Sr Director, Compliance career at Centene Corporation in Atlanta

Centene Corporation is at present recruited Sr Director, Compliance on Tue, 16 Jul 2013 19:19:12 GMT. Ensure regulatory compliance adherence with state and federal government agencies related to the operation of the Specialty Business Units and oversee national compliance programs through risk management and process improvement activities Position Responsibilities: Implement process improvements to prevent, detect and respond to compliance issues related to all federal, state and contract...

Sr Director, Compliance

Location: Atlanta Georgia

Description: Centene Corporation is at present recruited Sr Director, Compliance right now, this career will be placed in Georgia. For detail informations about this career opportunity kindly see the descriptions. Ensure regulatory compliance adherence with state and federal government agencies related to the operation of the Specialty Business Units and oversee national compliance programs through risk manag! ement and process improvement activities

Position Responsibilities:
Implement process improvements to prevent, detect and respond to compliance issues related to all federal, state and contract regulatory requirements

Develop and maintain collaborative working relationships with subsidiary management teams and designees from state and federal agencies

Meet or exceed subsidiary and state and federal customer satisfaction, including service delegation and compliance with servicing agreements

Develop corrective action plan processes to reduce or eliminate risk resulting from non-compliant contract requirements or performance deficiencies

Direct the management of composition and delivery of responses to state and federal regulatory agency complaints and inquiries

Determine requirements and administration of ongoing licensure maintenance

Oversee contract management, including the drafting of amendments and! periodic assessments against contract requirements

D! rive the execution of all compliance tasks specific to responses to “request for proposals” (RFPs) and new business implementations for Specialty Business Units

Oversee and support development and deployment of compliance training and educational materials

Qualifications

Knowledge/Experience:
Bachelor's degree in Business or Healthcare Administration, Public Policy or related field. 8+ years of combined regulatory compliance and auditing experience in a healthcare industry. Knowledge of, and experience with, Medicaid and Medicare rules and regulations. Extensive knowledge of state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws. Previous experience with ancillary health care services including Pharmacy Benefits Management (PBM), behavioral health, nurse triage or telehealth, dental, vision and/or d! isease management programs a plus.
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Centene Corporation.

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This career starts available on: Tue, 16 Jul 2013 19:19:12 GMT

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