Compliance Analyst - Medicare Claims

@ Centene Corporation

Overview

Centene Corporation is transforming the health of our communities, impacting 28 million members. As a Compliance Analyst - Medicare Claims, you will assist in maintaining the company’s Compliance Program, guide special projects, provide regulatory interpretation, conduct compliance reporting, and develop auditing and monitoring strategies.

Key Responsibilities

• Assist in maintaining Centene Corporation's Compliance Program.
• Guide special projects and provide regulatory interpretation.
• Perform compliance reporting, audits, risk assessments, and monitoring.
• Maintain databases and reference materials for regulatory issues.
• Communicate state and federal requirements to clients.
• Develop compliance training programs and policies.
• Manage relationships with regulatory agencies and resolve policy issues.
• Plan and coordinate Compliance Committee policy implementation.
• Respond to external requests and inquiries from regulatory agencies.

Qualifications

Bachelor’s degree or equivalent experience required; Master’s or Juris Doctorate preferred. Minimum 1+ years experience in compliance, privacy or regulatory affairs is needed. Knowledge in HIPAA, state regulations and Medicare claims (Medical Claims Part C and Provider Network) is highly preferred.

Salary & Benefits

Salary range is $55,100 - $99,000 per year. Benefits include competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work arrangements (remote, hybrid, field or office).

Key skills/competency

• Compliance
• Medicare Claims
• Regulatory Affairs
• HIPAA
• Auditing
• Monitoring
• Training
• Risk Assessment
• Database Management
• Legislative Tracking