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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
09/10/2025
Full time
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
Rise is an award-winning, full-service Media Agency of Record that is backed by data and powered by people. We create omnichannel experiences using our proprietary tech stack and advanced analytics capabilities to help solve the unique struggles brands face today. This approach, with transparency at its core, specializes in omnichannel media, commerce and retail media, advanced in-home media, as well as content and creator marketing. We offer "Risers" the opportunity to work in an ever-evolving industry that will foster learning and development, provide an innovative work environment with diverse projects and clients, career advancement paths a collaborative team environment, corporate social responsibility initiatives, an inclusive and diverse culture, plus association with a reputable media agency. We're looking for talent like you who can continue to elevate our work and culture. The Group Director, Account Management will act as a strategic lead for key relationships with Rise's clients, responsible for delivering an exceptional Rise/Quad experience and acting as a critical partner in their marketing ecosystem. Interacting and influencing senior marketing leaders, this individual has a solid understanding of their clients' businesses and is seen as a cross-channel media and marketing expert in traditional and digital media . They have a media planning background and ability to converse across all media channels. They are responsible for maintaining and growing client revenue within Rise and identifying opportunities for growth across other Quad disciplines. They will lead a team of Account Leaders who will run the day-to-day business for each client and work hand in hand with other leaders across Rise to deliver work that drives business and brand impact. They are problem solvers, influencers, and creative thinkers. Key Responsibilities: Understand and discuss business, marketing & media goals with their clients, offering guidance and acting as a thought leader to help grow their business Accountable for overall agency client experience, directing teams on opportunities, needs, standards, and deliverables Owns relationship with senior marketing leader, i.e. CMO level Identify and articulate appropriate resources, talent, and product offerings across Rise to solve client problems Accountable for client P&L, growing revenue, managing EBITDA expectations, and leading annual account planning process Developing and maintaining staffing requirements based on client SOW Ensure client retention by leading robust relationship review program and delivering long term strategic roadmaps Identifying new opportunities across Rise and Quad, partnering with Sales and Marketing teams Lead, coach and develop Account Leads and other team members to grow business acumen and client relationship skills Participate in new business development process to bring in new clients to Rise Location: New York, 4 days in office Job Requirements: Education: Bachelor's degree required Experience : 8+ years of media and client management experience - agency and/or client side; must have background in media planning to be conversational across all channels and opportunities Knowledge, Skills & Abilities: Depth of media expertise across all channels required; broader marketing and communications experience a plus Significant experience and demonstrated success in leading a media planning/account team and coaching cross-functional team members May have experience in working with VP level or C-suite marketing clients Possess or ability to develop strong business acumen across a variety of client verticals Ability to build relationships, collaborate, and influence clients, internal teams, partner agencies, and supplier partners Creative thinker and problem solver with ability to create innovative client solutions within media and beyond Demonstrated experience leading or managing a P&L, budget management and resource planning Excels in a fast-paced dynamic environments Ability to travel to client meetings as needed Employees can be expected to be paid an annualized salary range of $143,000 - $229,000, based on variations in knowledge, skills, experience and market conditions. Rise and Quad are proud to be an equal opportunity employers. We are committed to creating a place of belonging - a space where employees do not need to sacrifice who they are to exist and grow in our workplace. Rise and Quad do not discriminate on any unlawful basis including race, religion, color, national origin, disability, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or any other basis prohibited by applicable federal, state, or local laws. Rise and Quad also prohibit harassment of applicants and employees based on any of these protected categories.
09/10/2025
Full time
Rise is an award-winning, full-service Media Agency of Record that is backed by data and powered by people. We create omnichannel experiences using our proprietary tech stack and advanced analytics capabilities to help solve the unique struggles brands face today. This approach, with transparency at its core, specializes in omnichannel media, commerce and retail media, advanced in-home media, as well as content and creator marketing. We offer "Risers" the opportunity to work in an ever-evolving industry that will foster learning and development, provide an innovative work environment with diverse projects and clients, career advancement paths a collaborative team environment, corporate social responsibility initiatives, an inclusive and diverse culture, plus association with a reputable media agency. We're looking for talent like you who can continue to elevate our work and culture. The Group Director, Account Management will act as a strategic lead for key relationships with Rise's clients, responsible for delivering an exceptional Rise/Quad experience and acting as a critical partner in their marketing ecosystem. Interacting and influencing senior marketing leaders, this individual has a solid understanding of their clients' businesses and is seen as a cross-channel media and marketing expert in traditional and digital media . They have a media planning background and ability to converse across all media channels. They are responsible for maintaining and growing client revenue within Rise and identifying opportunities for growth across other Quad disciplines. They will lead a team of Account Leaders who will run the day-to-day business for each client and work hand in hand with other leaders across Rise to deliver work that drives business and brand impact. They are problem solvers, influencers, and creative thinkers. Key Responsibilities: Understand and discuss business, marketing & media goals with their clients, offering guidance and acting as a thought leader to help grow their business Accountable for overall agency client experience, directing teams on opportunities, needs, standards, and deliverables Owns relationship with senior marketing leader, i.e. CMO level Identify and articulate appropriate resources, talent, and product offerings across Rise to solve client problems Accountable for client P&L, growing revenue, managing EBITDA expectations, and leading annual account planning process Developing and maintaining staffing requirements based on client SOW Ensure client retention by leading robust relationship review program and delivering long term strategic roadmaps Identifying new opportunities across Rise and Quad, partnering with Sales and Marketing teams Lead, coach and develop Account Leads and other team members to grow business acumen and client relationship skills Participate in new business development process to bring in new clients to Rise Location: New York, 4 days in office Job Requirements: Education: Bachelor's degree required Experience : 8+ years of media and client management experience - agency and/or client side; must have background in media planning to be conversational across all channels and opportunities Knowledge, Skills & Abilities: Depth of media expertise across all channels required; broader marketing and communications experience a plus Significant experience and demonstrated success in leading a media planning/account team and coaching cross-functional team members May have experience in working with VP level or C-suite marketing clients Possess or ability to develop strong business acumen across a variety of client verticals Ability to build relationships, collaborate, and influence clients, internal teams, partner agencies, and supplier partners Creative thinker and problem solver with ability to create innovative client solutions within media and beyond Demonstrated experience leading or managing a P&L, budget management and resource planning Excels in a fast-paced dynamic environments Ability to travel to client meetings as needed Employees can be expected to be paid an annualized salary range of $143,000 - $229,000, based on variations in knowledge, skills, experience and market conditions. Rise and Quad are proud to be an equal opportunity employers. We are committed to creating a place of belonging - a space where employees do not need to sacrifice who they are to exist and grow in our workplace. Rise and Quad do not discriminate on any unlawful basis including race, religion, color, national origin, disability, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or any other basis prohibited by applicable federal, state, or local laws. Rise and Quad also prohibit harassment of applicants and employees based on any of these protected categories.
