Compliance Analyst - Medicare Claims - Remote

Overview

As a Compliance Analyst for Centene, you will play a vital role in maintaining the Compliance Program and ensuring adherence to regulatory requirements for Medicare claims.

In Short

• Assist in maintaining Centene's Compliance Program.
• Provide regulatory interpretation and compliance reporting.
• Monitor legislation and regulations affecting services.
• Develop and implement compliance auditing strategies.
• Respond to inquiries from regulatory agencies.
• Conduct compliance training programs.
• Perform periodic compliance audits and risk assessments.
• Serve as a liaison on compliance policies and procedures.
• Maintain regulatory documentation and compliance standards.
• Assist in resolving policy issues affecting member services.

Requirements

• Bachelor’s degree in related field or equivalent experience.
• Master's or Juris Doctorate preferred.
• 1+ years of experience in compliance or regulatory affairs.
• Knowledge of HIPAA and state regulations.
• Experience with Medicare claims preferred.

Benefits

• Competitive pay and health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work schedules including remote options.