Senior Director, Medicaid Compliance

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.
 

Applicants for this role will have the flexibility to work remotely anywhere in the Continential United States.

Position Purpose:

Lead the Compliance Advisory & Research and Compliance Response & Escalation teams, providing strategic direction across complex compliance functions. Partner closely with senior leadership to guide compliance research, oversee multi-market regulatory disclosures, and help ensure key business initiatives align with applicable federal, state, and contractual requirements. This role plays a critical part in advancing compliant, scalable solutions in support of enterprise simplification efforts.

• Support direct correspondence with state regulators.

• Managing all facets of Compliance research for Medicaid line of business for the Enterprise.

• Serve as senior leadership in Compliance Risk Assessment process working directly with corporate and Executive Management team to ensure current evaluation and documentation of business risks.

• Work closely with auditing and monitoring team, corrections team, and regulatory change management team to facilitate research and implementation.  

• Performs other duties as assigned.

• Comply with all policies and standards.

Education/Experience:

• Bachelor's Degree in related field, or equivalent experience required. Master's Degree preferred.
• 7+ years Compliance program management and contract experience with State Medicaid programs including internal and State audits required.
• 5+ years Health care regulatory agencies in development of compliance and fraud programs; required.
• 5+ years Overseeing implementation of contract requirements required.
• 10+ years Compliance/Enterprise Risk Management preferred.

Centene 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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act