Amazon Web Services (AWS) is seeking a Principal Level Commissioning Engineer to support the development and implementation of all aspects of the Commissioning Program for leased/owned data centers. This role, with an expert-level focus on the mechanical discipline of Commissioning, will serve as the primary liaison between Senior Engineers, Principal Engineers, Senior Managers, Directors, and VPs across the AWS team and external Commissioning Vendors. As a leader in the Data Center Capacity Delivery (DCCD) organization, you will research, develop, and ensure meticulous and timely delivery of our Data Centers. Principal Commissioning Engineers are hands-on, producing both detailed technical work and high-level program designs and process frameworks. They will aid in establishing testing methodologies, drive standardization, and increase quality across all AWS building sites. The successful candidate will have extensive experience in commissioning, program development and sustainment, and cross-functional collaboration. They must have a proven record of leading commissioning programs on large-scale critical infrastructure deployments, including Quality Control (QC), Startup, Functional Performance Testing (FPT), Integrated System Testing (IST), and cost- and schedule-mitigating measures. This position requires excellence in a fast-paced environment and the ability to manage concurrent responsibilities while supporting parallel initiatives. AWS Infrastructure Services owns the design, planning, delivery, and operation of all AWS global infrastructure. In other words, we're the people who keep the cloud running. We support all AWS data centers and all of the servers, storage, networking, power, and cooling equipment that ensure our customers have continual access to the innovation they rely on. We work on the most challenging problems, with thousands of variables impacting the supply chain - and we're looking for talented people who want to help. You'll join a diverse team of software, hardware, and network engineers, supply chain specialists, security experts, operations managers, and other vital roles. You'll collaborate with people across AWS to help us deliver the highest standards for safety and security while providing seemingly infinite capacity at the lowest possible cost for our customers. And you'll experience an inclusive culture that welcomes bold ideas and empowers you to own them to completion. Key job responsibilities Serve as the Subject Matter Expert (SME) for mechanical systems and the commissioning program for AWS leased/owned data centers Lead and support AWS pre-construction and construction management teams for new data center design and process improvement Lead and support AWS product teams and Principal Engineering for new data center design, new products, and product enhancements Lead and support reviews of design specifications, testing requirements, and test procedures and standards for adherence to commissioning specifications Lead and support workshops that drive alignment on key issues, construction practices, data center designs, and initiatives with the focus of increasing the effectiveness of construction and commissioning while enhancing customer experience and operational excellence Assist in Development and delivery of technical training programs for commissioning teams, to ensure consistency in procedures and knowledge transfer Conduct regular quality assurance audits of commissioning processes, documentation, and field execution to maintain high standards and identify areas for improvement Lead Correction of Errors (COE) investigations, root cause analysis (RCA), and implementation of preventive measures to enhance system reliability and operational efficiency Participate in technical interviews for commissioning team members and contractors, ensuring the selection of qualified personnel aligned with AWS standards About the team Amazon Web Services (AWS) is the world's most comprehensive and broadly adopted cloud platform. We pioneered cloud computing and never stopped innovating - that's why customers from the most successful startups to Global 500 companies trust our robust suite of products and services to power their businesses. Amazon values diverse experiences. Even if you do not meet all of the preferred qualifications and skills listed in the job description, we encourage candidates to apply. If your career is just starting, hasn't followed a traditional path, or includes alternative experiences, don't let it stop you from applying. We value work-life harmony. Achieving success at work should never come at the expense of sacrifices at home, which is why we strive for flexibility as part of our working culture. When we feel supported in the workplace and at home, there's nothing we can't achieve in the cloud. Here at AWS, it's in our nature to learn and be curious. Our employee-led affinity groups foster a culture of inclusion that empower us to be proud of our differences. Ongoing events and learning experiences, including our Conversations on Race and Ethnicity (CORE) and conferences, inspire us to never stop embracing our uniqueness. We're continuously raising our performance bar as we strive to become Earth's Best Employer. That's why you'll find endless knowledge-sharing, mentorship and other career-advancing resources here to help you develop into a better-rounded professional. BASIC QUALIFICATIONS • Bachelor's degree in Electrical/Mechanical Engineering or equivalent, or relevant discipline work experience • 7+ years' experience directly related to the commissioning/startup of data centers/critical infrastructure or large-scale, utility systems, mechanical and electrical plant and experience with large infrastructure project execution. • Strong understanding of construction processes, mechanical and electrical systems, and commissioning methodologies. • Knowledge of industry standards/best practices related to Commissioning. • Strategic thinking and long-term vision for technical direction PREFERRED QUALIFICATIONS • Ability to influence and lead without direct authority • Works independently while earning trust, building strong rapport across a broader team • Project and program management skills • Clear and concise in verbal and written communications • Cross-functional collaboration and stakeholder management • Mentorship and development of junior engineers • Business acumen and understanding of organizational goals Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status. Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
09/10/2025
Full time
Amazon Web Services (AWS) is seeking a Principal Level Commissioning Engineer to support the development and implementation of all aspects of the Commissioning Program for leased/owned data centers. This role, with an expert-level focus on the mechanical discipline of Commissioning, will serve as the primary liaison between Senior Engineers, Principal Engineers, Senior Managers, Directors, and VPs across the AWS team and external Commissioning Vendors. As a leader in the Data Center Capacity Delivery (DCCD) organization, you will research, develop, and ensure meticulous and timely delivery of our Data Centers. Principal Commissioning Engineers are hands-on, producing both detailed technical work and high-level program designs and process frameworks. They will aid in establishing testing methodologies, drive standardization, and increase quality across all AWS building sites. The successful candidate will have extensive experience in commissioning, program development and sustainment, and cross-functional collaboration. They must have a proven record of leading commissioning programs on large-scale critical infrastructure deployments, including Quality Control (QC), Startup, Functional Performance Testing (FPT), Integrated System Testing (IST), and cost- and schedule-mitigating measures. This position requires excellence in a fast-paced environment and the ability to manage concurrent responsibilities while supporting parallel initiatives. AWS Infrastructure Services owns the design, planning, delivery, and operation of all AWS global infrastructure. In other words, we're the people who keep the cloud running. We support all AWS data centers and all of the servers, storage, networking, power, and cooling equipment that ensure our customers have continual access to the innovation they rely on. We work on the most challenging problems, with thousands of variables impacting the supply chain - and we're looking for talented people who want to help. You'll join a diverse team of software, hardware, and network engineers, supply chain specialists, security experts, operations managers, and other vital roles. You'll collaborate with people across AWS to help us deliver the highest standards for safety and security while providing seemingly infinite capacity at the lowest possible cost for our customers. And you'll experience an inclusive culture that welcomes bold ideas and empowers you to own them to completion. Key job responsibilities Serve as the Subject Matter Expert (SME) for mechanical systems and the commissioning program for AWS leased/owned data centers Lead and support AWS pre-construction and construction management teams for new data center design and process improvement Lead and support AWS product teams and Principal Engineering for new data center design, new products, and product enhancements Lead and support reviews of design specifications, testing requirements, and test procedures and standards for adherence to commissioning specifications Lead and support workshops that drive alignment on key issues, construction practices, data center designs, and initiatives with the focus of increasing the effectiveness of construction and commissioning while enhancing customer experience and operational excellence Assist in Development and delivery of technical training programs for commissioning teams, to ensure consistency in procedures and knowledge transfer Conduct regular quality assurance audits of commissioning processes, documentation, and field execution to maintain high standards and identify areas for improvement Lead Correction of Errors (COE) investigations, root cause analysis (RCA), and implementation of preventive measures to enhance system reliability and operational efficiency Participate in technical interviews for commissioning team members and contractors, ensuring the selection of qualified personnel aligned with AWS standards About the team Amazon Web Services (AWS) is the world's most comprehensive and broadly adopted cloud platform. We pioneered cloud computing and never stopped innovating - that's why customers from the most successful startups to Global 500 companies trust our robust suite of products and services to power their businesses. Amazon values diverse experiences. Even if you do not meet all of the preferred qualifications and skills listed in the job description, we encourage candidates to apply. If your career is just starting, hasn't followed a traditional path, or includes alternative experiences, don't let it stop you from applying. We value work-life harmony. Achieving success at work should never come at the expense of sacrifices at home, which is why we strive for flexibility as part of our working culture. When we feel supported in the workplace and at home, there's nothing we can't achieve in the cloud. Here at AWS, it's in our nature to learn and be curious. Our employee-led affinity groups foster a culture of inclusion that empower us to be proud of our differences. Ongoing events and learning experiences, including our Conversations on Race and Ethnicity (CORE) and conferences, inspire us to never stop embracing our uniqueness. We're continuously raising our performance bar as we strive to become Earth's Best Employer. That's why you'll find endless knowledge-sharing, mentorship and other career-advancing resources here to help you develop into a better-rounded professional. BASIC QUALIFICATIONS • Bachelor's degree in Electrical/Mechanical Engineering or equivalent, or relevant discipline work experience • 7+ years' experience directly related to the commissioning/startup of data centers/critical infrastructure or large-scale, utility systems, mechanical and electrical plant and experience with large infrastructure project execution. • Strong understanding of construction processes, mechanical and electrical systems, and commissioning methodologies. • Knowledge of industry standards/best practices related to Commissioning. • Strategic thinking and long-term vision for technical direction PREFERRED QUALIFICATIONS • Ability to influence and lead without direct authority • Works independently while earning trust, building strong rapport across a broader team • Project and program management skills • Clear and concise in verbal and written communications • Cross-functional collaboration and stakeholder management • Mentorship and development of junior engineers • Business acumen and understanding of organizational goals Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status. Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
