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
09/06/2025
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
09/06/2025
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
09/06/2025
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
09/05/2025
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
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact Represent senior management at various committees, meetings, and seminars Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field required Master's Degree or Law degree preferred 8+ years of compliance program management and contract experience required Extensive knowledge of state administrative code and regulations, state insurance laws and regulations including managed care regulations Experience with state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws Pay Range: $182,100.00 - $345,600.00 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
09/05/2025
Full time
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact Represent senior management at various committees, meetings, and seminars Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field required Master's Degree or Law degree preferred 8+ years of compliance program management and contract experience required Extensive knowledge of state administrative code and regulations, state insurance laws and regulations including managed care regulations Experience with state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws Pay Range: $182,100.00 - $345,600.00 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
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact Represent senior management at various committees, meetings, and seminars Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field required Master's Degree or Law degree preferred 8+ years of compliance program management and contract experience required Extensive knowledge of state administrative code and regulations, state insurance laws and regulations including managed care regulations Experience with state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws Pay Range: $182,100.00 - $345,600.00 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
09/05/2025
Full time
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact Represent senior management at various committees, meetings, and seminars Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field required Master's Degree or Law degree preferred 8+ years of compliance program management and contract experience required Extensive knowledge of state administrative code and regulations, state insurance laws and regulations including managed care regulations Experience with state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws Pay Range: $182,100.00 - $345,600.00 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
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact Represent senior management at various committees, meetings, and seminars Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field required Master's Degree or Law degree preferred 8+ years of compliance program management and contract experience required Extensive knowledge of state administrative code and regulations, state insurance laws and regulations including managed care regulations Experience with state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws Pay Range: $182,100.00 - $345,600.00 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
09/05/2025
Full time
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact Represent senior management at various committees, meetings, and seminars Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field required Master's Degree or Law degree preferred 8+ years of compliance program management and contract experience required Extensive knowledge of state administrative code and regulations, state insurance laws and regulations including managed care regulations Experience with state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws Pay Range: $182,100.00 - $345,600.00 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
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact Represent senior management at various committees, meetings, and seminars Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field required Master's Degree or Law degree preferred 8+ years of compliance program management and contract experience required Extensive knowledge of state administrative code and regulations, state insurance laws and regulations including managed care regulations Experience with state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws Pay Range: $182,100.00 - $345,600.00 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
09/05/2025
Full time
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact Represent senior management at various committees, meetings, and seminars Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field required Master's Degree or Law degree preferred 8+ years of compliance program management and contract experience required Extensive knowledge of state administrative code and regulations, state insurance laws and regulations including managed care regulations Experience with state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws Pay Range: $182,100.00 - $345,600.00 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
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact Represent senior management at various committees, meetings, and seminars Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field required Master's Degree or Law degree preferred 8+ years of compliance program management and contract experience required Extensive knowledge of state administrative code and regulations, state insurance laws and regulations including managed care regulations Experience with state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws Pay Range: $182,100.00 - $345,600.00 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
09/05/2025
Full time
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact Represent senior management at various committees, meetings, and seminars Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field required Master's Degree or Law degree preferred 8+ years of compliance program management and contract experience required Extensive knowledge of state administrative code and regulations, state insurance laws and regulations including managed care regulations Experience with state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws Pay Range: $182,100.00 - $345,600.00 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
