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Compliance Manager
Centene Corporation. Manage compliance department functions, including periodic monitoring and auditing activities .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing compliance functions, including auditing, monitoring, and regulatory reporting, while ensuring adherence to contract requirements and improving customer satisfaction. Proficient in developing compliance training and implementing corrective action plans to mitigate risks.
Highest-signal resume keywords
Compliance ManagementRisk AssessmentAuditing ProcessesCorrective Action PlansCompliance Training Development
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Compliance ExperienceContract ManagementRegulatory ReportingPolicy ImplementationMonitoring ProcessesAuditingRisk AssessmentCorrective Action AdministrationTraining DevelopmentHealth Care Administration
Soft Skills
CollaborationCommunicationProblem-SolvingCustomer Satisfaction FocusOrganizational Skills
Industry Keywords
Health PlansBehavioral HealthLicensure MaintenanceRFP ResponsesContract ComplianceFederal ComplianceState ComplianceContract RequirementsConsumer CommunicationProvider Communication
About the role
Key responsibilities & impact- Manage compliance department functions, including periodic monitoring and auditing activities
- Manage approval and submission of timely and accurate contract and regulatory reports
- Oversee contract updates and contracts with Health Plans, States and consultants/vendors
- Conduct periodic assessments against contract requirements
- Oversee corrective action plans to reduce or eliminate compliance risk and performance deficiencies
- Collaborate with Health Plans and States to maintain or improve customer satisfaction and contract compliance
- Manage review and submission of consumer and provider communication materials
- Manage responses to state regulatory agency complaints and inquiries
- Determine licensure requirements and administer ongoing licensure maintenance
- Support RFP responses and new business implementations through assigned compliance tasks
- Participate in new business implementations and track required contract report deliverables and materials
- Design, implement and improve processes addressing federal, state and contract compliance issues
- Create and deliver annual and as-needed compliance training for employees
Requirements
What you’ll need- Bachelor’s degree in health care administration, compliance or related field or equivalent experience
- 4–6 years of compliance experience
- Experience with risk assessment against contract and regulatory requirements
- Experience creating and executing auditing, monitoring and reporting processes
- Experience administering corrective action plans
- Experience implementing written policies and procedures
- Experience developing and delivering compliance training and education
- Managed health and/or behavioral health experience preferred
- Candidate must reside in Indiana per contract requirements
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K plan
- Stock purchase plan
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
- Equal opportunity employer committed to diversity