09/10/2025
Full time
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
Description: The Executive Assistant (EA) provides direct support to the Chief Executive Officer (CEO) and the Board of Directors, while also assisting the Senior Leadership Team (SLT) with select administrative and planning needs. This role functions as the administrative backbone of the CEO's office-ensuring precision, professionalism, and seamless execution of executive operations. The EA enables the CEO to remain focused on strategy and leadership by anticipating needs, managing complex schedules, and coordinating board and executive communications with discretion and accuracy. In addition to supporting the CEO, the EA ensures the Board of Directors is well-prepared and engaged, and that SLT operations run smoothly through strong planning, coordination, and follow-up. Operating with the highest degree of professionalism and confidentiality, the EA represents the CEO's office with credibility to internal and external stakeholders, reinforcing organizational effectiveness and trust at the most senior levels. Requirements: CEO & Board Support Manage the CEO's calendar, priorities, and daily schedule to maximize efficiency and focus on high-value activities Anticipate the CEO's administrative needs, preparing materials and information in advance of meetings, presentations, and travel Support flawless execution of board and committee meetings, including coordination and delivery of logistics, drafting/distribution of pre-reads, and managing follow-up items Draft and review correspondence and communications on behalf of the CEO, maintaining consistency in tone, accuracy, and professionalism Handle sensitive and confidential information with discretion and integrity SLT Support & Collaboration Assist with planning and coordination of Senior Leadership Team (SLT) meetings, including agenda development, scheduling, logistics, and follow-up on commitments Provide administrative support to SLT members as needed, reinforcing alignment with the CEO's priorities Ensure clear communication and information flow between the CEO's office and SLT, reducing bottlenecks and increasing responsiveness Support SLT retreats, strategic planning sessions, and special projects requiring coordination across executive leaders Administrative Excellence & Operations Act as the central point of contact for the CEO's office, screening and prioritizing inquiries from internal and external stakeholders Manage logistics for CEO travel, speaking engagements, and high-level events, ensuring all details are handled with accuracy Maintain and organize critical records, documents, and files to ensure accessibility and compliance with governance standards Partner with the Chief of Staff and other executive office staff to ensure operating routines (executive meetings, offsites, board prep) run smoothly and efficiently Continuously improves administrative processes, identifying ways to streamline workflows and enhance effectiveness in the CEO's office Qualifications & Skills Proven experience as an Executive Assistant or in a comparable role supporting C-level executives, preferably with non-profit board governance and protocol experience and at least 8+ years of experience Exceptional organizational and time-management skills, with the ability to balance competing priorities with a sense of urgency Strong written and verbal communication skills; able to draft professional correspondence and prepare polished materials High degree of discretion, integrity, and professionalism in handling sensitive and confidential information Advanced proficiency with Microsoft Office Suite, Google Workspace, and other productivity tools. Strong interpersonal skills with the ability to build trusted relationships across the organization and with external stakeholders Pass a criminal history check to include sex offender registry, State and FBI Key Attributes for Success Proactive: Anticipates needs and solves problems before they arise Detail-Oriented: Executes with accuracy and rigor; nothing falls through the cracks Discreet & Trustworthy: Handles sensitive information with the highest level of confidentiality Calm Under Pressure: Thrives in dynamic, fast-moving environments while maintaining composure Collaborative: Works seamlessly with the CEO, Chief of Staff, SLT, and Board to ensure alignment and efficiency Salary range: $70,000 - $80,000 SBP is building a diverse and experienced staff. The organization encourages multiple perspectives and experiences, supports a multicultural environment, and strives to hire and retain a diverse workforce that reflects the populations we work with and the communities where we work. Our hiring and business practices appreciate the strengths offered through different backgrounds. SBP is an equal opportunity, affirmative action employer and is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, creed, national origin, physical or mental disability, marital status, veteran status, disabled veteran status, or status as a member of any other protected group or activity. It is the policy of SBP not to discriminate against any individual, person, or group on the basis of disability and the intent of SBP to address any complaints that may arise pursuant to Section 504. Compensation details: 0 Yearly Salary PI490083c6ff54-1370
09/10/2025
Full time
Description: The Executive Assistant (EA) provides direct support to the Chief Executive Officer (CEO) and the Board of Directors, while also assisting the Senior Leadership Team (SLT) with select administrative and planning needs. This role functions as the administrative backbone of the CEO's office-ensuring precision, professionalism, and seamless execution of executive operations. The EA enables the CEO to remain focused on strategy and leadership by anticipating needs, managing complex schedules, and coordinating board and executive communications with discretion and accuracy. In addition to supporting the CEO, the EA ensures the Board of Directors is well-prepared and engaged, and that SLT operations run smoothly through strong planning, coordination, and follow-up. Operating with the highest degree of professionalism and confidentiality, the EA represents the CEO's office with credibility to internal and external stakeholders, reinforcing organizational effectiveness and trust at the most senior levels. Requirements: CEO & Board Support Manage the CEO's calendar, priorities, and daily schedule to maximize efficiency and focus on high-value activities Anticipate the CEO's administrative needs, preparing materials and information in advance of meetings, presentations, and travel Support flawless execution of board and committee meetings, including coordination and delivery of logistics, drafting/distribution of pre-reads, and managing follow-up items Draft and review correspondence and communications on behalf of the CEO, maintaining consistency in tone, accuracy, and professionalism Handle sensitive and confidential information with discretion and integrity SLT Support & Collaboration Assist with planning and coordination of Senior Leadership Team (SLT) meetings, including agenda development, scheduling, logistics, and follow-up on commitments Provide administrative support to SLT members as needed, reinforcing alignment with the CEO's priorities Ensure clear communication and information flow between the CEO's office and SLT, reducing bottlenecks and increasing responsiveness Support SLT retreats, strategic planning sessions, and special projects requiring coordination across executive leaders Administrative Excellence & Operations Act as the central point of contact for the CEO's office, screening and prioritizing inquiries from internal and external stakeholders Manage logistics for CEO travel, speaking engagements, and high-level events, ensuring all details are handled with accuracy Maintain and organize critical records, documents, and files to ensure accessibility and compliance with governance standards Partner with the Chief of Staff and other executive office staff to ensure operating routines (executive meetings, offsites, board prep) run smoothly and efficiently Continuously improves administrative processes, identifying ways to streamline workflows and enhance effectiveness in the CEO's office Qualifications & Skills Proven experience as an Executive Assistant or in a comparable role supporting C-level executives, preferably with non-profit board governance and protocol experience and at least 8+ years of experience Exceptional organizational and time-management skills, with the ability to balance competing priorities with a sense of urgency Strong written and verbal communication skills; able to draft professional correspondence and prepare polished materials High degree of discretion, integrity, and professionalism in handling sensitive and confidential information Advanced proficiency with Microsoft Office Suite, Google Workspace, and other productivity tools. Strong interpersonal skills with the ability to build trusted relationships across the organization and with external stakeholders Pass a criminal history check to include sex offender registry, State and FBI Key Attributes for Success Proactive: Anticipates needs and solves problems before they arise Detail-Oriented: Executes with accuracy and rigor; nothing falls through the cracks Discreet & Trustworthy: Handles sensitive information with the highest level of confidentiality Calm Under Pressure: Thrives in dynamic, fast-moving environments while maintaining composure Collaborative: Works seamlessly with the CEO, Chief of Staff, SLT, and Board to ensure alignment and efficiency Salary range: $70,000 - $80,000 SBP is building a diverse and experienced staff. The organization encourages multiple perspectives and experiences, supports a multicultural environment, and strives to hire and retain a diverse workforce that reflects the populations we work with and the communities where we work. Our hiring and business practices appreciate the strengths offered through different backgrounds. SBP is an equal opportunity, affirmative action employer and is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, creed, national origin, physical or mental disability, marital status, veteran status, disabled veteran status, or status as a member of any other protected group or activity. It is the policy of SBP not to discriminate against any individual, person, or group on the basis of disability and the intent of SBP to address any complaints that may arise pursuant to Section 504. Compensation details: 0 Yearly Salary PI490083c6ff54-1370
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
09/10/2025
Full time
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
09/09/2025
Full time
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
09/09/2025
Full time
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
09/09/2025
Full time
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Imagine how much went in to forming a team of actuarial talent that can keep our Fortune 6 global organization at the forefront of an industry. It took a lot of planning and work, and it is a great start. But now we need you. As a Senior Director Actuarial Services at UnitedHealth Group, you will direct cross-functional teams and influence senior leadership to adopt new ideas and approaches. It is an opportunity to help rewrite the future of UnitedHealth Group as you participate in the development of business strategy and lead large, complex projects to achieve key business objectives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide actuarial direction and strategy to balance growth and profitability goals Lead actuarial analysis and services in support of trend projections and pricing assumptions Collaborate with PBM and clinical partners to develop network, formulary, and rebate assumptions Collaborate on the development of actuarial Part D pricing and forecast models and methodologies Review results from pricing models and test sensitivity Evaluate impacts of strategic benefit changes and legislative reforms Participate in the Part D bid submission process Participate in forecast process, including evaluation of drivers and variances Communicate results to stakeholders Manage the workload and career development of a small staff of actuarial analysts You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 8+ years of actuarial experience Experience with Part D pricing or forecasting Experience using models that involve large datasets Advanced or higher level of proficiency in MS Excel Beginner or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: Experience building models using SAS or SQL or other programming system Advanced Proficiency in SAS (Statistical Analysis System) or SQL (Structure Query Language) or other programming system All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
