SENIOR DIRECTOR, COMPLIANCE - Shawnee Mission Kansas

Company: Centene
Location: Shawnee Mission, Kansas
Posted On: 09/13/2024

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: Oversee all compliance functions for the health plan including communication and coordination of policy development. Oversee the accurate and timely submission of over contract deliverables for all lines of business and service delivery areas.Oversee the accurate and timely submission of all CMS Medicare SNP requirementsServe as senior leadership and single point of contact in all State compliance meetings and interactions. Manage direct correspondence and daily interaction with all state regulators.Serve as senior leadership in all Department of Insurance and HHSC audit processes. Managing all facets of the audit and communications.Serve as senior leadership in Enterprise Risk Management process working directly with corporate ERM and Executive Management team to ensure current evaluation and documentation of business risks.Conduct internal compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with federal, state and local regulatory requirements.Accountable for the management and oversight of compliance for all health plan material subcontractors to include directing the performance of annual oversightEducation/Experience: Bachelor's degree in related field. Master's degree preferred. 7+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits; 5-7 years of experience with health care regulatory agencies in development of compliance and fraud programs; 5+ years experience with overseeing implementation of contract requirements.For New Jersey plan only additional responsibilities:Maintain and track contract documentation, Medicaid contract amendments, and various regulatory measures.Work with Operational Departments to ensure that policies, procedures, and processes are developed and modified to comply with state regulatory standards. Provide guidance to various departments with respect to regulatory and contract language.Develop strategic relationships with agencies within the New Jersey Department of Human Services and other state regulatory policymakers with oversight responsibility for Managed Care organizations, Medicare and Medicaid initiatives. Identify, evaluate and analyze the impact of state regulatory changes and advise management concerning impactRepresent senior management at various state committees, meetings, and seminarsPay Range: $136,000.00 - $251,300.00 per yearCentene 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. -Total compensation may also include additional forms of incentives.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.SummaryLocation: Lenexa - 8325 Lenexa Dr (Sunflower) (10137)Type: Full time More...

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