Skip Navigation

Vice President, Compliance

Austin, Texas Apply Now Job ID 1149791 Category Compliance Organization Superior HealthPlan Schedule Full-time
Description:

Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries.

  • Ensure business unit and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements
  • Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures. Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards
  • Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA
  • Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language
  • Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors
  • Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives
  • Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact
  • Represent senior management at various committees, meetings, and seminars

  • Qualifications:


    Education/Experience: Bachelor's degree in Public Policy, Government Affairs, Business Administration or related field. 8+ years of compliance program management and contract experience. Extensive knowledge of state administrative code and regulations, state insurance laws and regulations including managed care regulations. Experience with state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws. Master’s or Law degree preferred.

    For Carolina Complete Health plan: Must reside in North Carolina.

    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.

    Apply Now

    Check out this location

    See what's near our Austin location.

    View Map

    Our Hiring Process

    Learn more about our hiring process and discover other helpful information for applicants.

    Learn More

    Sign up for Job Alerts

    Join our Talent Network and get Centene news and job alerts delivered to your inbox.

    Areas of InterestSelect a job category from the list of options. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

    • Compliance, Austin, Texas, United StatesRemove
    • Leadership, Austin, Texas, United StatesRemove

    Match Your Skills

    Let us search jobs for you based on the skills and experience listed in your LinkedIn Profile.

    Start Matching