09/09/2025
Full time
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Imagine how much went in to forming a team of actuarial talent that can keep our Fortune 6 global organization at the forefront of an industry. It took a lot of planning and work, and it is a great start. But now we need you. As a Senior Director Actuarial Services at UnitedHealth Group, you will direct cross-functional teams and influence senior leadership to adopt new ideas and approaches. It is an opportunity to help rewrite the future of UnitedHealth Group as you participate in the development of business strategy and lead large, complex projects to achieve key business objectives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide actuarial direction and strategy to balance growth and profitability goals Lead actuarial analysis and services in support of trend projections and pricing assumptions Collaborate with PBM and clinical partners to develop network, formulary, and rebate assumptions Collaborate on the development of actuarial Part D pricing and forecast models and methodologies Review results from pricing models and test sensitivity Evaluate impacts of strategic benefit changes and legislative reforms Participate in the Part D bid submission process Participate in forecast process, including evaluation of drivers and variances Communicate results to stakeholders Manage the workload and career development of a small staff of actuarial analysts You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 8+ years of actuarial experience Experience with Part D pricing or forecasting Experience using models that involve large datasets Advanced or higher level of proficiency in MS Excel Beginner or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: Experience building models using SAS or SQL or other programming system Advanced Proficiency in SAS (Statistical Analysis System) or SQL (Structure Query Language) or other programming system All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Imagine how much went in to forming a team of actuarial talent that can keep our Fortune 6 global organization at the forefront of an industry. It took a lot of planning and work, and it is a great start. But now we need you. As a Senior Director Actuarial Services at UnitedHealth Group, you will direct cross-functional teams and influence senior leadership to adopt new ideas and approaches. It is an opportunity to help rewrite the future of UnitedHealth Group as you participate in the development of business strategy and lead large, complex projects to achieve key business objectives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide actuarial direction and strategy to balance growth and profitability goals Lead actuarial analysis and services in support of trend projections and pricing assumptions Collaborate with PBM and clinical partners to develop network, formulary, and rebate assumptions Collaborate on the development of actuarial Part D pricing and forecast models and methodologies Review results from pricing models and test sensitivity Evaluate impacts of strategic benefit changes and legislative reforms Participate in the Part D bid submission process Participate in forecast process, including evaluation of drivers and variances Communicate results to stakeholders Manage the workload and career development of a small staff of actuarial analysts You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 8+ years of actuarial experience Experience with Part D pricing or forecasting Experience using models that involve large datasets Advanced or higher level of proficiency in MS Excel Beginner or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: Experience building models using SAS or SQL or other programming system Advanced Proficiency in SAS (Statistical Analysis System) or SQL (Structure Query Language) or other programming system All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
09/09/2025
Full time
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Imagine how much went in to forming a team of actuarial talent that can keep our Fortune 6 global organization at the forefront of an industry. It took a lot of planning and work, and it is a great start. But now we need you. As a Senior Director Actuarial Services at UnitedHealth Group, you will direct cross-functional teams and influence senior leadership to adopt new ideas and approaches. It is an opportunity to help rewrite the future of UnitedHealth Group as you participate in the development of business strategy and lead large, complex projects to achieve key business objectives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide actuarial direction and strategy to balance growth and profitability goals Lead actuarial analysis and services in support of trend projections and pricing assumptions Collaborate with PBM and clinical partners to develop network, formulary, and rebate assumptions Collaborate on the development of actuarial Part D pricing and forecast models and methodologies Review results from pricing models and test sensitivity Evaluate impacts of strategic benefit changes and legislative reforms Participate in the Part D bid submission process Participate in forecast process, including evaluation of drivers and variances Communicate results to stakeholders Manage the workload and career development of a small staff of actuarial analysts You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 8+ years of actuarial experience Experience with Part D pricing or forecasting Experience using models that involve large datasets Advanced or higher level of proficiency in MS Excel Beginner or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: Experience building models using SAS or SQL or other programming system Advanced Proficiency in SAS (Statistical Analysis System) or SQL (Structure Query Language) or other programming system All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Description Summary: The System Administrator Senior is responsible for technical leadership in support of core network services, such as email, anti-virus, application deployment, data delivery, server hardware and operating systems, directory services, network printing, backup and recovery services, and others. The Enterprise System Administrator III is expected to remain current on developments in advancements related to area responsibilities. In addition, analytical and problem solving skills are critical to troubleshooting and resolving problems. The Enterprise System Administrator III is responsible for delivering high quality cost-effective solutions to all levels of users and is also responsible for supporting the business goals and objectives for the Department, the Information Services Organization, and the organization as a whole. Responsibilities: Demonstrate strong knowledge and troubleshooting skills in all of the following: email (including related IP services such as DNS and SMTP); enterprise client/server applications; mobile device technologies; anti-virus systems; application deployment technologies such as Citrix and ZENworks; application packaging such as Snapshot, AdminStudio, Thinstall; data delivery technologies (including FTP and interface products), and others Demonstrate strong knowledge and troubleshooting skills in all of the following: enterprise server operating systems, server hardware, network storage, network printing, directory services, IP Services, enterprise client/server applications, and enterprise backup and recovery systems Demonstrate exceptional customer service, communication and human relationship skills when dealing with customers, fellow associates and vendors Identify and manage complex problems and issues with assigned systems Utilize standard and ad-hoc procedures to perform problem resolution for system Use appropriate tools to track and report problem status and escalate in a timely manner Produce and maintain technical documentation on the assigned systems Document and update telecommunications and networking technical standards and procedures Maintain data in network management for accuracy Produce required department reporting associated with projects and problems assigned, which includes current status and problem documentation summary within the problem management system Manage complex level internal projects including tasks, deadlines and reporting Participate in departmental programs that promote and deliver exceptional customer service Follow established policies, procedures and standards defined by the department Participate in the development and documentation of procedures for day-to-day tasks within assigned areas of support and maintenance, including the development of processes and procedures for other teams Understand and adhere to all security policies and procedures relating to systems, data, and physical data center security and safety Identify and resolve or escalate any issues or violations to management and other groups, as needed Maintain a clean, organized and safe work environment Demonstrate the ability to learn and support new technologies through e-learning, self study, and peer training/studies Assist other IM teams by providing second level support and guidance Participate in after-hours technical support by rotating call schedule on a regular basis Perform other duties as assigned by management or designee Requirements: High School Diploma Work Schedule: 5 Days - 8 Hours Work Type: Full Time
09/09/2025
Full time
Description Summary: The System Administrator Senior is responsible for technical leadership in support of core network services, such as email, anti-virus, application deployment, data delivery, server hardware and operating systems, directory services, network printing, backup and recovery services, and others. The Enterprise System Administrator III is expected to remain current on developments in advancements related to area responsibilities. In addition, analytical and problem solving skills are critical to troubleshooting and resolving problems. The Enterprise System Administrator III is responsible for delivering high quality cost-effective solutions to all levels of users and is also responsible for supporting the business goals and objectives for the Department, the Information Services Organization, and the organization as a whole. Responsibilities: Demonstrate strong knowledge and troubleshooting skills in all of the following: email (including related IP services such as DNS and SMTP); enterprise client/server applications; mobile device technologies; anti-virus systems; application deployment technologies such as Citrix and ZENworks; application packaging such as Snapshot, AdminStudio, Thinstall; data delivery technologies (including FTP and interface products), and others Demonstrate strong knowledge and troubleshooting skills in all of the following: enterprise server operating systems, server hardware, network storage, network printing, directory services, IP Services, enterprise client/server applications, and enterprise backup and recovery systems Demonstrate exceptional customer service, communication and human relationship skills when dealing with customers, fellow associates and vendors Identify and manage complex problems and issues with assigned systems Utilize standard and ad-hoc procedures to perform problem resolution for system Use appropriate tools to track and report problem status and escalate in a timely manner Produce and maintain technical documentation on the assigned systems Document and update telecommunications and networking technical standards and procedures Maintain data in network management for accuracy Produce required department reporting associated with projects and problems assigned, which includes current status and problem documentation summary within the problem management system Manage complex level internal projects including tasks, deadlines and reporting Participate in departmental programs that promote and deliver exceptional customer service Follow established policies, procedures and standards defined by the department Participate in the development and documentation of procedures for day-to-day tasks within assigned areas of support and maintenance, including the development of processes and procedures for other teams Understand and adhere to all security policies and procedures relating to systems, data, and physical data center security and safety Identify and resolve or escalate any issues or violations to management and other groups, as needed Maintain a clean, organized and safe work environment Demonstrate the ability to learn and support new technologies through e-learning, self study, and peer training/studies Assist other IM teams by providing second level support and guidance Participate in after-hours technical support by rotating call schedule on a regular basis Perform other duties as assigned by management or designee Requirements: High School Diploma Work Schedule: 5 Days - 8 Hours Work Type: Full Time
