Director, Compliance

You could be the one who changes everything for our 26 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.Centene is proud to offer competitive benefits for this position. They are available for review at: https://jobs.centene.com/us/en/benefits. The salary range in CO is: 120000-160000; The salary range in CT is: 128000-165000Position Purpose: Oversee the Compliance department. Manage approval and submission of timely and accurate contract and regulatory required report deliverables Oversee all contracts updates including creating new and updating existing contracts with Health Plans, States and consultants/vendors Conduct periodic assessments to ensure compliance against contract requirements Oversee creation and implementation of corrective action plans to reduce or eliminate risk resulting from non-compliance with contract requirements or performance deficiencies Collaborate with Health Plans and States, where applicable, to maintain/improve customer satisfaction specific to delegated functions and compliance with contract requirement. Manage submission of consumer and provider communication materials, including participation in their review and timely submission to Health Plans and States, where applicable Manage composition and delivery of responses to state regulatory agency complaints and inquiries Determine licensure requirements and administration of ongoing licensure maintenance, including research in new markets and timely filing for recurring deliverables, such as licensure renewals Support responses to “request for proposals” (RFPs) and new business implementations by completing assigned compliance tasks timely and accurately Participate in new business implementations, including the identification and tracking of required contract report deliverables as well as new reporting and provider/member materials. Design, implement and improve processes to prevent, detect and respond to compliance issues and concerns related to all federal and state regulatory requirements and contract requirements. Create and deliver compliance training for all employees on an annual basis and as needed basis, such as in response to a compliance issue or concernEducation/Experience:Bachelor’s degree in related field or equivalent experience. 5+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits; 2+ years experience in the development of compliance and fraud programs; 2 years experience with overseeing implementation of contract requirements. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.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.TITLE: Director, ComplianceLOCATION: Tampa, FloridaREQNUMBER: 1357842