Senior Associate supporting compliance solutions for institutional clients in asset management. Delivering regulatory compliance and risk management expertise within a hybrid work environment.
About the role
- Director overseeing regulatory compliance operations for Centene, ensuring adherence to laws and regulations. Collaborating with teams to implement compliance strategies and manage Medicare compliance.
Responsibilities
- Direct and oversee regulatory compliance operations to ensure fully compliance with all applicable laws and regulations for assigned products/services
- Oversee, administer, and implement various aspects of the Medicare Compliance program, including HPMS communication/regulation
- Ability to research and apply CMS, DOI, OIG, and HIPPA regulations to create processes and strategies while ensuring corporate compliance
- Coordinate and document Centene responses to CMS Request for Information/Response
- Provide guidance to various departments regarding compliance issues and ensure implementation of new compliance requirements with respect to regulatory and contract language
- Identify, evaluate and analyze the impact of CMS and Medicare regulatory issues and advise management concerning impact
- Partner with various departments to ensure that state and/or federal regulatory requirements are communicated and met
- Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures
- Ensure all Medicare products and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities
- Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations; ensure policies and procedures are updated according to CMS/contract requirements
Requirements
- Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience
- 7+ years of regulatory, compliance, operations, or related experience, preferably in a health care environment
- Advanced degree preferred
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Compliance Analyst supporting the management of compliance models and processes at Tenpo. Contributing to building a solid compliance culture focusing on crime prevention and data protection.
Advertising Compliance Specialist ensuring compliance and operational excellence in the insurance sector. Collaborating on regulatory changes and supporting product development in a hybrid role.
Intern coordinating regulatory projects and compliance for Eversource Energy, engaging with legal, regulatory, and business teams. Involves monitoring regulatory changes and ensuring compliance across your duties.
Regulatory Policy Specialist developing regulatory case filings and strategies supporting company goals at Xcel Energy. Collaborating with stakeholders and senior management to ensure compliance and effective communication.
Manager overseeing leave and immigration compliance at Cedars - Sinai Medical Center. Ensuring adherence to laws while leading HR and compliance teams.
Experienced Quality Systems Specialist at Boeing supporting FAA Certification activities. Involves quality assurance plans and audits in manufacturing and regulatory environments.
Chief of Regulation overseeing programmatic and operational activities for Florida's Division of Licensing. Responsible for budget management and ensuring compliance with policies and procedures.
Compliance Business Oversight Manager managing compliance risk at TD Bank. Overseeing Affiliate Transactions Data Review and providing insights on regulatory compliance.
Regulatory Affairs Professional creating clinical evaluation documents for medical devices in a fast - growing biotech company. Collaborating with stakeholders and ensuring compliance with regulations.