Compliance Officer

Centene Corporation

Job Overview

Location

Remote-NH

Job Type

Full-time

Full Job Description

📋 Description

• Provide strategic leadership and oversight for the health plan compliance program, including compliance governance, regulatory strategy, policy development, and cross-functional implementation to ensure accurate and timely execution of regulatory deliverables across business and operational areas.
• Lead the design, execution, and ongoing effectiveness of the market compliance program in alignment with enterprise standards and regulatory expectations, overseeing compliance with CMS Medicare requirements and ensuring timely submission of all applicable regulatory filings.
• Serve as senior compliance leader and single point of contact for state interactions, compliance meetings, and market-level escalations, while leading Department of Insurance, Medicaid agency, and other regulatory audit activities applicable to the New Hampshire market.
• Collaborate with Corporate Enterprise Risk Management and market leaders to identify, assess, document, and reduce compliance and business risks, oversee internal compliance auditing and monitoring activities, and direct corrective action planning.
• Provide oversight of delegated entities, vendors, and material subcontractors, chair or support market compliance committees, and lead, coach, and develop compliance team members with clear priorities and performance expectations.
• For the New Hampshire plan, maintain and track contract documentation, Medicaid contract amendments, and regulatory measures, work with operational departments to ensure policies comply with state standards, and develop strategic relationships with state agencies.
• Represent senior management at state committees, meetings, and industry forums, and maintain deep knowledge of New Hampshire Medicaid and applicable state regulatory requirements.

🎯 Requirements

• Bachelor’s Degree in a related field or equivalent experience required
• 7+ years of compliance program management and contract experience with State Medicaid programs, including internal and state audits
• 5+ years of experience with healthcare regulatory agencies in the development of compliance and fraud programs
• 5+ years of experience overseeing implementation of contract requirements
• Master’s Degree in a related field preferred
• 10+ years of compliance/enterprise risk management experience preferred

🏖️ Benefits

• Competitive pay within the range of $148,000.00 - $274,200.00 per year
• Comprehensive benefits package including health insurance, 401K and stock purchase plans
• Tuition reimbursement, paid time off plus holidays, and flexible work arrangements (remote, hybrid, field, or office)

Skills & Technologies

Remote

Degree Required

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Centene Corporation

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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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