Director, Medicare Regulatory Change Management

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.

Position Purpose: Develop and implement strategies to ensure successful maintenance and implementation of regulatory requirements for assigned products across the entire company.

• Lead for maintenance and tracking laws, regulations and various compliance guidance documents, and preparing regular updates and analysis on impactful regulatory actions.
• Communicate key regulatory changes, trends, data to key stakeholders and leaders throughout the Company.
• Work in collaboration with Product Compliance Partners, Policy, Government Relations, Legal and other key departments to assess and analyze impactful regulations and guidance.
• Evaluate and monitor changes to service functions and performance in relation to company mission, philosophy objectives and policies.
• Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language.
• Provide mentoring and guidance to subordinates within the department as necessary.

Education/Experience:

• Bachelor’s degree in related field or equivalent experience.
• 7+ years of combined compliance program management and contract experience with Medicare and Medicaid programs, including internal and state audits.
• Experience with healthcare regulatory agencies in the development of compliance and fraud programs preferred. Experience with oversight of implementation of federal and state insurance or program requirement preferred.

Pay Range: $118,400.00 – $219,000.00 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

Originally posted on Himalayas