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Compliance Specialist

Bedford, New Hampshire Apply Now Job ID 1169588 Category Compliance Organization New Hampshire Healthy Families Schedule Full-time
Description:
Position Purpose: Ensure compliance with contractual requirements and federal and state government reporting and regulations. Maintain government relations for compliance activities.

  • Ensure compliance with contract provisions with various agencies and applicable State and Federal laws
  • Serve as compliance resource for day–to-day processes
  • Analyze and determine the best course of action for each inquiry/problem
  • Act as primary contact for initiating and coordinating compliance projects
  • Develop and update plan policies and procedures to ensure compliance with federal and state requirements
  • Conduct periodic assessments and audits to ensure compliance with contractual and regulatory requirements and timeliness of submission
  • Oversee the day-to-day health plan policies and procedures to ensure federal and state regulatory compliance
Qualifications:

Education/Experience: 

  • Bachelor’s degree in related field or equivalent experience. 
  • 5+ years of compliance or regulatory experience. 
  • Advanced experience with Microsoft Office applications. 
  • Knowledge of business operations related to managed care preferred.

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.
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