Senior Compliance Analyst – Duals Audit

Job Description: • Partners with leadership in maintaining Centene Corporation's Compliance with Duals (D-SNP) Program requirements • Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies for the D-SNPs • Responds to external audit requests for information required by the organization for its Duals and SMAC regulatory filings • Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies • Leads Duals compliance projects or implementations • Reviews and synthesizes Duals regulatory requirements and create policy and/or position statements • Partners with leadership to manage annual SMAC assessment and tracking of caps • Communicate Duals (state and federal) requirements to internal and external clients • Provides development guidance and leads the identification, implementation, and maintenance of Duals and overlapping Medicare compliance policies, procedures and work instructions • Leads the identification, analysis, and resolution of Duals compliance issues • Maintains and reviews D-SNP regulatory documentation necessary to maintain corporate standards • Partners with leadership in developing, producing and conducting Duals compliance training programs • Perform periodic compliance audits, risk assessments and conducts related to ongoing Duals compliance monitoring activities • Serves as a company-wide resource and liaison on Duals policies, SMAC items and provisions, communications, workflow, and quality improvements initiatives • Performs other duties as assigned • Complies with all policies and standards Requirements: • Bachelor's Degree in Law or related field; or equivalent experience required • 4+ years Compliance and/or regulatory affairs required • Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular Medicare, D-SNP, and state regulations required Benefits: • competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules Apply tot his job Apply To this Job