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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. Position Purpose: Responsible for developing and conducting a variety of training programs and/or auditing tools for claims processing platforms such as ABS and FACETS.***The Trainer I role is remote. Candidates will be considered nationally. ***Responsibilities:<ul> <li>Conduct training needs analyses to determine specific training needs for Claims department staff</li> <li>Identify, select, and develop appropriate training programs, including the selection or design of appropriate training aids</li> <li>Evaluate effectiveness of training programs, including cost and benefit analyses</li> <li>Research, analyze and recommend external training programs</li> <li>Maintain records of training activities and employee progress</li> <li>Assist in auditing work performed by staff and present findings and recommendations for areas of improvement to management</li> <li>Assist with revisions to policy and procedures and/or work process development</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Highly preferred skills:<ul> <li>Prior training experience in claims processing</li> <li>Claims processing system knowledge</li> <li>Experience training in a virtual environment</li> </ul>Education/Experience: Bachelor's degree in related field or equivalent experience. 2+ years of training experience, preferably in a managed care or healthcare environment. Pay Range: $55,100.00 - $99,000.00 per yearCentene 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. Total compensation may also include additional forms of incentives.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

Oklahoma Complete Health

Trainer I

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.Position Purpose: Assist in maintaining Centene Corporation’s Compliance Program. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies.<ul> <li>Respond to external requests for information required by the organization for its regulatory filings.</li> <li>Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies.</li> <li>Manage ethics and compliance projects or implementations.</li> <li>Review and synthesize regulatory requirements and create policy and/or position statements.</li> <li>Assist in managing annual code of conduct attestation and remediation.</li> <li>Communicate state and federal requirements to internal and external clients.</li> <li>Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures and work instructions.</li> <li>Assist in the identification, analysis, and resolution of compliance issues.</li> <li>Maintain and review regulatory documentation necessary to maintain corporate standards.</li> <li>Assist in developing, producing and conducting compliance training programs.</li> <li>Perform periodic compliance audits, risk assessments and conducts related to ongoing compliance monitoring activities.</li> <li>Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members.</li> <li>Assist management with interim health plan compliance officer responsibilities.</li> <li>Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed.</li> <li>Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives.</li> </ul>Education/Experience:<ul> <li>Bachelor’s degree in related legal field or equivalent experience. Master’s or Juris Doctorate degree preferred and maybe considered in lieu of experience.</li> <li>3+ years of related experience in compliance privacy and/or regulatory affairs.</li> <li>Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular HIPAA, and state regulations.</li> </ul> Pay Range: $68,700.00 - $123,700.00 per yearCentene 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. Total compensation may also include additional forms of incentives.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

Senior Compliance Analyst - ICHRA

Head of Medicare Network Strategy

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. Position Purpose: Reviews, interprets and summarizes proposed and enacted legislation and regulatory updates to the business as a subject matter expert on various complex topics. Performs state or federal policy research and regulatory change monitoring with a goal of achieving formal regulatory approval of commercial/Marketplace products.<ul> <li>Identifies, analyzes and interprets proposed or enacted legislation related to Centene's commercial product at the federal and state level and communicates findings to impacted departments. Independently performs risk assessments, including impact to business applications and downstream output. Maintains database and other reference materials related to legislative and regulatory issues and compliance.</li> <li>Performs comprehensive, complex regulatory analyzes, including the review, summarization and dissemination of key regulatory updates and changes related to Commercial/ACA rules and regulations at the state and/or federal level. Leads regulatory interpretation related to Commercial/ACA Rules and regulations and the commercial product explaining concepts clearly and adapting language and presentation based on audience level. Provides advice to business as new regulations emerge.</li> <li>Uses persuasive arguments and secures cooperation from the business in order to address potential legal, contractual and/or regulatory issues. Ability to determine appropriate approach for solving regulatory problems.</li> <li>Develops trust-based relationships within varied audiences and collaborates with other functional areas to lead large projects and initiatives. Attends cross-departmental meetings as department representative, provides guidance to the business related to commercial regulatory requirements and appropriately escalates matters to management. Solutions to address potential legal, contractual and/or regulatory issues which arise working closely with Legal and Compliance.</li> <li>Support and manage relationships between health plans and regulatory agencies, including state and federal regulators. Independently drafts responses to external requests for information required by the organization for its regulatory filings and/or for policy needs.</li> <li>Responsibility for understanding regulations and business needs for multiple states, as well as federal regulations pertaining to the commercial health insurance market.</li> <li>Assesses and analyzes objections related to regulatory interpretation and leads drafting of appropriate responses which are provided to regulators related to commercial/ACA filings. Partners on response with cross-functional partners as needed.</li> <li>Leads the research and regulatory guardrails for new state entry and new product development, working closely with legal on preparation of COA application materials/submissions for new states and/or products.</li> <li>Assists in developing and mentorship of junior employees, supporting creation and revisions to training materials. May attend external and/or virtual conferences and seminars to evaluate industry trends.</li> <li>May attend external and/or virtual conferences and seminars to evaluate industry trends.</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Education/Experience: Bachelor's Degree in Business, Communications, Healthcare, Political Science/Pre-Law or equivalent experience required: Master's Degree in a related field, Juris Doctorate degree may be considered in place of experience preferred. 4+ years experience in health insurance, legal, compliance or related field required. Experience reviewing regulations and providing interpretation using terms appropriate for the audience preferred. Experience in commercial health insurance and/or behavioral health managed care preferred. Please note: this is a remote position with Central Time (CT) work hours.Pay Range: $68,700.00 - $123,700.00 per yearCentene 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. Total compensation may also include additional forms of incentives.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