Title: Director of Tribal Business Development , Federal Group Location: Remote Reporting To: CEO Type: Full-Time, Exempt Primary Accountabilities: We're hiring a Director of Small Business Administration Affairs for our Federal Group to help guide and sustain our growth within federal small business programs. This full-time, remote role will support business development efforts by ensuring our organization remains strategically aligned and fully compliant with SBA program requirements across 8(a), HUBZone, SDVOSB, and related certifications. This position plays a critical role in supporting opportunity development, internal eligibility management, and long-term positioning for sole-source and set-aside success across our federal portfolio. Must have experience with Alaskan or Tribal Entities in developing economic growth with federal contracts with SBA, HUBZONE and 8(a). Major Responsibilities: • Advise BD and leadership teams on opportunity alignment with SBA program rules, including 8(a) eligibility, size standards, and affiliation risks. • Oversee internal tracking, documentation, and compliance workflows for SBA programs across active certifications. • Prepare and manage submissions for 8(a) program maintenance, annual reviews, eligibility updates, and other regulatory filings. • Maintain current knowledge of SBA regulations and federal acquisition changes impacting small business strategy. • Interface with SBA District Offices and legal advisors to ensure clean communication and timely documentation across all required touchpoints. • Serve as a trusted internal resource for assessing eligibility implications of partnerships, staffing plans, and business development initiatives. • Collaborate with Contracts & Compliance (Shared Services) to ensure enterprise-wide consistency in how SBA programs are administered. • Lead internal education efforts for BD and proposal teams around SBA-compliant approaches to teaming, subcontracting, and proposal structure. Required Qualifications: •10+ years of experience working directly with SBA small business programs, including 8(a), HUBZone, SDVOSB, and/or WOSB. •Deep understanding of SBA SOPs, small business size standards, and federal acquisition regulations (especially FAR Part 19). •Proven ability to advise growth teams and executive stakeholders on program alignment and compliance strategy. •Experience managing 8(a) documentation, annual reviews, and eligibility maintenance in complex organizations. •Strong writing, research, and policy interpretation skills. •Bachelor's degree required; advanced degree or compliance/legal background preferred. Preferred Experience: •Experience supporting tribally owned or Native-owned small business entities. •Familiarity with SBA systems (Certify.SBA.gov, DSBS, SAM.gov). •Prior engagement with SBA District Offices, regulatory reviews, or government audits. Work Environment & Compensation: •100% Remote •Full-Time with competitive salary and benefits •Reports to the SVP of Business Development, with coordination across Shared Services and Contracts/Compliance Additional Duties: Additional duties and responsibilities may be added to this job description at any time. The job description does not state or imply that these are the only activities to be performed by the employee holding this position. Employees are required to follow any other job-related instructions and to perform any other job-related responsibilities as requested by the supervisor. Indian Preference Exercised: Prairie Band, LLC is subject to Title 22: Employment Code of the Prairie Band Potawatomi Nation. In accordance with Title 22, this position is designated as a TIER 2 position. Preference will be given to individuals to the extent required pursuant to Section 22-2-4(B). PIdbd31e7fe5-
09/05/2025
Full time
Title: Director of Tribal Business Development , Federal Group Location: Remote Reporting To: CEO Type: Full-Time, Exempt Primary Accountabilities: We're hiring a Director of Small Business Administration Affairs for our Federal Group to help guide and sustain our growth within federal small business programs. This full-time, remote role will support business development efforts by ensuring our organization remains strategically aligned and fully compliant with SBA program requirements across 8(a), HUBZone, SDVOSB, and related certifications. This position plays a critical role in supporting opportunity development, internal eligibility management, and long-term positioning for sole-source and set-aside success across our federal portfolio. Must have experience with Alaskan or Tribal Entities in developing economic growth with federal contracts with SBA, HUBZONE and 8(a). Major Responsibilities: • Advise BD and leadership teams on opportunity alignment with SBA program rules, including 8(a) eligibility, size standards, and affiliation risks. • Oversee internal tracking, documentation, and compliance workflows for SBA programs across active certifications. • Prepare and manage submissions for 8(a) program maintenance, annual reviews, eligibility updates, and other regulatory filings. • Maintain current knowledge of SBA regulations and federal acquisition changes impacting small business strategy. • Interface with SBA District Offices and legal advisors to ensure clean communication and timely documentation across all required touchpoints. • Serve as a trusted internal resource for assessing eligibility implications of partnerships, staffing plans, and business development initiatives. • Collaborate with Contracts & Compliance (Shared Services) to ensure enterprise-wide consistency in how SBA programs are administered. • Lead internal education efforts for BD and proposal teams around SBA-compliant approaches to teaming, subcontracting, and proposal structure. Required Qualifications: •10+ years of experience working directly with SBA small business programs, including 8(a), HUBZone, SDVOSB, and/or WOSB. •Deep understanding of SBA SOPs, small business size standards, and federal acquisition regulations (especially FAR Part 19). •Proven ability to advise growth teams and executive stakeholders on program alignment and compliance strategy. •Experience managing 8(a) documentation, annual reviews, and eligibility maintenance in complex organizations. •Strong writing, research, and policy interpretation skills. •Bachelor's degree required; advanced degree or compliance/legal background preferred. Preferred Experience: •Experience supporting tribally owned or Native-owned small business entities. •Familiarity with SBA systems (Certify.SBA.gov, DSBS, SAM.gov). •Prior engagement with SBA District Offices, regulatory reviews, or government audits. Work Environment & Compensation: •100% Remote •Full-Time with competitive salary and benefits •Reports to the SVP of Business Development, with coordination across Shared Services and Contracts/Compliance Additional Duties: Additional duties and responsibilities may be added to this job description at any time. The job description does not state or imply that these are the only activities to be performed by the employee holding this position. Employees are required to follow any other job-related instructions and to perform any other job-related responsibilities as requested by the supervisor. Indian Preference Exercised: Prairie Band, LLC is subject to Title 22: Employment Code of the Prairie Band Potawatomi Nation. In accordance with Title 22, this position is designated as a TIER 2 position. Preference will be given to individuals to the extent required pursuant to Section 22-2-4(B). PIdbd31e7fe5-