University of California, Berkeley
San Francisco, California
Executive Director of Career Center Associate Dean of Students (0299U) 25050 About Berkeley At the University of California, Berkeley, we are committed to creating a community that fosters equity of experience and opportunity, and ensures that students, faculty, and staff of all backgrounds feel safe, welcome and included. Our culture of openness, freedom and belonging make it a special place for students, faculty and staff. The University of California, Berkeley, is one of the world's leading institutions of higher education, distinguished by its combination of internationally recognized academic and research excellence; the transformative opportunity it provides to a large and diverse student body; its public mission and commitment to equity and social justice; and its roots in the California experience, animated by such values as innovation, questioning the status quo, and respect for the environment and nature. Since its founding in 1868, Berkeley has fueled a perpetual renaissance, generating unparalleled intellectual, economic and social value in California, the United States and the world. We are looking for equity-minded applicants who represent the full diversity of California and who demonstrate a sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability, gender identity, sexual orientation, and ethnic backgrounds present in our community. When you join the team at Berkeley, you can expect to be part of an inclusive, innovative and equity-focused community that approaches higher education as a matter of social justice that requires broad collaboration among faculty, staff, students and community partners. In deciding whether to apply for a position at Berkeley, you are strongly encouraged to consider whether your values align with our Guiding Values and Principles , our Principles of Community , and our Strategic Plan . Departmental Overview UC Berkeley's Career Center plays a critical role in preparing and supporting students launching their careers. We are seeking a seasoned and dynamic professional to play a major role in the new vision for the Berkeley Career Center. The Center helps undergraduate students, graduate students, and recent alumni make informed decisions about their futures by providing comprehensive resources, programs, career counseling, externships and internships, and employment and professional /graduate school options - whether they are building upon a liberal arts education, leveraging their academic preparation in business or engineering, envisioning a future in medicine, or seeking a career in the corporate or nonprofit workforce. The Career center has a dedication to providing all students: Career Clarity the opportunity to identify their career direction Career Competitiveness opportunities to enhance their marketability and career readiness via real world experiences Career Connections opportunities to engage with alumni and employers The Career Center is housed in a new state of the art facility, has around 35 staff members as well as peer counselors and student workers, and operates in a 4.6 million-dollar budget, a substantial amount of which is generated through revenue. Application Review Date The First Review Date for this job is: October 29, 2021. Job will remain open until filled. Please submit application materials by November 19, 2021. Responsibilities Overview: The Executive Director provides vision and strategic leadership for campus-wide comprehensive career services which serve all undergraduate and graduate students as well as alumni at the University of California, Berkeley. The Director oversees the delivery of services in several broad areas: career counseling, internships, employment, graduate and professional schools, and administrative services (including budget and technology). These programs and services address the career planning and job search needs of individuals beginning in their first year and continuing through their graduating year and beyond, including their first five years as alumni. The unique nature of the Career Center's mission is that it is one of the only student service units which provides significant levels of service to internal campus consistencies (students, academic units, and student service departments) as well as to external populations consisting of employers, alumni, and graduate/professional schools. The unit represents the campus to a broad constituency of the employer community and builds long-term relationships that benefit the campus as a whole. The unit has 35+ FTE and 15-20 part-time students with an annual budget of $4.2 million, approximately 40% of which is generated from several income streams. Through subordinate managers develops and directs an integrated student service program that provides career services to students and recent alumni. Oversee diverse functional areas utilizing a blend of business and educational management principles. Provide leadership to the Management Group (a team of 8 key staff members) and the Director's Group (the three senior managers) to develop an integrated, collaborative student service operation, maximizing resources through the delivery of innovative, creative,user-friendly services and programs to highly diverse constituencies. Articulate a vision of the organization grounded in unit and Divisional mission and values, and in good student affairs practices, to educate and assist in developing students' ability to effectively utilize an array of career development and implementation skills. Develops relationships with employers who recruit Berkeley graduates and alumni. Cultivate relationships with external constituents (notably employers) to promote the institution and enhance the visibility of students to the employer and graduate/professional school communities. Develops collaborative relationships with the schools and colleges and Graduate Division to assess and create programs for their specialized needs. Advocate for the advancement of career services within the institution. Develop collaborative relationships with the schools and colleges and Graduate Division as well as numerous major academic departments. Interact with academic deans, department chairs, and advising directors to assess their specialized needs and expectations and identify solutions which provide opportunities for collaborative strategies. Oversees the Career Center's budget comprised of multiple fund sources, and develops fundraising strategies to cultivate alumni and employer donations. Serve as chief resource steward for the unit to develop and administer substantial financial resources, solicit funding and develop new funding sources. Oversee the strategic fiscal planning process and monitor the short-term, operational deployment of the unit's budget. Develops and leverages technology applications to enhance the delivery of career services and programs to students and employers on a 24/7 basis. Develop, articulate, and direct a vision which promotes the use of technology for the delivery of complex, distinct, and interrelated career services in an operations-intensive unit. Leads assessments of the Career Center's effectiveness, researches market trends, and initiates new and enhanced career programs. Oversee an assessment and evaluation program to gather and analyze information in several areas that impact the delivery of career programs and services. Required Qualifications Evidence of leadership and accomplishment within the profession. Advanced knowledge of career development theory and its application to a highly diverse university population. Demonstrated knowledge of diversity, equity, inclusion, and belonging issues as it relates to the broader higher education arena and how to apply it to the career development field. Well developed management skills to lead a large professional and administrative staff and create an effective team-oriented environment. Demonstrated ability to lead a large, complex organization serving an extremely diverse set of customers. Understanding of organizational and strategic planning and the capability to affect and manage culture and operational changes. Knowledge of the principles of providing outstanding customer care in a top-rated university career services environment. Knowledge of the employment selection field and hiring practices of the employment and government sectors. Knowledge of the admissions processes of graduate and professional schools. Knowledge of and ability to manage state-of-the-art technology and its application to a student service operation. Knowledge of state and national labor markets and the marketplace trends which will affect the nature of the future workplace. Knowledge of federal, state, and University regulations governing employment processes, and the principles and standards of the National Association of Colleges and Employers (NACE). Ability to manage a complex budget, create fundraising opportunities, and develop entrepreneurial partnerships to generate sources of revenue. Ability to interact with a broad range of diverse campus and external populations and achieve collaborative working relationships. Understanding of program development and assessment as well as policy design and implementation. Written, interpersonal, and presentation skills to communicate information in a variety of situations. Ability to create a vision and articulate the vision to staff and constituencies. A tolerance for ambiguity. . click apply for full job details
09/09/2025
Full time
Executive Director of Career Center Associate Dean of Students (0299U) 25050 About Berkeley At the University of California, Berkeley, we are committed to creating a community that fosters equity of experience and opportunity, and ensures that students, faculty, and staff of all backgrounds feel safe, welcome and included. Our culture of openness, freedom and belonging make it a special place for students, faculty and staff. The University of California, Berkeley, is one of the world's leading institutions of higher education, distinguished by its combination of internationally recognized academic and research excellence; the transformative opportunity it provides to a large and diverse student body; its public mission and commitment to equity and social justice; and its roots in the California experience, animated by such values as innovation, questioning the status quo, and respect for the environment and nature. Since its founding in 1868, Berkeley has fueled a perpetual renaissance, generating unparalleled intellectual, economic and social value in California, the United States and the world. We are looking for equity-minded applicants who represent the full diversity of California and who demonstrate a sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability, gender identity, sexual orientation, and ethnic backgrounds present in our community. When you join the team at Berkeley, you can expect to be part of an inclusive, innovative and equity-focused community that approaches higher education as a matter of social justice that requires broad collaboration among faculty, staff, students and community partners. In deciding whether to apply for a position at Berkeley, you are strongly encouraged to consider whether your values align with our Guiding Values and Principles , our Principles of Community , and our Strategic Plan . Departmental Overview UC Berkeley's Career Center plays a critical role in preparing and supporting students launching their careers. We are seeking a seasoned and dynamic professional to play a major role in the new vision for the Berkeley Career Center. The Center helps