Talent.com
Compliance Officer, Indiana
Compliance Officer, IndianaCentene • Albuquerque, NM, US
[error_messages.no_longer_accepting]
Compliance Officer, Indiana

Compliance Officer, Indiana

Centene • Albuquerque, NM, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
  • [job_card.part_time]
[job_card.job_description]

Compliance Manager

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Applicants for this role need to be located in the state of Indiana.

Position Purpose : Oversee all compliance functions for the Indiana health plan including communication and coordination of policy development. Oversee the accurate and timely submission of over-contact deliverables for all lines of business and service delivery areas.

  • Oversee the accurate and timely submission of all CMS Medicare SNP requirements.
  • Serve as senior leadership and single point of contact in all State compliance meetings and interactions.
  • Manage direct correspondence and daily interaction with all state regulators.
  • Serve as senior leadership in all Department of Insurance and HHSC audit processes.
  • Managing all facets of the audit and communications.
  • Serve as senior leadership in Enterprise Risk Management process working directly with corporate ERM and Executive Management team to ensure current evaluation and documentation of business risks.
  • Conduct internal compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with federal, state and local regulatory requirements.
  • Accountable for the management and oversight of compliance for all health plan material subcontractors to include directing the performance of annual oversight.
  • Performs other duties as assigned.
  • Comply with all policies and standards.

Education / Experience : Bachelor's degree in related field. Master's degree preferred.

  • 7+ years of compliance program management and contract experience with State Medicaid programs including internal and State audits.
  • 5-7 years of experience with health care regulatory agencies in development of compliance and fraud programs.
  • 5+ years' experience with overseeing implementation of contract requirements.
  • Pay Range : $145,100.00 - $268,800.00 per year Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

    [job_alerts.create_a_job]

    Compliance Officer • Albuquerque, NM, US

    [internal_linking.similar_jobs]
    Regional Compliance Director

    Regional Compliance Director

    Giving Home Health Care • Albuquerque, NM, US
    [job_card.full_time]
    Since 2012, Giving Home Health Care has been supporting individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy.With a focus on personaliz...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Internal Audit - SOX Senior Manager

    Internal Audit - SOX Senior Manager

    Coinbase • Albuquerque, New Mexico, United States
    [filters.remote]
    [job_card.full_time]
    Ready to be pushed beyond what you think you’re capable of?.At Coinbase, our mission is to increase economic freedom in the world. It’s a massive, ambitious opportunity that demands the best of us, ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Industrial Security Specialist

    Industrial Security Specialist

    Keenbee Talent Soluitions • Albuquerque, NM, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    The Industrial Security Specialist L3 will establish and execute the Space Rapid Capabilities Office (SpRCO) industrial security program as directed by the SpRCO government security director and br...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Compliance Officer

    Compliance Officer

    Albuquerque Community Foundation • Albuquerque, NM, US
    [job_card.permanent]
    About Albuquerque Community Foundation.Albuquerque Community Foundation (the Foundation) is a tax-exempt 501(c)(3) public charity created by and for people in the greater Albuquerque area.The Found...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Certified Occupational Therapist Assistant (COTA) - $1,349 to $2,032 per week in Clovis, NM

    Travel Certified Occupational Therapist Assistant (COTA) - $1,349 to $2,032 per week in Clovis, NM

    AlliedTravelCareers • Rio Rancho, New Mexico, US
    [job_card.full_time]
    Certified Occupational Therapist Assistant.AlliedTravelCareers is working with CompHealth to find a qualified Certified Occupational Therapist Assistant (COTA) in Clovis, New Mexico, 88103!.Interes...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Compliance Analyst

    Compliance Analyst

    Scale AI • Albuquerque, New Mexico, United States
    [job_card.full_time]
    Join a global community of talented professionals to shape the future of AI.Earn up to $15 USD / hr and additional rewards based on quality of submission. Outlier is committed to improving the intelli...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Chief Operating Officer

