Manager, Regulatory Affairs

Remote Full-time
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States, however it is highly preferred that the selected candidate resides in Michigan.
Position Purpose: Develop and execute regulatory plans for complex projects including new projects and maintenance of licenses and reaccreditation for existing and new business opportunities. Manage contracts and track performance to contractual requirements, provide consultation to other departments on requirements and escalate gaps as necessary.

In this Manager, Regulatory Affairs role, you will:
Develop procedures and reports to monitor contractually required deliverables, including but not limited to, regulatory reports and performance metrics
Review complex laws and regulations and provide guidance to other departments to ensure processes are in compliance
Conduct HIPAA compliance audits and provide summary of outcomes and recommendations for improvement
Perform gap analysis to current contract requirements and policies/procedures and offer recommendations to close gaps
Monitor applicable regulatory requirements to ensure compliance with company and external standards
Communicate with regulators as needed to seek clarification on contract requirements, regulations, processes or documents submitted for approval

Education/Experience:
Bachelor's degree in a related field or equivalent experience.
4+ years of public health policy, regulatory or legal experience, preferably in managed care or pharmacy industry.
Duals experience is highly preferred.

Pay Range: $87,700.00 - $157,800.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply To This Job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

WORK-FROM-HOME Customer Product Support - $25-$45 per hour - No Experience

Remote

Starbucks Work From Home Job $30/Hour

Remote

Lead Customer Quality Engineer (Nuclear)

Remote

Senior Backend Engineer, Partnerships

Remote

Integration Architect / ACE Architect / IIB Architect with Strong APIC background

Remote

ASST STORE MGR in BRISTOL, FL S30564

Remote

Senior Analyst, Site Contracts and Budgets – Spain – FSP

Remote

Lead Analyst-Forsyth Health - Remote

Remote

Experienced Data Entry Specialist – Remote Careers at careerzynith

Remote

[PART_TIME Remote] Java developer (Java, Spring Boot, MySQL)

Remote
← Back