undergraduate students, graduate students, and recent alumni make informed decisions about their futures by providing comprehensive resources, programs, career counseling, externships and internships, and employment and professional /graduate school options - whether they are building upon a liberal arts education, leveraging their academic preparation in business or engineering, envisioning a future in medicine, or seeking a career in the corporate or nonprofit workforce. The Career center has a dedication to providing all students: Career Clarity the opportunity to identify their career direction Career Competitiveness opportunities to enhance their marketability and career readiness via real world experiences Career Connections opportunities to engage with alumni and employers The Career Center is housed in a new state of the art facility, has around 35 staff members as well as peer counselors and student workers, and operates in a 4.6 million-dollar budget, a substantial amount of which is generated through revenue. Application Review Date The First Review Date for this job is: October 29, 2021. Job will remain open until filled. Please submit application materials by November 19, 2021. Responsibilities Overview: The Executive Director provides vision and strategic leadership for campus-wide comprehensive career services which serve all undergraduate and graduate students as well as alumni at the University of California, Berkeley. The Director oversees the delivery of services in several broad areas: career counseling, internships, employment, graduate and professional schools, and administrative services (including budget and technology). These programs and services address the career planning and job search needs of individuals beginning in their first year and continuing through their graduating year and beyond, including their first five years as alumni. The unique nature of the Career Center's mission is that it is one of the only student service units which provides significant levels of service to internal campus consistencies (students, academic units, and student service departments) as well as to external populations consisting of employers, alumni, and graduate/professional schools. The unit represents the campus to a broad constituency of the employer community and builds long-term relationships that benefit the campus as a whole. The unit has 35+ FTE and 15-20 part-time students with an annual budget of $4.2 million, approximately 40% of which is generated from several income streams. Through subordinate managers develops and directs an integrated student service program that provides career services to students and recent alumni. Oversee diverse functional areas utilizing a blend of business and educational management principles. Provide leadership to the Management Group (a team of 8 key staff members) and the Director's Group (the three senior managers) to develop an integrated, collaborative student service operation, maximizing resources through the delivery of innovative, creative,user-friendly services and programs to highly diverse constituencies. Articulate a vision of the organization grounded in unit and Divisional mission and values, and in good student affairs practices, to educate and assist in developing students' ability to effectively utilize an array of career development and implementation skills. Develops relationships with employers who recruit Berkeley graduates and alumni. Cultivate relationships with external constituents (notably employers) to promote the institution and enhance the visibility of students to the employer and graduate/professional school communities. Develops collaborative relationships with the schools and colleges and Graduate Division to assess and create programs for their specialized needs. Advocate for the advancement of career services within the institution. Develop collaborative relationships with the schools and colleges and Graduate Division as well as numerous major academic departments. Interact with academic deans, department chairs, and advising directors to assess their specialized needs and expectations and identify solutions which provide opportunities for collaborative strategies. Oversees the Career Center's budget comprised of multiple fund sources, and develops fundraising strategies to cultivate alumni and employer donations. Serve as chief resource steward for the unit to develop and administer substantial financial resources, solicit funding and develop new funding sources. Oversee the strategic fiscal planning process and monitor the short-term, operational deployment of the unit's budget. Develops and leverages technology applications to enhance the delivery of career services and programs to students and employers on a 24/7 basis. Develop, articulate, and direct a vision which promotes the use of technology for the delivery of complex, distinct, and interrelated career services in an operations-intensive unit. Leads assessments of the Career Center's effectiveness, researches market trends, and initiates new and enhanced career programs. Oversee an assessment and evaluation program to gather and analyze information in several areas that impact the delivery of career programs and services. Required Qualifications Evidence of leadership and accomplishment within the profession. Advanced knowledge of career development theory and its application to a highly diverse university population. Demonstrated knowledge of diversity, equity, inclusion, and belonging issues as it relates to the broader higher education arena and how to apply it to the career development field. Well developed management skills to lead a large professional and administrative staff and create an effective team-oriented environment. Demonstrated ability to lead a large, complex organization serving an extremely diverse set of customers. Understanding of organizational and strategic planning and the capability to affect and manage culture and operational changes. Knowledge of the principles of providing outstanding customer care in a top-rated university career services environment. Knowledge of the employment selection field and hiring practices of the employment and government sectors. Knowledge of the admissions processes of graduate and professional schools. Knowledge of and ability to manage state-of-the-art technology and its application to a student service operation. Knowledge of state and national labor markets and the marketplace trends which will affect the nature of the future workplace. Knowledge of federal, state, and University regulations governing employment processes, and the principles and standards of the National Association of Colleges and Employers (NACE). Ability to manage a complex budget, create fundraising opportunities, and develop entrepreneurial partnerships to generate sources of revenue. Ability to interact with a broad range of diverse campus and external populations and achieve collaborative working relationships. Understanding of program development and assessment as well as policy design and implementation. Written, interpersonal, and presentation skills to communicate information in a variety of situations. Ability to create a vision and articulate the vision to staff and constituencies. A tolerance for ambiguity. . click apply for full job details
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
09/09/2025
Full time
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
Join a Legacy of Innovation 125 Years and Counting! Daiichi Sankyo Group is dedicated to the creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and technology. With more than 100 years of scientific expertise and a presence in more than 20 countries, Daiichi Sankyo and its 18,000 employees around the world draw upon a rich legacy of innovation and a robust pipeline of promising new medicines to help people. Under the Group's 2025 Vision to become a "Global Pharma Innovator with Competitive Advantage in Oncology," Daiichi Sankyo is primarily focused on providing novel therapies in oncology, as well as other research areas centered around rare diseases and immune disorders. Summary The purpose of the Senior Director, Forecasting & Business Analytics is to lead the forecasting and financial and analytical support of commercial assets. In addition, this role will lead the forecasting process supporting the Business Development team through financial analysis and valuation process for investment and other business development opportunities. This position will own the revenue and contract analytics forecasting process, as well as financial business development valuations in order to provide strategic guidance to senior management, support commercial and strategic decision making. Responsibilities Revenue Forecasting - Owns the revenue forecasting process for all in line and pre-launch US products, both oncology and non-oncology. Leads the team to develop sophisticated short-term and mid-term sales forecasts for in-line and pre-launch products, providing strategic guidance on commercial and alliance partnership decisions as well as supply chain inventory. Ensures communication and alignment with finance colleagues as well as Global Business Strategy and Analytics. Acts as a trusted thought leader for the organization who provides strategic guidance and data-driven insights. Collaborates with and influences franchise teams and other cross-functional stakeholders around the latest thinking on forecast assumptions such as launch timing, market insights and competitor entrants. Manages forecast alignment discussions between DS business units and alliance counterparts, as well as US franchise leadership and Corporate Planning Team in Tokyo, focusing on assumptions, revenue drivers, opportunities and risks. This position will ensure that the team follows the established Revenue forecasting process, puts into effect governance and controls steps to safeguard the integrity of the process and facilitate process improvement. People Leadership - Coach, motivate, and develop staff to ensure high degree of service is maintained and staff remains focused on corporate goals and maintains a high level of engagement. Direct staffs to maintain high involvement with business partners in order to continue learn the competitive environment, therapeutic areas, etc. and become true business advisors to the commercial teams and continue to develop ability to clearly communicate across the organization. G2N Forecasting - Oversee the G2N Contract Forecasting to ensure support of cross-functional teams regarding key managed care accounts and ASP analysis. This includes: profitability analysis of current contracts, sensitivity analysis of the impact of access strategy on the business, impacts of changes in contracts terms, and pricing actions on net revenue. This individual is responsible for ensuring tools, data and models are in place to meet reporting/analytical needs for G2N. Business Development Support - Direct the financial analysis and valuation process for business development, licensing and collaboration investments. Partner with Global Business Development and Commercial teams to understand strategic fit of the investment opportunity and to align on the forecast and valuation assumptions. Lead financial and due diligence efforts and ensure tax collaboration: work directly with the BD project lead as well as legal team to proactively inform them of the timelines and efforts required to complete due diligence. Assess the need and engage consultants as necessary and facilitate communication among different parties. Business Partnership - Develop business partnership with key stakeholders across the business and alliance partners. Deliver clear storyline of technical forecast assumptions to partners and collaborators, ensuring their understanding and alignment with assumptions and related impacts. Keep up to date with changes in the business and communicate potential impacts of those changes. Change Management - Continuously review the financial procedures and drive new processes and/or system enhancements to improve organizational efficiency while ensuring accuracy and process controls are not compromised. Qualifications: Successful candidates will be able to meet the qualifications below with or without a reasonable accommodation. Education Qualifications (from an accredited college or university) Bachelor's Degree preferably Finance, Accounting, Economics required MBA other advanced degrees preferred Experience Qualifications 10 or More Years of commensurate experience in financial analysis and forecasting; required Pharma Brand Finance or Forecasting experience preferred Deep knowledge of therapeutic areas that DSI competes in or demonstrated ability to develop that knowledge; preferred Detailed knowledge of all channels of managed care environment in the US (commercial, Medicare, Medicaid, etc.); preferred Sufficient understanding of financial matters to challenge and pressure-test assumptions (e.g. pricing, GTN, etc.). preferred Trave lAbility: to travel up to 10% Some limited travel for meetings and/or conferences. Daiichi Sankyo, Inc. is an equal opportunity/affirmative action employer. Qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. Salary Range: $214,050.00 - $356,750.00Download Our Benefits Summary PDF
