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
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