Job Details

Manager, Compliance & State Reporting

Company name
Centene Corporation

Location
Baton Rouge, LA

Apply for this job






11 hit(s)  

Profile

Manager, Compliance & State Reporting

in

Baton Rouge

Louisiana

Description:

Position Purpose: Design and implement programs, policies, and practices to ensure State and Federal program contract compliance, as well as compliance with federal and state legal and regulatory requirements.

Oversee the day-to-day health plan policies and procedures to ensure federal and state regulatory compliance

Validate state and federal deliverable reports for accuracy and ensure timeliness of submission

Review and analysis of health plan deliverables and data to identify trends in performance and opportunities for improvement

Ensure timely, accurate and appropriate submission of all State filings related to health plan licensure

Act as a resource to staff in all health plan departments related to contract and reporting requirements and regulatory compliance

Act as a liaison with State and/or federal agency staff in response to inquiries and requests for information

Facilitate the administrative review process with the state including the corrective action updates that result from less than full compliance on the review standards

Interact with other compliance department personnel on fraud and abuse prevention efforts

Conduct oversight audits of health plan procedures and processes to ensure compliance with contractual and regulatory requirements

Perform List of Excluded Individuals/Entities (LEIE) exclusion checks on subcontractor, vendors and staff

Manage Compliance 360 functions, enter all correspondence from our state entity and open needed actions for tracking

Conduct/manage training programs for all health plan staff as required by contract and applicable regulatory requirements

Qualifications:

Education/Experience: Bachelor s degree in related field or equivalent experience. 4 years of compliance or regulatory experience in a health care and/or managed care setting/organization.

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.

Job:

Compliance

Organization:

LA Healthcare Connections

Location:

Louisiana-Baton Rouge

Requisition ID:

1070186

Apply Now

Centene Corporation

Centene Corporation Jobs

Apply Now

Share

Company info

Centene Corporation
Website : http://www.centene.com

Company Profile
Founded as a single health plan in 1984, Centene Corporation (Centene) has established itself as a national leader in the healthcare services field. Today, through a comprehensive portfolio of innovative solutions, we remain deeply committed to delivering results for our stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations

I like the volume of jobs on EmploymentCrossing. The quality of jobs is also good. Plus, they get refreshed very often. Great work!
Roberto D - Seattle, WA
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
EmploymentCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
EmploymentCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2016 EmploymentCrossing - All rights reserved.