
- Oversee the accurate and timely submission of over-contact deliverables for all lines of business and service delivery areas
- Oversee the accurate and timely submission of all CMS Medicare SNP requirements
- Serve as senior leadership in all State compliance meetings and interactions
- Manage direct correspondence and daily interaction with all state regulators
- Serve as senior leadership in all Department of Insurance and HHSC audit processes
- Conduct internal compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with federal, state and local regulatory requirements
Requirements
- Bachelor’s degree in related field or equivalent experience
- Master's degree preferred
- 7+ years of compliance program management and contract experience with State Medicaid programs
- 5-7 years of experience with health care regulatory agencies in development of compliance and fraud programs
- 5+ years experience with overseeing implementation of contract requirements
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work
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