Manager, Compliance (Duals & D-SNP Product)

Dual Compliance Manager

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
• Strong leadership and team management skills

Position Purpose : Manage the dual compliance department functions, including but not limited to, regulatory and D-SNP contract review and interpretation, periodic monitoring and auditing activities based on established compliance program, policies, and practices to ensure and maintain compliance with federal, state, and local regulatory, contractual and legal requirements.

Education / Experience : Bachelor's Degree Health Care Administration, Compliance or related field or equivalent experience required. 4+ years experience in compliance to include risk assessment against contract and regulatory requirements, creation and execution of auditing, monitoring and reporting processes, administration of correction action plans, implementation of written policies and procedures, developing and delivering compliance training and education required. Experience with D-SNP SMAC, regulatory requirements and / or operations required. Medicare managed health experience required.

Pay Range : $86,000.00 - $154,700.00 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