Senior Manager, Compliance Program Administration

About the role

Centene is looking for a Senior Manager, Compliance Program Administration to manage and implement strategies that maintain and implement compliance programs meeting regulatory requirements for assigned products across the company. The role covers compliance work plans, governance records, policy development, training, reporting and program support, with additional responsibilities for Commercial and Medicare products.

Key responsibilities

• Maintain and track compliance work plans, governance records and compliance measures
• Develop policies, procedures and processes supporting compliance operations, governance and program administration, including federal and applicable state regulations
• Perform plan risk assessments, report emerging trends, deficiencies and variances, and share findings with other departments
• Deliver ethics, compliance, risk management, FWA, privacy and security training, and upskill others on Compliance Program Basics
• Build and manage a professional development roadmap for the Compliance organization, including priorities, milestones, communications and measures of effectiveness
• Coordinate stakeholders, manage dependencies, resolve barriers and monitor deliverables across Compliance initiatives
• Prepare program updates, dashboards and executive-level reports, analyze compliance data and scan the industry for lessons learned
• Support change management and communications for new or enhanced compliance requirements, tools and processes
• Mentor subordinates and act as backup to the department lead as needed
• Commercial: monitor product risks, manage benefit filings and entity licensures, and work with Marketing on sales and marketing materials
• Medicare: oversee the FDR oversight program, report Medicare and Medicaid product risks, and partner with departments on business continuity and disaster recovery requirements

Required profile

• Bachelor's degree in Healthcare Administration, Compliance or a related field, or equivalent experience
• Master's degree preferred; Juris Doctor (JD) preferred
• 5+ years of compliance experience
• 3+ years in Medicaid, Medicare or commercial managed care
• Prior experience with federal and state regulatory agencies in a managed care or insurance environment preferred

What we offer

• Pay range of $107,700 to $199,300 per year, adjusted for skills, experience and other factors
• Health insurance, 401K and stock purchase plans, tuition reimbursement
• Paid time off plus holidays
• Flexible work arrangements: remote, hybrid, field or office