Manager, Compliance (duals & D-snp Product)

Centene

Multiple Locations
Base: $87,700.00 - $157,800.00 py; bonus/equity: n...
On-site
Manage dual compliance department functions
Ensure compliance with federal, state, and local requirements
Oversee smac updates and regulatory reporting
Centene is seeking a Manager of Compliance for their Duals and D-SNP products, responsible for overseeing compliance functions related to regulatory requirements and contract management. The role requires extensive experience in compliance, particularly in Medicare managed health and D-SNP operations

Job Summary

  • Manage the Dual compliance department functions, including regulatory and D-SNP contract review and interpretation, periodic monitoring and auditing activities to ensure and maintain compliance with federal, state, and local regulatory, contractual and legal requirements.
  • Oversee all SMAC updates including creating new and updating existing SMACs with CMS, Health Plans, States and consultants/vendors.
  • Create and deliver Duals compliance training for all employees on an annual basis and as needed basis, such as in response to a compliance issue or concern.

Matching Summary

Match Score: 85

Centene is seeking a Manager of Compliance for their Duals and D-SNP products, responsible for overseeing compliance functions related to regulatory requirements and contract management. The role requires extensive experience in compliance, particularly in Medicare managed health and D-SNP operations.

Salary

Base: $87,700.00 - $157,800.00 per year; Bonus/Equity: Not specified; Benefits: Competitive benefits package including health insurance, 401K, tuition reimbursement, PTO

Skills & Requirements

Must-have

  • Manage Dual compliance department functions
  • Ensure compliance with federal, state, and local requirements
  • Oversee SMAC updates and regulatory reporting
  • Develop and deliver compliance training

Nice-to-have

  • Transforming the health of communities
  • Competitive benefits and workplace flexibility

Key Requirements

  • Bachelor's Degree or equivalent experience
  • 4+ years compliance experience
  • Experience with D-SNP SMAC, regulatory requirements and/or operations
  • Medicare managed health experience

Work Rights

Not specified

Tailored Resume

Cover Letter