Talent.com
Senior Compliance Analyst, Duals (D-SNP)
Senior Compliance Analyst, Duals (D-SNP)Centene • Ladonia, TX, US
No se aceptan más aplicaciones
Senior Compliance Analyst, Duals (D-SNP)

Senior Compliance Analyst, Duals (D-SNP)

Centene • Ladonia, TX, US
Hace 2 días
Tipo de contrato
  • A tiempo completo
  • A tiempo parcial
  • Temporal
Descripción del trabajo

Job Description

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.

  • Fully Remote Opportunity

The ideal candidate will have :

  • Knowledge of dual contract requirements (e.g., Medicare-Medicaid plans)
  • Experience managing external audits and communicating with regulatory agencies
  • Ability to review deliverables and provide clear, actionable feedback
  • Skilled in developing and maintaining audit reporting, including tracking volume, identifying risks, and analyzing trends
  • Proven ability to collaborate effectively with cross-functional teams to drive audit readiness and continuous improvement
  • Position Purpose :

    Partners with leadership in maintaining Centene Corporation's Compliance with Duals (D-SNP) Program requirements. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies for the D-SNPs.

  • Responds to external requests for information required by the organization for its Duals and SMAC regulatory filings.
  • Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies.
  • Leads Duals compliance projects or implementations.
  • Reviews and synthesizes Duals regulatory requirements and create policy and / or position statements.
  • Partners with leadership to manage annual SMAC assessment and tracking of caps.
  • Communicate Duals (state and federal) requirements to internal and external clients.
  • Provides development guidance and leads the identification, implementation, and maintenance of Duals and overlapping Medicare compliance policies, procedures and work instructions.
  • Leads the identification, analysis, and resolution of Duals compliance issues.
  • Maintains and reviews D-SNP regulatory documentation necessary to maintain corporate standards.
  • Partners with leadership in developing, producing and conducting Duals compliance training programs.
  • Perform periodic compliance audits, risk assessments and conducts related to ongoing Duals compliance monitoring activities.
  • Partners with Duals Manager and health plans in managing relationships with regulatory agencies and seek to confirmation and clarification of D-SNP requirements and implementations where needed.
  • Performs interim Duals Compliance manager responsibilities to include supporting the health plan compliance officer with D-SNP specific responsibilities. Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives.
  • Serves as a company-wide resource and liaison on Duals policies, SMAC items and provisions, communications, workflow, and quality improvements initiatives.
  • Performs other duties as assigned.
  • Complies with all policies and standards.
  • Education / Experience :

  • Bachelor's Degree Law or related field; or, equivalent experience required
  • 4+ years Compliance and / or regulatory affairs required
  • Experience in project management with working knowledge of laws and / or regulations in area of compliance, in particular Medicare, D-SNP, and state regulations required
  • Pay Range : $68,700.00 - $123,700.00 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

    Crear una alerta de empleo para esta búsqueda

    Senior Compliance Analyst • Ladonia, TX, US

    Ofertas relacionadas
    Audit Senior

    Audit Senior

    Scott Singleton Fincher & Co • Greenville, TX, US
    Indefinido
    The Audit Senior performs most examinations with a minimum of supervision.He or she directs a number of assistants, instructs them in work to be performed, reviews the work done, and directs necess...Mostrar más
    Última actualización: hace 26 días • Oferta promocionada
    Adjunct Faculty - Dual Credit

    Adjunct Faculty - Dual Credit

    InsideHigherEd • Commerce, Texas, United States
    A tiempo completo
    Texas A&M University - Commerce.During the application process the.Attachments (Resume / CV, References, Cover letter, etc. Use the Upload button to add each document.You will be able to upload up to ...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    U.S. Customs and Border Protection Officer

    U.S. Customs and Border Protection Officer

    U.S. Customs and Border Protection • Dodd City, Texas, US
    A tiempo completo +1
    Customs and Border Protection Officer (CBPO).A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible.Customs an...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    OCPA • Honey Grove, Texas, us
    Teletrabajo
    A tiempo parcial +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Remote Side Hustle Evaluator - Flexible Online Gig Work

    Remote Side Hustle Evaluator - Flexible Online Gig Work

    Finance Buzz • Point, Texas, US
    Teletrabajo
    Temporal
    Are you looking to earn extra income from the comfort of your home? We're seeking motivated individuals to explore and test a variety of remote side hustle opportunities featured on FinanceBuzz.Thi...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Associate Director of Residence Education

