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Compliance Analyst Jobs

Company

Carolina Complete Health

Address , , Nc
Employment type FULL_TIME
Salary
Expires 2023-07-15
Posted at 11 months ago
Job Description

You could be the one who changes everything for our 26 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.

**REMOTE POSITION – MUST BE IN NORTH CAROLINA**
Position Purpose: Assist in maintaining Centene Corporation’s Compliance Program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring strategies.

  • Assist in the identification, analysis, and resolution of compliance issues.
  • Provide development guidance and assists in the identification, implementation, and maintenance of compliance policies, procedures and work instructions.
  • Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members.
  • Communicate state and federal requirements to internal and external clients.
  • Assist in developing, producing and conducting compliance training programs.
  • Respond to external requests for information required by the organization for its regulatory filings.
  • Perform periodic compliance audits, risk assessments and conducts related ongoing compliance monitoring activities.
  • Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed.
  • Maintain database and other reference materials related to legislative and regulatory issues and compliance.
  • Serve as a company wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives.
  • Monitor pending legislation and regulations affecting Centene Corporation services.
  • Respond to inquiries from state and federal regulatory agencies.
  • Maintain and reviews regulatory documentation necessary to maintain corporate standards.

  • Education/Experience: Bachelor’s degree in related field or equivalent experience. Master's or Juris Doctorate degree preferred and may be considered in lieu of experience.
  • 1+ years of related experience in compliance, privacy and/or regulatory affairs.
  • Working knowledge of laws and/or regulations in area of compliance; in particular HIPAA, and state regulations.
  • Experience with Regulatory & Statutory research and analysis is strongly preferred

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.