Senior Medicare Communications Compliance Specialist

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 job have the flexibility to work remote from home anywhere in the Continental United States.

Position Purpose: Supports the Medicare Communications Compliance team in the management of regulatory requirements associated with the Medicare materials and sales compliance. Participates in the ongoing oversight, analysis, review, and approval of all beneficiary-facing Medicare materials. In addition, may also support the department with special projects.

• Conducts review of difficult or detailed member and prospective member communications against regulations to ensure compliance.
• Performs comprehensive, complex regulatory analyses, including the review, summarization and dissemination of key regulatory updates and changes with the Medicare Marketing Guidelines and relevance on material review.
• Provides project leadership, including the review of departmental documents, summarizing results, and implementing recommendations.
• Provides mentoring or coaching to specialists or operational business partners on review of materials.
• Assists department management with review of new or updated regulations.
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience:

• Bachelor’s degree in Health Administration, related field, or equivalent experience required.
• 5+ years of experience in Managed Care/Health Insurance/Public Health/Health Care Administration/ Medicare Part D or related field required.
• Some experience in State or Federal managed care compliance and project coordination required.

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

Originally posted on Himalayas