Senior Compliance Oversight Specialist

Centene Corporation

. Participate in auditing, monitoring, and oversight of Centene's ethics and compliance program and those of partners, subsidiaries, and third parties/subcontractors .

Posted 10/28/2026full-timeRemote • Missouri • United StatesSenior💰 $70,100 - $126,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in auditing, monitoring, and oversight of compliance programs within healthcare, with a strong focus on regulatory requirements and corrective action plan development. Capable of collaborating with various stakeholders to ensure adherence to government-sponsored health care program standards.

Highest-signal resume keywords

Auditing Corporate Ethics ProgramsRegulatory Compliance AssessmentCorrective Action Plan DevelopmentStakeholder CollaborationCompliance Risk Assessment

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AuditingMonitoringCompliance OversightRegulatory Requirements KnowledgeCorrective Action Planning

Soft Skills

CollaborationCommunication

Tools & Technologies

Monitoring ToolsAuditing Tools

Certifications & Qualifications

Certified Healthcare Compliance (CHC)Certified Internal Auditor (CIA)

Industry Keywords

Healthcare ComplianceGovernment-Sponsored Health Care ProgramsContractual RequirementsEthics ProgramMedicaid

About the role

Key responsibilities & impact

Participate in auditing, monitoring, and oversight of Centene's ethics and compliance program and those of partners, subsidiaries, and third parties/subcontractors
Conduct audit, oversight, and monitoring activities assessing compliance with contractual and regulatory requirements
Collaborate with stakeholders to drive remediation and maintain compliance with government-sponsored health care program requirements
Educate brokers on audit findings, program requirements, policies, and procedures
Create and deliver corrective action plans; monitor probationary periods and disciplinary actions
Prepare formal written reports on audit, oversight, and monitoring findings and recommendations
Direct compliance issues to appropriate channels for research and resolution
Review corrective action plan status and effectiveness, track issues through remediation and closure, and provide follow-up
Promote awareness of the Enterprise Ethics and Compliance Program and related policies and procedures
Support development and maintenance of monitoring and auditing tools
Support state Medicaid annual work plans and OIG/CMS initiatives across claims, credentialing, network management, and customer service
Assist with assessing new and amended government-sponsored health care program contracts and requirements
Assist Health Plans, Subsidiaries, Shared Services, and Third Parties/Subcontractors in identifying and assessing compliance risks
Serve as a compliance advisor to business units and third parties, including claims/payments, credentialing, network management, and financial solvency
Perform other duties as assigned and comply with all policies and standards

Requirements

What you’ll need

Bachelor's Degree in Healthcare, Audit, Business, or related field or equivalent experience required; or High School/GED and 5+ years of related experience required
CHC - Certified Healthcare Compliance preferred
Certified Internal Auditor (CIA) preferred
Experience in auditing, monitoring, and oversight of corporate ethics and compliance programs
Knowledge of contractual and regulatory requirements and government-sponsored health care program requirements
Ability to collaborate with business owners, broker and distribution partners, subsidiaries, and third parties/subcontractors
Ability to develop and monitor corrective action plans
Ability to assess compliance risks and regulatory compliance issues

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plans
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