Senior Compliance Analyst - Medicaid External Audit

📋 Description

• • Serve as the lead coordinator and primary point of contact for external auditors and regulatory agencies on assigned Medicaid audits, examinations, and reviews.
• • Manage end-to-end external audit coordination, including audit intake, kickoff, evidence collection, quality review, submission, interviews, and closure.
• • Respond to and manage external requests for information related to regulatory audits, exams, and formal reviews.
• • Coordinate and support auditor and regulator interactions, including entrance conferences, onsite or virtual reviews, follow-up requests, and exit conferences.
• • Review draft audit reports, support rebuttal development, and coordinate responses on behalf of the organization.
• • Communicate state and federal regulatory requirements related to external audits and examinations to internal stakeholders across markets and functions.
• • Maintain and manage audit and regulatory documentation in accordance with enterprise standards and regulatory expectations.
• • Assist health plans in managing relationships with regulatory agencies by ensuring consistent, accurate, and timely audit responses.
• • Serve as a company-wide compliance and external audit subject matter resource across multiple markets and functional teams.
• • Partner closely with internal stakeholders to manage audit requests, regulatory communications, corrective actions, and executive reporting.
• • Ensure compliance with HIPAA and applicable state regulations in all audit-related activities.
• • Support the development and implementation of corrective actions arising from audit findings.
• • Facilitate clear, professional written and verbal communication with auditors, regulators, and internal leadership.
• • Maintain awareness of evolving Medicaid and healthcare regulatory landscapes to inform audit preparation and response strategies.
• • Coordinate cross-functional efforts to align audit responses with organizational policies and legal requirements.
• • Provide guidance and training to team members and stakeholders on audit processes and regulatory expectations.
• • Contribute to continuous improvement of audit coordination workflows and documentation systems.
• • Participate in executive-level reporting related to audit outcomes, compliance status, and risk exposure.
• • Ensure all audit activities adhere to Centene Corporation’s Compliance Program standards and governance framework.