Regulatory Operations Analyst III

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Designs, develops, and implements complex enterprise software solutions. Collaborates closely with technical and non-technical roles such as data modelers, architects, business analysts, data stewards, and subject matter experts (SMEs) to provide design, technical analysis, development/configuration, testing, implementation, and support expertise representing the interest of the business across the enterprise.<ul> <li>Develops or prototypes software modules at various levels of complexity, including but not limited to: service interfaces, process flows, service messages, SOA components, business logic, UI/UX, or data access logic</li> <li>Designs, develops, tests, and deploys software solutions and process flows complying with standards, guidelines, and best practices</li> <li>Identifies, assesses, and formulates architectural impacts and solutions from business requirements</li> <li>Collaborates to ensure application designs utilize appropriate patterns and standards</li> <li>Analyzes user needs and software requirements to determine feasibility of design within time and cost constraints, including the ability to estimate work needed</li> <li>Assesses functional and nonfunctional requirements and creates designs to meet both business and technical needs</li> <li>Creates conceptual and detailed technical design documents and works with the business to update, as needed</li> <li>Identifies and resolves problems, often anticipating issues before they occur or before they grow, develops and evaluates options, and implements solutions</li> <li>Utilizes and contribute to the development of application coding techniques and standards</li> <li>Collaborates with Application Solution Architects, IS Business Analysts and other technical resources on the delivery of application functionality</li> <li>Participates in tier 3 application support activities including incident management and the assessment and delivery of application upgrades and patches</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science). Requires 4 – 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: <ul> <li>One or more of the following skills are desired.</li> <li>Experience with Other: evaluating and improving Code Quality /Standards</li> <li>Experience with Other: working with and directing third-party Application Developers</li> <li>Knowledge of Programming Concepts; Software Design</li> </ul> Soft Skills: <ul> <li>Intermediate - Seeks to acquire knowledge in area of specialty</li> <li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li> <li>Intermediate - Ability to work independently</li> <li>Intermediate - Demonstrated analytical skills</li> <li>Intermediate - Demonstrated project management skills</li> <li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li> <li>Intermediate - Demonstrates excellent judgment and decision making skills</li> </ul> License/Certification: <ul><li>Scaled Agile Framework (SAFe) preferred</li></ul>Pay Range: $85,300.00 - $158,100.00 per yearCentene 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. Total compensation may also include additional forms of incentives.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

