Support PDF,DOC,DOCX,TXT,XLS,WPD,HTM,HTML fils up to 5MB
Years of Experience
Date Last Verified
ProfileSenior Compliance Analyst - The candidate will assist in maintaining Centene Corporation’s Compliance Program. Will provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies. Respond to external requests for information required by the organization for its regulatory filings. Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies. Manage ethics and compliance projects or implementations. Review and synthesize regulatory requirements and create policy and/or position statements. Assist in managing annual code of conduct attestation and remediation Communicate state and federal requirements to internal and external clients. Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures and work instructions. Assist in the identification, analysis, and resolution of compliance issues. Maintain and review regulatory documentation necessary to maintain corporate standards. Assist in developing, producing and conducting compliance training programs. Perform periodic compliance audits, risk assessments and conducts related to ongoing compliance monitoring activities. Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members. Assist management with interim health plan compliance officer responsibilities. Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed. Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives.
Qualification and Experience
The candidate should have Bachelor’s degree in related legal field or equivalent experience. Master’s or Juris Doctorate degree is preferred and maybe considered in lieu of experience. Should have 3+ years of related experience in compliance privacy and/or regulatory affairs. Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular HIPAA, and state regulations is essential.