Job Overview
Location
Remote-MO
Job Type
Full-time
Category
Product Management
Date Posted
June 18, 2026
Full Job Description
đź“‹ Description
- • Intakes and triages compliance issues based on defined risk criteria, assigning them to appropriate team members as needed.
- • Collaborates with compliance and business stakeholders to conduct thorough root cause analysis and develop effective corrective action plans for identified non-compliance.
- • Reviews and monitors progress toward remediation milestones documented in the GRC tool, ensuring timely resolution of compliance issues.
- • Identifies issues requiring escalation and ensures they are routed through established processes for prompt resolution.
- • Conducts detailed reviews of evidence to determine root causes of compliance violations and facilitates timely closure of corrective actions.
- • Supports corrections reporting by generating trend analysis for business stakeholders and senior leadership on new, in-progress, and closed compliance issues, including regulatory sanctions.
- • Educates and assists company personnel on maintaining integrity through the correction of non-compliance to meet requirements of Government-sponsored health care programs.
- • Oversees and analyzes external and internal corrective actions to ensure alignment with Centene’s contractual and regulatory obligations.
- • Performs ongoing monitoring and audit activities to assess compliance with state and federal laws, rules, and regulations governing managed care and health insurance.
- • Ensures all compliance activities adhere to company policies and standards.
- • Performs additional duties as assigned to support the integrity of Centene’s corporate ethics and compliance program.
🎯 Requirements
- • Bachelor’s Degree in Managed Care, Health Insurance, or related field; or equivalent experience required
- • 3+ years of experience in Managed Care, Health Care, Health Insurance, or related field required
- • 1+ years of experience in a project oversight role with demonstrated ability to drive implementation and influence others preferred
- • 1+ years of experience reading, analyzing, and interpreting State and Federal laws, rules, and regulations preferred
- • 1+ years of experience in State Medicaid or Federal managed care compliance preferred
- • Certified in HealthCare Compliance (CHC) preferred
🏖️ Benefits
- • Competitive pay ranging from $56,200.00 to $101,000.00 per year
- • Comprehensive health insurance
- • 401(k) and stock purchase plans
- • Tuition reimbursement
- • Paid time off plus holidays
- • Flexible work arrangements including remote, hybrid, field, or office schedules
Skills & Technologies
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About Centene Corporation
Centene Corporation is a publicly traded managed-care enterprise that arranges health-benefit programs for government-sponsored and privately insured individuals. Operating across all 50 U.S. states and internationally, the company focuses on under-insured and uninsured populations through Medicaid, Medicare, and Marketplace offerings. Its services include behavioral health, pharmacy benefits, vision, dental, telehealth, and in-house clinical programs. Centene partners with physicians, hospitals, and community organizations to coordinate cost-effective care, emphasizing data analytics and value-based reimbursement models. Headquartered in St. Louis, Missouri, it serves more than 25 million members, positioning itself as a leading intermediary between payers and healthcare providers.
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