    Associate Director of Residence Education

    InsideHigherEd • Commerce, Texas, United States
    A tiempo completo
    Associate Director of Residence Education.Residential Living And Learning.During the application process the.Attachments (Resume / CV, References, Cover letter, etc. Use the Upload button to add each ...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Delivery Driver - Flexible Onboarding

    Delivery Driver - Flexible Onboarding

    DoorDash • Wolfe City, TX, United States
    A tiempo completo +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Associate Dean

    Associate Dean

    InsideHigherEd • Commerce, Texas, United States
    A tiempo completo
    During the application process the.Attachments (Resume / CV, References, Cover letter, etc.Use the Upload button to add each document. You will be able to upload up to 5 documents.Be aware that the ma...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    United States Customs and Border Protection Officer

    United States Customs and Border Protection Officer

    U.S. Customs and Border Protection • Honey Grove, Texas, US
    A tiempo completo +1
    Customs and Border Protection Officer (CBPO).A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible.Customs an...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Hiring Now - Work from Home - No Experience

    Hiring Now - Work from Home - No Experience

    OCPA • Dodd City, Texas, us
    Teletrabajo
    A tiempo parcial +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Payroll and Benefits Analyst

    Payroll and Benefits Analyst

    Polara Enterprises • Greenville, TX, United States
    A tiempo completo
    The Payroll and Benefits Analyst is responsible for processing payroll for approximately 250-300 employees (including about 30 in Canada) and administering U. This role ensures accurate and timely p...Mostrar más
    Última actualización: hace 28 días • Oferta promocionada
    System Integration Test Engineering

    System Integration Test Engineering

    L3Harris Technologies • Cumby, TX, US
    A tiempo completo
    L3Harris is dedicated to recruiting and developing high-performing talent who are passionate about what they do.Our employees are unified in a shared dedication to our customers’ mission and quest ...Mostrar más
    Última actualización: hace 22 horas • Oferta promocionada • Nueva oferta
    Senior Director, Sales Investigations

    Senior Director, Sales Investigations

    Centene • Ladonia, TX, US
    A tiempo completo +1
    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&rsquo...Mostrar más
    Última actualización: hace 9 días • Oferta promocionada
    Systems and Safety Integration Engineer

    Systems and Safety Integration Engineer

    L3Harris Technologies • Greenville, TX, US
    A tiempo completo
    L3Harris is dedicated to recruiting and developing high-performing talent who are passionate about what they do.Our employees are unified in a shared dedication to our customers’ mission and quest ...Mostrar más
    Última actualización: hace 22 horas • Oferta promocionada • Nueva oferta
    Cyber Security Program Manager (Greenville)

    Cyber Security Program Manager (Greenville)

    The Judge Group • Greenville, TX, US
    A tiempo parcial
    Location : Remote during contract with monthly travel.Duration : 3+ Months (Contract-to-Hire).We are seeking an experienced Program Manager II to lead and support cybersecurity initiatives within a h...Mostrar más
    Última actualización: hace 16 horas • Oferta promocionada • Nueva oferta
    Hiring Event - Cyber Intelligence, Security Systems

    Hiring Event - Cyber Intelligence, Security Systems

    L3Harris Technologies • Cumby, Texas, US
    Indefinido
    L3Harris is dedicated to recruiting and developing high-performing talent who are passionate about what they do.All potential applicants are encouraged to scroll through and read the complete job d...Mostrar más
    Última actualización: hace menos de 1 hora • Oferta promocionada • Nueva oferta
    Restaurant Delivery - Flexible Onboarding

    Restaurant Delivery - Flexible Onboarding

    DoorDash • Wolfe City, TX, United States
    A tiempo completo +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Lyon Center Postdoctoral Fellow

    Lyon Center Postdoctoral Fellow

    InsideHigherEd • Commerce, Texas, United States
    A tiempo completo
    Lyon Center Postdoctoral Fellow.Office of Research And Sponsored Programs.During the application process the.Attachments (Resume / CV, References, Cover letter, etc. Use the Upload button to add each ...Mostrar más
    Última actualización: hace 10 días • Oferta promocionada