09/09/2025
Full time
Join a Legacy of Innovation 125 Years and Counting! Daiichi Sankyo Group is dedicated to the creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and technology. With more than 100 years of scientific expertise and a presence in more than 20 countries, Daiichi Sankyo and its 18,000 employees around the world draw upon a rich legacy of innovation and a robust pipeline of promising new medicines to help people. Under the Group's 2025 Vision to become a "Global Pharma Innovator with Competitive Advantage in Oncology," Daiichi Sankyo is primarily focused on providing novel therapies in oncology, as well as other research areas centered around rare diseases and immune disorders. Summary The purpose of the Senior Director, Forecasting & Business Analytics is to lead the forecasting and financial and analytical support of commercial assets. In addition, this role will lead the forecasting process supporting the Business Development team through financial analysis and valuation process for investment and other business development opportunities. This position will own the revenue and contract analytics forecasting process, as well as financial business development valuations in order to provide strategic guidance to senior management, support commercial and strategic decision making. Responsibilities Revenue Forecasting - Owns the revenue forecasting process for all in line and pre-launch US products, both oncology and non-oncology. Leads the team to develop sophisticated short-term and mid-term sales forecasts for in-line and pre-launch products, providing strategic guidance on commercial and alliance partnership decisions as well as supply chain inventory. Ensures communication and alignment with finance colleagues as well as Global Business Strategy and Analytics. Acts as a trusted thought leader for the organization who provides strategic guidance and data-driven insights. Collaborates with and influences franchise teams and other cross-functional stakeholders around the latest thinking on forecast assumptions such as launch timing, market insights and competitor entrants. Manages forecast alignment discussions between DS business units and alliance counterparts, as well as US franchise leadership and Corporate Planning Team in Tokyo, focusing on assumptions, revenue drivers, opportunities and risks. This position will ensure that the team follows the established Revenue forecasting process, puts into effect governance and controls steps to safeguard the integrity of the process and facilitate process improvement. People Leadership - Coach, motivate, and develop staff to ensure high degree of service is maintained and staff remains focused on corporate goals and maintains a high level of engagement. Direct staffs to maintain high involvement with business partners in order to continue learn the competitive environment, therapeutic areas, etc. and become true business advisors to the commercial teams and continue to develop ability to clearly communicate across the organization. G2N Forecasting - Oversee the G2N Contract Forecasting to ensure support of cross-functional teams regarding key managed care accounts and ASP analysis. This includes: profitability analysis of current contracts, sensitivity analysis of the impact of access strategy on the business, impacts of changes in contracts terms, and pricing actions on net revenue. This individual is responsible for ensuring tools, data and models are in place to meet reporting/analytical needs for G2N. Business Development Support - Direct the financial analysis and valuation process for business development, licensing and collaboration investments. Partner with Global Business Development and Commercial teams to understand strategic fit of the investment opportunity and to align on the forecast and valuation assumptions. Lead financial and due diligence efforts and ensure tax collaboration: work directly with the BD project lead as well as legal team to proactively inform them of the timelines and efforts required to complete due diligence. Assess the need and engage consultants as necessary and facilitate communication among different parties. Business Partnership - Develop business partnership with key stakeholders across the business and alliance partners. Deliver clear storyline of technical forecast assumptions to partners and collaborators, ensuring their understanding and alignment with assumptions and related impacts. Keep up to date with changes in the business and communicate potential impacts of those changes. Change Management - Continuously review the financial procedures and drive new processes and/or system enhancements to improve organizational efficiency while ensuring accuracy and process controls are not compromised. Qualifications: Successful candidates will be able to meet the qualifications below with or without a reasonable accommodation. Education Qualifications (from an accredited college or university) Bachelor's Degree preferably Finance, Accounting, Economics required MBA other advanced degrees preferred Experience Qualifications 10 or More Years of commensurate experience in financial analysis and forecasting; required Pharma Brand Finance or Forecasting experience preferred Deep knowledge of therapeutic areas that DSI competes in or demonstrated ability to develop that knowledge; preferred Detailed knowledge of all channels of managed care environment in the US (commercial, Medicare, Medicaid, etc.); preferred Sufficient understanding of financial matters to challenge and pressure-test assumptions (e.g. pricing, GTN, etc.). preferred Trave lAbility: to travel up to 10% Some limited travel for meetings and/or conferences. Daiichi Sankyo, Inc. is an equal opportunity/affirmative action employer. Qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. Salary Range: $214,050.00 - $356,750.00Download Our Benefits Summary PDF
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
09/09/2025
Full time
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
09/09/2025
Full time
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. Applicants for this role will have the flexibility to work remotely anywhere in Continental United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. Establishes and maintains a process for overseeing compliance with regulations and laws related to Risk Adjustment requirements. Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language. Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues. Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate. Ensure sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns. Develops and monitors metrics and other oversight tools that indicate business area compliance. Provides compliance guidance, direction, and compliance risk assessment to assigned business partners. Plans and collaborates with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches. Sets operational priorities including the development and maintenance of effective oversight activities and prioritization of work. Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness. Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Public Policy, Public Health, Health Administration, related field, or equivalent experience required. Master's Degree CPA, CISA, JD, MHA, MBA, MIS or equivalent experience preferred 10+ years Compliance experience, preferably in a healthcare environment, or equivalent experience preferred 4+ years Management experience preferred 4+ years' Experience with risk adjustment processes, procedures, and oversight of same preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
Logistics at full potential. At GXO, we're constantly looking for talented individuals at all levels who can deliver the caliber of service our company requires. You know that a positive work environment creates happy employees, which boosts productivity and dedication. On our team, you'll have the support to excel at work and the resources tobuild a career you can be proud of. As the Senior International Tax Manager,you will work collaboratively with Finance and other global key business stakeholders throughout the year to ensure tax consequences of all transactions are well understood and tax reporting of these transactions are completed. You will be a strategic and tactical leader with influence over process improvement. If you're ready to build an exciting career with a dynamic global company, we have the opportunity for you to grow with GXO! Pay, benefits and more. We are eager to attract the best, so we offer competitive compensation and a generous benefits package, including full health insurance (medical, dental and vision), 401(k), life insurance, disability and more. What you'll do on a typical day: Manage all aspects of tax return preparations (Form 1118, 5471, 8858, 8865, 8975, 8991, 8992, 8993, 5713, Fincen), ensuring compliance with applicable federal regulations and review complex tax returns prepared by team members for accuracy, completeness, and timely filing. Perform technical reviews of quarterly subpart F, GILTI, FDII, BEAT, and monitor tax calculations supporting international provisions (E&P, PTEP, 988, 987, FTCs, APB 23, etc.). Work collaboratively and proactively with other GXO tax teams including SALT, European, indirect, planning, and provision. Work collaboratively with Senior Directors and Finance team throughout the year to ensure tax consequences of all transactions are well understood and tax reporting of these transactions are completed in an optimal manner and communicate with BU controllers on estimated cash tax payments. Assist in tax planning projects. Tax process optimization, including development and implementation of procedural changes and/or enhancement of existing processes to improve the tax function. Manage specific process improvement initiatives, including the creation of tools and enablers, briefing and reference materials, and coordinate the roll out of such projects. Train, mentor, grow, inspire, and evaluate your team to enhance their performance, development, and work product; address performance issues and make recommendations for personnel actions. What you need to succeed at GXO: At a minimum, you'll need: Bachelor's degree in Accounting, Finance, or related field. 5 years of experience in a publicly traded corporate income tax department, or in the tax department of a large public accounting firm or law firm with 3 years of experience managing a professional staff. Experience with international tax laws and compliance, U.S. Corporate Income Tax Law, and general knowledge of ASC-740. It'd be great if you also have: Master's degree in Tax or JD. CPA certification. 9 or more years of experience in a publicly traded corporate income tax department, or in the tax department of a large public accounting firm. 5 years of experience managing a professional staff. We engineer faster, smarter, leaner supply chains. GXO is a leading provider of cutting-edge supply chain solutions to the most successful companies in the world. We help our customers manage their goods most efficiently using our technology and services. Our greatest strength is our global team - energetic, innovative people of all experience levels and talents who make GXO a great place to work. We are proud to be an Equal Opportunity/Affirmative Action employer. Qualified applicants will receive consideration for employment without regard to race, sex, disability, veteran or other protected status. GXO adheres to CDC, OSHA and state and local requirements regarding COVID safety. All employees and visitors are expected to comply with GXO policies which are in place to safeguard our employees and customers. All applicants who receive a conditional offer of employment may be required to take and pass a pre-employment drug test. The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. All employees may be required to perform duties outside of their normal responsibilities from time to time, as needed. Review GXO's candidate privacy statement here.
