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Marketplace Senior Compliance Analyst (Remote)

Company

Iowa Total Care

Address , , Mn
Employment type FULL_TIME
Salary
Expires 2023-07-21
Posted at 1 year 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.

Position Purpose: Assist in maintaining Centene Corporation’s Compliance Program. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies.
Develop and maintain local Compliance Program for new line of business. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies.

Respond to external requests for information required by the organization for its regulatory filings
Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies
Manage ethics and compliance projects or implementations
Review and synthesize regulatory requirements and create policy and/or position statements
Assist in managing annual code of conduct attestation and remediation
Communicate state and federal requirements to internal and external clients
Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures and work instructions
Assist in the identification, analysis, and resolution of compliance issues
Maintain and review regulatory documentation necessary to maintain corporate standards
Assist in developing, producing and conducting compliance training programs
Perform periodic compliance audits, risk assessments and conducts related to ongoing compliance monitoring activities
Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members
Assist management with interim health plan compliance officer responsibilities
Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed
Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives

Education/Experience:

  • 3+ years of related experience in compliance privacy and/or regulatory affairs. Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular HIPAA, and state regulations.
  • Bachelor’s degree in related legal field or equivalent experience.
  • Master’s or Juris Doctorate degree preferred and maybe considered in lieu of experience.


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.