    Chief Operating Officer

    Jobot • Albuquerque, NM, US
    [job_card.full_time]
    Nonprofit Industry - Mission Driven - Excellent Benefits.This Jobot Job is hosted by : Daniel Gonzalez.Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.Sal...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Active Pulmonary Disease Officer

    Active Pulmonary Disease Officer

    United States Army • Belen, NM, United States
    [job_card.full_time]
    THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career. Challenging Work Feel inspired with great case di...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Reserve Military Chaplain

    Reserve Military Chaplain

    US Navy Reserve • Rio Rancho, New Mexico, United States
    [job_card.part_time]
    ABOUT Pursuing a civilian career doesn’t have to mean getting stuck in the corporate world.As a current or former Navy Chaplain, there are plenty of part-time opportunities to use your leadership s...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Non-Invasive Cardiology | New Mexico Metro | Loan Forgiveness

    Non-Invasive Cardiology | New Mexico Metro | Loan Forgiveness

    Jackson Physician Search • Albuquerque, US
    [job_card.full_time]
    A locally owned healthcare system in New Mexico is seeking a board certified or board eligible non-invasive cardiologist to join their growing cardiology team. Looking for a place where your money g...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Detention Officer - Cibola County Correctional Center

    Detention Officer - Cibola County Correctional Center

    CoreCivic • Rio Rancho, NM, United States
    [job_card.full_time]
    At CoreCivic, our employees are driven by a deep sense of service, high standards of professionalism and a responsibility to better the public good. Come join a team that is dedicated to making an i...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Surface Warfare Officer

    Surface Warfare Officer

    US Navy Reserve • Los Lunas, New Mexico, United States
    [job_card.part_time]
    ABOUT Pursuing a civilian career doesn’t have to mean getting stuck in the corporate world.As a current or former Navy Surface Warfare Officer, there are plenty of part-time opportunities to use yo...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Occupational Therapist (OT) - $2,446 per week in Clovis, NM

    Travel Occupational Therapist (OT) - $2,446 per week in Clovis, NM

    AlliedTravelCareers • Rio Rancho, New Mexico, US
    [job_card.full_time]
    AlliedTravelCareers is working with Mindlance Health to find a qualified Occupational Therapist (OT) in Clovis, New Mexico, 88101!. ID : 74332551 Shift : 8am-5pm OP and acute care 5x8 Hr Description : ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    CERTIFIED OR TECH

    CERTIFIED OR TECH

    University of New Mexico - Hospitals • ALBUQUERQUE, NM, United States
    [job_card.full_time]
    Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials.Compensation for this role is based on a number of factors, including but not limited to experience, education...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel LPN / LVN

    Travel LPN / LVN

    ISC Healthcare • Belen, NM, US
    [job_card.full_time]
    ISC Healthcare is seeking a LPN / LVN for a travel job in Belen, New Mexico.Job Description & Requirements.ISC Healthcare Job ID #17560632. Pay package is based on 12 hour shifts and 36.We belie...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Protective Service Officer

    Protective Service Officer

    Diversified Protection Corporation • Albuquerque, NM, United States
    [job_card.permanent]
    This position is under the direct supervision of the Captain and is responsible for the protection, safeguarding, and security of assets, personnel, customers, and all visitors.Read and understand ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Chief Lending Officer - Kirtland Credit Union

    Chief Lending Officer - Kirtland Credit Union

    D. Hilton Associates, Inc. • Albuquerque, NM, US
    [job_card.full_time]
    In collaboration with the CEO, this leader will drive the continued expansion of the lending business, oversee a holistic sales and service approach, and manage the institution's diverse lending po...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Future Leader Administrator in Training, AIT

    Future Leader Administrator in Training, AIT

    Geneis Healthcare • Albuquerque, NM, US
    [job_card.full_time]
    Genesis Healthcare Administrator In Training Program.At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service.As a l...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]