09/09/2025
Full time
Logistics at full potential. At GXO, we're constantly looking for talented individuals at all levels who can deliver the caliber of service our company requires. You know that a positive work environment creates happy employees, which boosts productivity and dedication. On our team, you'll have the support to excel at work and the resources tobuild a career you can be proud of. As the Senior International Tax Manager,you will work collaboratively with Finance and other global key business stakeholders throughout the year to ensure tax consequences of all transactions are well understood and tax reporting of these transactions are completed. You will be a strategic and tactical leader with influence over process improvement. If you're ready to build an exciting career with a dynamic global company, we have the opportunity for you to grow with GXO! Pay, benefits and more. We are eager to attract the best, so we offer competitive compensation and a generous benefits package, including full health insurance (medical, dental and vision), 401(k), life insurance, disability and more. What you'll do on a typical day: Manage all aspects of tax return preparations (Form 1118, 5471, 8858, 8865, 8975, 8991, 8992, 8993, 5713, Fincen), ensuring compliance with applicable federal regulations and review complex tax returns prepared by team members for accuracy, completeness, and timely filing. Perform technical reviews of quarterly subpart F, GILTI, FDII, BEAT, and monitor tax calculations supporting international provisions (E&P, PTEP, 988, 987, FTCs, APB 23, etc.). Work collaboratively and proactively with other GXO tax teams including SALT, European, indirect, planning, and provision. Work collaboratively with Senior Directors and Finance team throughout the year to ensure tax consequences of all transactions are well understood and tax reporting of these transactions are completed in an optimal manner and communicate with BU controllers on estimated cash tax payments. Assist in tax planning projects. Tax process optimization, including development and implementation of procedural changes and/or enhancement of existing processes to improve the tax function. Manage specific process improvement initiatives, including the creation of tools and enablers, briefing and reference materials, and coordinate the roll out of such projects. Train, mentor, grow, inspire, and evaluate your team to enhance their performance, development, and work product; address performance issues and make recommendations for personnel actions. What you need to succeed at GXO: At a minimum, you'll need: Bachelor's degree in Accounting, Finance, or related field. 5 years of experience in a publicly traded corporate income tax department, or in the tax department of a large public accounting firm or law firm with 3 years of experience managing a professional staff. Experience with international tax laws and compliance, U.S. Corporate Income Tax Law, and general knowledge of ASC-740. It'd be great if you also have: Master's degree in Tax or JD. CPA certification. 9 or more years of experience in a publicly traded corporate income tax department, or in the tax department of a large public accounting firm. 5 years of experience managing a professional staff. We engineer faster, smarter, leaner supply chains. GXO is a leading provider of cutting-edge supply chain solutions to the most successful companies in the world. We help our customers manage their goods most efficiently using our technology and services. Our greatest strength is our global team - energetic, innovative people of all experience levels and talents who make GXO a great place to work. We are proud to be an Equal Opportunity/Affirmative Action employer. Qualified applicants will receive consideration for employment without regard to race, sex, disability, veteran or other protected status. GXO adheres to CDC, OSHA and state and local requirements regarding COVID safety. All employees and visitors are expected to comply with GXO policies which are in place to safeguard our employees and customers. All applicants who receive a conditional offer of employment may be required to take and pass a pre-employment drug test. The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. All employees may be required to perform duties outside of their normal responsibilities from time to time, as needed. Review GXO's candidate privacy statement here.
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. Applicants for this role will have the flexibility to work remotely anywhere in the United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Medicare line of business, which includes implementation of elements of an effective compliance program related to specific operational areas. Oversee the development of risk assessments and oversight and monitoring work plans pertaining to those areas. Partners with business areas to ensure effective prevention, detection and correction of compliance issues. Establish a process for overseeing compliance with regulations and laws related to Medicare requirements Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate Oversee team responsible for monitoring against regulatory requirements ensures sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns Develops and monitors metrics and other oversight tools that indicate business area compliance Provides compliance guidance, direction and compliance risk assessment to assigned business partners Manages and develops direct reports who include other management or supervisory personnel and/or exempt individual contributors Plan and collaborate with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches Set operational priorities including the development and maintenance of effective oversight activities and prioritization of work Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance to meet the requirements of Government-sponsored health care programs Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws Makes decisions on complex issues regarding technical approach for project components and can work without significant direction Performs other duties as assigned. Comply with all policies and standards. Education/Experience: Bachelor's Degree Business Administration, Public Policy, Public Health, Health Administration or related field; or equivalent experience required CPA, CISA, JD, MHA, MBA, MIS preferred 10+ years Compliance for a managed care or health insurance company or equivalent experience required 7+ years Management experience preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
09/09/2025
Full time
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. Applicants for this role will have the flexibility to work remotely anywhere in the United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Medicare line of business, which includes implementation of elements of an effective compliance program related to specific operational areas. Oversee the development of risk assessments and oversight and monitoring work plans pertaining to those areas. Partners with business areas to ensure effective prevention, detection and correction of compliance issues. Establish a process for overseeing compliance with regulations and laws related to Medicare requirements Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate Oversee team responsible for monitoring against regulatory requirements ensures sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns Develops and monitors metrics and other oversight tools that indicate business area compliance Provides compliance guidance, direction and compliance risk assessment to assigned business partners Manages and develops direct reports who include other management or supervisory personnel and/or exempt individual contributors Plan and collaborate with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches Set operational priorities including the development and maintenance of effective oversight activities and prioritization of work Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance to meet the requirements of Government-sponsored health care programs Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws Makes decisions on complex issues regarding technical approach for project components and can work without significant direction Performs other duties as assigned. Comply with all policies and standards. Education/Experience: Bachelor's Degree Business Administration, Public Policy, Public Health, Health Administration or related field; or equivalent experience required CPA, CISA, JD, MHA, MBA, MIS preferred 10+ years Compliance for a managed care or health insurance company or equivalent experience required 7+ years Management experience preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
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. Applicants for this role will have the flexibility to work remotely anywhere in the United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Medicare line of business, which includes implementation of elements of an effective compliance program related to specific operational areas. Oversee the development of risk assessments and oversight and monitoring work plans pertaining to those areas. Partners with business areas to ensure effective prevention, detection and correction of compliance issues. Establish a process for overseeing compliance with regulations and laws related to Medicare requirements Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate Oversee team responsible for monitoring against regulatory requirements ensures sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns Develops and monitors metrics and other oversight tools that indicate business area compliance Provides compliance guidance, direction and compliance risk assessment to assigned business partners Manages and develops direct reports who include other management or supervisory personnel and/or exempt individual contributors Plan and collaborate with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches Set operational priorities including the development and maintenance of effective oversight activities and prioritization of work Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance to meet the requirements of Government-sponsored health care programs Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws Makes decisions on complex issues regarding technical approach for project components and can work without significant direction Performs other duties as assigned. Comply with all policies and standards. Education/Experience: Bachelor's Degree Business Administration, Public Policy, Public Health, Health Administration or related field; or equivalent experience required CPA, CISA, JD, MHA, MBA, MIS preferred 10+ years Compliance for a managed care or health insurance company or equivalent experience required 7+ years Management experience preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
09/09/2025
Full time
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. Applicants for this role will have the flexibility to work remotely anywhere in the United States. Position Purpose: Provides strategic leadership and management of department overseeing compliance with regulations and laws related to Medicare line of business, which includes implementation of elements of an effective compliance program related to specific operational areas. Oversee the development of risk assessments and oversight and monitoring work plans pertaining to those areas. Partners with business areas to ensure effective prevention, detection and correction of compliance issues. Establish a process for overseeing compliance with regulations and laws related to Medicare requirements Provides guidance to various business departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contractual language Conducts compliance reviews and manages team that conducts compliance reviews, assisting with identification of issues and collaborating with Corrections team for remediation of issues Performs risk assessments and report emerging trends, deficiencies and variances, report findings to other departments and teams as appropriate Oversee team responsible for monitoring against regulatory requirements ensures sufficient monitoring activities to assist with prevention and proactive identification of compliance concerns Develops and monitors metrics and other oversight tools that indicate business area compliance Provides compliance guidance, direction and compliance risk assessment to assigned business partners Manages and develops direct reports who include other management or supervisory personnel and/or exempt individual contributors Plan and collaborate with other teams and leaders on complex projects/programs necessitating the origination and application of new and unique approaches Set operational priorities including the development and maintenance of effective oversight activities and prioritization of work Responsible for Board and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance to meet the requirements of Government-sponsored health care programs Participates in mock and actual CMS and other regulatory audits and coordinates with Internal Audit, Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency inquiries and oversees the internal and external processes required to ensure the Company maintains a consistent state of Audit readiness Maintains a current working knowledge of various laws, regulations, and industry guidance that impacts the health industry generally, and government programs in the health sector specifically, including fraud and abuse and anti-kickback statutes, OIG and government health plan guidelines and state marketing compliance laws, prompt pay, provider adequacy and other laws Makes decisions on complex issues regarding technical approach for project components and can work without significant direction Performs other duties as assigned. Comply with all policies and standards. Education/Experience: Bachelor's Degree Business Administration, Public Policy, Public Health, Health Administration or related field; or equivalent experience required CPA, CISA, JD, MHA, MBA, MIS preferred 10+ years Compliance for a managed care or health insurance company or equivalent experience required 7+ years Management experience preferred Licenses/Certifications: HCCA certification (CHC) or equivalent preferred Pay Range: $145,100.00 - $268,800.00 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
