Senior Compliance Administrator

Remote Full-time
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: Design and implement programs, policies, and practices to ensure State and Federal program contract compliance, as well as compliance with federal and state legal and regulatory requirements. Represent Corporate Compliance at meetings with the State and Federal Regulators, as well as Senior Leadership and serve as the team lead on oversight of Health Plans and Corporate Business Units. • Conduct compliance audits and monitoring activities to assess adherence to local, state, and federal regulatory requirements • Identify areas of non-compliance and the need for corrective action plans to ensure timely resolution • Serve as a primary point of contact for Compliance professionals at provider practices, ensuring contractual and regulatory obligations are met • Assist management with enforcement actions and disciplinary measures in instances of non-compliance • Identify and implement process improvements to enhance the effectiveness and efficiency of audit and monitoring activities • Maintain subject matter expertise in auditing, monitoring, and regulatory compliance requirements • Modify procedures or processes as needed, and conduct fact-gathering and investigative activities to evaluate the effectiveness of compliance implementation • Support the maintenance of the compliance risk assessment process, ensuring it remains current and aligned with organizational priorities • Provide guidance and support for the execution of the annual audit and monitoring plan. • Performs other duties as assigned • Complies with all policies and standards Education/Experience: • Bachelor’s degree in healthcare administration, compliance or related field. • 6+ years of compliance and/or regulatory experience in a health care and/or managed care setting/organization. • Previous experience as a lead in a functional area, managing cross functional teams on large scale projects. Preferred Qualifications: • Professional audit or compliance certification (e.g., CIA, CHC, or similar) • JD, MBA, CPA or other relevant graduate degree • Strong knowledge of regulatory requirements and compliance frameworks Please note: This is remote role requiring less than 10% travel annually. Pay Range: $87,700.00 - $157,800.00 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 Apply tot his job
Apply Now →

Similar Jobs

Director of Finance - Full-time / Part-time

Remote Full-time

(USA) Director, Data Science (USA) ISD Office - DGTC AR BENTONVILLE Home Office

Remote Full-time

Senior Director - Data Science & Analytics

Remote Full-time

Director, Engineering

Remote Full-time

Senior Member of KYC Compliance - Remote

Remote Full-time

Assistant Director of Engineering

Remote Full-time

[Remote] Mgr, Engineering

Remote Full-time

Director of Platform Engineering

Remote Full-time

Senior Director | Finance Transformation

Remote Full-time

Director- Compliance, US Consumer Deposit

Remote Full-time

Refill Pharmacy Technician (CSR) - Freedom - Remote, AZ; Onsite, MA

Remote Full-time

Experienced Customer Service Chat Assistant for Remote Social Media and Website Support – Work from Home Opportunity with arenaflex

Remote Full-time

Physician Compliance Auditor - Healthcare & Research - Analysts

Remote Full-time

Experienced Cyber Security Operations Center Analyst – Back Half Night Shift (Remote) – Advanced Threat Detection and Response Specialist

Remote Full-time

Senior Manager, Global External Communications (Hybrid Work Schedule)

Remote Full-time

Sr Director Analyst, CHRO HR Strategy and Transformation REMOTE US

Remote Full-time

Frito Lay Merritt 2026 Summer Route Sales Representative

Remote Full-time

Fullstack + AI Engineer - TX, USA (Remote)

Remote Full-time

**Experienced Business Analytics Data Entry Specialist – Remote Opportunity at arenaflex**

Remote Full-time

General Director, Life Underwriting

Remote Full-time
← Back to Home