Senior Compliance Analyst, Duals (DSNP) Products

Centene
Missouri
Workplace: RemoteFull timeUSD 70,100 - 126,200 annuallyFunction: Legal, Risk & ComplianceExperience: 4+ yearsEducation: bachelorsSkills: ["Communication","Stakeholder management","Risk assessment","Regulatory interpretation","Policy development"]

Own Duals (D-SNP) compliance for DSNP products by partnering with leadership on regulatory interpretation, compliance reporting, and special projects. Manage Medicare and D-SNP compliance reporting and respond to state and federal regulatory inquiries. Lead compliance audits, risk assessments, monitoring, and issue resolution; develop and maintain policies, procedures, and training programs for Duals requirements, documentation, and SMAC cap tracking.

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FursaFursa
Centene
Centene
3 days ago

Senior Compliance Analyst, Duals (DSNP) Products

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Source: Company careers pageValidated by: Fursa AI
Last checked: 4 hours agoStatus: Live

Job Summary

Own Duals (D-SNP) compliance for DSNP products by partnering with leadership on regulatory interpretation, compliance reporting, and special projects. Manage Medicare and D-SNP compliance reporting and respond to state and federal regulatory inquiries. Lead compliance audits, risk assessments, monitoring, and issue resolution; develop and maintain policies, procedures, and training programs for Duals requirements, documentation, and SMAC cap tracking.
Location: Missouri
Workplace: Remote
Employment Type: Full time
Job Function: Legal, Risk & Compliance
Seniority: Mid level

Key Responsibilities

  • •Maintain Centene’s compliance with Duals (D-SNP) program requirements, including regulatory interpretation and compliance reporting.
  • •Respond to external requests for Duals and SMAC regulatory filing information.
  • •Manage Duals compliance reporting responsibilities and inquiries from state and federal regulatory agencies.
  • •Lead Duals compliance projects/implementations; develop and maintain Duals compliance policies, procedures, and work instructions.
  • •Perform periodic compliance audits, risk assessments, and ongoing compliance monitoring; lead identification, analysis, and resolution of Duals compliance issues.

Pay and Benefits

Salary: USD 70,100 - 126,200 annually
Perks:Health Insurance401kEquityPaid Leave

Key Requirements

  • •Bachelor’s Degree in Law or related field, or equivalent experience.
  • •4+ years of Compliance and/or regulatory affairs experience.
  • •Experience with project management and working knowledge of compliance laws/regulations, especially Medicare, D-SNP, and state regulations.
  • •Ability to review and synthesize Duals regulatory requirements and create policy/position statements.
  • •Experience supporting compliance audits, risk assessments, and ongoing compliance monitoring activities.
Experience:4+ yearsHealthcareMedicareComplianceRegulatory affairs
Education:Bachelor's in Law
Skills:CommunicationStakeholder managementRisk assessmentRegulatory interpretationPolicy development

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn