Senior Compliance Administrator - Medicare Compliance

About the role

Centene is hiring a Senior Compliance Administrator who acts as an individual contributor and subject matter expert for its Medicare Compliance Advisory program. The role supports day-to-day execution in line with CMS requirements and federal and state regulations, advises business and compliance leadership, and works closely with the Sr. Manager, Medicare Compliance Advisory.

Key responsibilities

• Execute the Medicare Compliance Program so that noncompliance and False Claims Act violations are prevented, detected and corrected.
• Translate federal, state and contractual requirements into clear compliance guidance for business stakeholders.
• Develop and coordinate regulatory communications, including responses to inquiries, issue summaries and disclosures, and liaise with internal stakeholders and external regulators.
• Support the preparation, validation and submission of regulatory reports, attestations and filings.
• Identify compliance risks, evaluate business processes, stratify risk and recommend mitigation strategies.
• Lead or support root cause analysis and corrective action plans, and validate remediation plans.
• Provide subject matter expertise to audits and monitoring, including audit scope, testing strategies and audit readiness.
• Contribute to compliance training and review policies, procedures and processes for regulatory alignment.
• Monitor regulatory developments and collaborate with compliance, legal, audit and operational partners.

Required profile

• Bachelor's degree in a related field (healthcare administration, public health, policy) or equivalent experience; Master's degree or Juris Doctor preferred.
• 5+ years in compliance, regulatory, operations or risk management within a regulated industry such as healthcare, managed care, insurance or public sector.
• 4+ years of compliance advisory experience, including regulatory research, drafting guidance, risk assessment, issue tracking and corrective action plans.
• 2+ years supporting managed care, Medicare Advantage/Part D or Dual Eligible (DSNP) programs.
• Foundational knowledge of Medicare regulations, including CMS guidance and Parts C and D.
• Certified in Healthcare Compliance (CHC) preferred; familiarity with CMS audit protocols preferred.

Required skills

• Strong written and verbal communication and analytical skills.
• Attention to detail and ability to manage multiple assignments under tight deadlines.
• Experience in a matrixed or cross-functional environment preferred.

What we offer

• Pay range of $87,700 to $157,800 per year, adjusted for skills, experience and other factors.
• Health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off and holidays.
• Flexible schedule options: remote, hybrid, field or office work.