Centene

2 days ago

Compliance Officer - New Jersey

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 15 hours agoStatus: Live

Job Summary

Provide strategic leadership and oversight for a health plan compliance program, ensuring governance, regulatory strategy, policy development, and timely regulatory deliverables for the New Jersey market. Oversee CMS Medicare/SNP compliance, manage audits and corrective action, and coordinate with enterprise risk management and market leaders to identify and mitigate compliance risks. Serve as the senior compliance point of contact for state interactions and lead, coach, and develop the compliance team.

Location: New Jersey

Workplace: Remote

Employment Type: Full time

Job Function: Legal, Risk & Compliance

Seniority: Manager level

Key Responsibilities

•Design, execute, and maintain the market compliance program aligned to enterprise standards and regulatory expectations.
•Oversee compliance with CMS Medicare requirements, including SNP obligations, and ensure timely regulatory filings and deliverables.
•Lead internal compliance auditing and monitoring, direct corrective action planning, and hold business owners accountable for remediation.
•Provide oversight of delegated entities, vendors, and subcontractors, including performance monitoring and follow-up actions.
•Serve as senior point of contact for state interactions and regulatory audits, and lead/coaching the compliance team.

Pay and Benefits

Salary: USD 148,000 - 274,200 annually

Perks:Health Insurance401kEquityPaid Leave

Key Requirements

•Bachelor’s degree in a related field (or equivalent experience) and strong experience managing compliance programs and state Medicaid contracts.
•7+ years compliance program management and contract experience with State Medicaid programs, including internal and state audits.
•5+ years developing compliance and fraud programs within healthcare regulatory agencies.
•5+ years overseeing implementation of contract requirements.
•Ability to lead and develop compliance team members and drive corrective action and sustained compliance.

Experience:7+ yearsHealthcare

Education:Bachelor's

Skills:Strategic leadershipCompliance governanceRegulatory strategyRisk mitigationCross-functional collaboration

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

Website LinkedIn

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Centene

2 days ago

Compliance Officer - New Jersey

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 15 hours agoStatus: Live

Job Summary

Location: New Jersey

Workplace: Remote

Employment Type: Full time

Job Function: Legal, Risk & Compliance

Seniority: Manager level

Key Responsibilities

•Design, execute, and maintain the market compliance program aligned to enterprise standards and regulatory expectations.
•Oversee compliance with CMS Medicare requirements, including SNP obligations, and ensure timely regulatory filings and deliverables.
•Lead internal compliance auditing and monitoring, direct corrective action planning, and hold business owners accountable for remediation.
•Provide oversight of delegated entities, vendors, and subcontractors, including performance monitoring and follow-up actions.
•Serve as senior point of contact for state interactions and regulatory audits, and lead/coaching the compliance team.

Pay and Benefits

Salary: USD 148,000 - 274,200 annually

Perks:Health Insurance401kEquityPaid Leave

Key Requirements

•Bachelor’s degree in a related field (or equivalent experience) and strong experience managing compliance programs and state Medicaid contracts.
•7+ years compliance program management and contract experience with State Medicaid programs, including internal and state audits.
•5+ years developing compliance and fraud programs within healthcare regulatory agencies.
•5+ years overseeing implementation of contract requirements.
•Ability to lead and develop compliance team members and drive corrective action and sustained compliance.

Experience:7+ yearsHealthcare

Education:Bachelor's

Skills:Strategic leadershipCompliance governanceRegulatory strategyRisk mitigationCross-functional collaboration

Company Brief

Centene

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

Website LinkedIn