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
09/05/2025
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
09/05/2025
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
09/04/2025
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
09/04/2025
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
09/04/2025
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
09/04/2025
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
09/04/2025
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
09/04/2025
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
09/04/2025
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
Director of Public Policy Division US-MI-Lansing Job ID: Type: Regular Full-Time # of Openings: 1 Category: Management Farm Bureau Center Overview Director of Public Policy Division Objective Directs engagement objectives to develop and maintain productive relations with all levels of government to support and enhance Michigan Farm Bureau's member policy development process. Develops plans, policies, and teams to build relationships and liaise with government entities (federal, state, or local) that regulate or influence production agriculture. Directs ongoing monitoring and analysis of proposed legislation, emerging issues, and trends to determine the potential impact on the industry and organization. Collaborates with industry groups and organizations with complementary objectives. Responsibilities Director of Public Policy Division Responsibilities Plan, coordinate, and manage the activities of the division to maximize staff talents, organization resources, and policy implementation success. Work to maintain recognition of the organization as one of the top lobbying organizations in Michigan's capitol. Direct and coordinate the development and dissemination of information materials on probable issues affecting agriculture for use by appropriate county and state committees, officers, boards, affiliated company personnel, and Michigan Farm Bureau staff in formulating official policy positions to guide the organization in effectively solving such issues. Direct activities of the state government relations staff within the division to successfully carry out policy through legislative and regulatory action, and to keep members informed and trained to take effective grassroots action. Qualifications Director of Public Policy Division Qualifications Required Bachelor's degree in agriculture, agribusiness, political science, or public policy required. Master's degree preferred. Five to seven years' experience in the field of public policy or legislative services. Five to seven five years' experience in an agricultural organization or business with management responsibilities required. Minimum five years supervisory/management experience required. Experience in policy analysis, research, advocacy, government affairs, lobbying, or consulting required. Understanding of the policy landscape, legislative processes, and the specific issues relevant to the organization or sector. Note: Farm Bureau offers a full benefit package including medical, dental, vision, and 401K. PM19 All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Compensation details: 09 Yearly Salary PI26030d043aab-4913
09/01/2025
Full time
Director of Public Policy Division US-MI-Lansing Job ID: Type: Regular Full-Time # of Openings: 1 Category: Management Farm Bureau Center Overview Director of Public Policy Division Objective Directs engagement objectives to develop and maintain productive relations with all levels of government to support and enhance Michigan Farm Bureau's member policy development process. Develops plans, policies, and teams to build relationships and liaise with government entities (federal, state, or local) that regulate or influence production agriculture. Directs ongoing monitoring and analysis of proposed legislation, emerging issues, and trends to determine the potential impact on the industry and organization. Collaborates with industry groups and organizations with complementary objectives. Responsibilities Director of Public Policy Division Responsibilities Plan, coordinate, and manage the activities of the division to maximize staff talents, organization resources, and policy implementation success. Work to maintain recognition of the organization as one of the top lobbying organizations in Michigan's capitol. Direct and coordinate the development and dissemination of information materials on probable issues affecting agriculture for use by appropriate county and state committees, officers, boards, affiliated company personnel, and Michigan Farm Bureau staff in formulating official policy positions to guide the organization in effectively solving such issues. Direct activities of the state government relations staff within the division to successfully carry out policy through legislative and regulatory action, and to keep members informed and trained to take effective grassroots action. Qualifications Director of Public Policy Division Qualifications Required Bachelor's degree in agriculture, agribusiness, political science, or public policy required. Master's degree preferred. Five to seven years' experience in the field of public policy or legislative services. Five to seven five years' experience in an agricultural organization or business with management responsibilities required. Minimum five years supervisory/management experience required. Experience in policy analysis, research, advocacy, government affairs, lobbying, or consulting required. Understanding of the policy landscape, legislative processes, and the specific issues relevant to the organization or sector. Note: Farm Bureau offers a full benefit package including medical, dental, vision, and 401K. PM19 All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Compensation details: 09 Yearly Salary PI26030d043aab-4913