Compliance Analyst

Job Description Summary

Position Purpose: Assist in maintaining Corporation’s Compliance Program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring strategies.

Respond to external requests for information required by the organization for its regulatory filings.

• Respond to inquiries from state and federal regulatory agencies.
• Monitor pending legislation and regulations affecting Centene Corporation services.
• Maintain database and other reference materials related to legislative and regulatory issues and compliance.
• Communicate state and federal requirements to internal and external clients.
• Provide development guidance and assists in the identification, implementation, and maintenance of compliance policies, procedures and work instructions.
• Assist in the identification, analysis, and resolution of compliance issues.
• Maintain and reviews regulatory documentation necessary to maintain corporate standards.
• Assist in developing, producing and conducting compliance training programs.
• Perform periodic compliance audits, risk assessments and conducts related ongoing compliance monitoring activities.
• Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members.
• Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed.
• Serve as a company wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives.

Education/Experience: Bachelor’s degree in related field or equivalent experience. 1 years of related experience in compliance, privacy and/or regulatory affairs. Working knowledge of laws and/or regulations in area of compliance and state regulations.

Job Type: Full-time

Pay: $57,000.00 - $75,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Physical Setting:

• Office

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Sacramento, CA: Reliably commute or planning to relocate before starting work (Preferred)

Experience:

• healthcare: 1 year (Required)
• Research: 1 year (Preferred)

Work Location:

• One location