Senior Application Development Engineer

<h3> Position Summary </h3> Position Summary As a Sr. GenAI Engineer, you will actively engage in your engineering craft, taking a hands-on approach to multiple high-visibility projects. Your expertise will be pivotal in delivering solutions that delight customers and users, while also driving tangible value for Deloitte's business investments. You will leverage your extensive GenAI &amp; engineering craftsmanship and advanced proficiency across multiple programming languages and modern frameworks, consistently demonstrating your exemplary track record in delivering high-quality, outcome-focused solutions. Recruiting for this role ends on 4.1.25 Work you’ll do <ul> <li> Outcome-Driven Accountability: Embrace and drive a culture of accountability for customer and business outcomes. Develop engineering solutions that solve complex problems with valuable outcomes, ensuring high-quality, lean designs and implementations.</li> <li> Technical Leadership and Advocacy: Serve as the technical advocate for products, ensuring code integrity, feasibility, and alignment with business and customer goals. Lead requirement analysis, contributing to low-level architecture and component design, development, unit testing, integrations, and support.</li> <li> Engineering Craftsmanship: Maintain accountability for the integrity of code design, implementation, quality, data, and ongoing maintenance and operations. Stay hands-on, self-driven, and continuously learn new approaches, languages, and frameworks with significant focus on infusing AI/ML/GenAI where possible/appropriate. Create technical specifications, and write high-quality, supportable, scalable code and review code of other engineers, mentoring them, to ensure all quality KPIs are met or exceeded. Demonstrate collaborative skills to work effectively with diverse teams.</li> <li> Customer-Centric Engineering: Develop lean engineering solutions through rapid, inexpensive experimentation to solve customer needs. Engage with customers and product teams before, during, and after delivery to ensure the right solution is delivered at the right time.</li> <li> Incremental and Iterative Delivery: Adopt a mindset that favors action and evidence over extensive planning. Utilize a leaning-forward approach to navigate complexity and uncertainty, delivering lean, supportable, and maintainable solutions.</li> <li> Cross-Functional Collaboration and Integration: Work collaboratively with empowered, cross-functional teams including product management, experience, and delivery. Integrate diverse perspectives to make well-informed decisions that balance feasibility, viability, usability, and value. Foster a collaborative environment that enhances team synergy and innovation.</li> <li> Advanced Technical Proficiency: Possess deep expertise in modern software engineering practices and principles, including AI/ML/GenAI, Agile methodologies and DevSecOps to deliver daily product deployments using full automation from code check-in to production with all quality checks through SDLC lifecycle. Strive to be a role model, leveraging these techniques to optimize solutioning and product delivery. Demonstrate strong understanding of the full lifecycle product development, focusing on continuous improvement and learning.</li> <li> Domain Expertise: Quickly acquire domain-specific knowledge relevant to the business or product. Translate business/user needs, architectures, and UX/UI designs into technical specifications and code. Be a valuable, flexible, and dedicated team member, supportive of teammates, and focused on quality and tech debt payoff.</li> <li> Effective Communication and Influence: Capable of articulating complex technical concepts clearly and compellingly. Inspire and influence teammates and product teams through well-structured arguments and trade-offs supported by evidence. Create coherent narratives that align technical solutions with business objectives.</li> <li> Engagement and Collaborative Co-Creation: Engage and collaborate with product engineering teams at all organizational levels, including customers as needed. Build and maintain constructive relationships, fostering a culture of co-creation and shared momentum towards achieving product goals. Align diverse perspectives and drive consensus to create feasible solutions.</li> </ul> The successful candidate will have and/or be able to: The ideal candidate will be a dependable team player and mentor, collaborating with cross-functional teams to design, develop, and deploy advanced software solutions. <ul> <li>Understanding and experience in managing big data of various forms to generate insights and create intelligence.</li> <li>Understanding of methodologies &amp; tools like, XP, Lean, SAFe, DevSecOps, SRE, ADO, GitHub, SonarQube, etc. to deliver high quality products rapidly.</li> <li>Excellent interpersonal and organizational skills, with the ability to handle diverse situations, complex projects, and changing priorities, behaving with passion, empathy, and care.</li> </ul> The Team US Deloitte Technology Product Engineering has modernized software and product delivery, creating a scalable, cost-effective model that focuses on value/outcomes that leverages a progressive and responsive talent structure. As Deloitte’s primary internal development team, Product Engineering delivers innovative digital solutions to businesses, service lines, and internal operations with proven bottom-line results and outcomes. It helps power Deloitte’s success. It is the engine that drives Deloitte, serving many of the world’s largest, most respected companies. We develop and deploy cutting-edge internal and go-to-market solutions that help Deloitte operate effectively and lead in the market. Our reputation is built on a tradition of delivering with excellence. Qualifications Required: <ul> <li>Bachelor's degree in computer science, software engineering, or related field.</li> <li>6+ years of engineering experience focused in AI/ML</li> <li>2+ years of recent experience in GenAI utilizing technologies such as: OpenAI, Claude, Gemini, LangChain, Agents, Vector databases and approaches like Prompt Engineering, fine-tuning, etc.</li> <li>Limited immigration sponsorship may be available</li> </ul> Preferred: <ul> <li>8+ years of engineering experience focused in AI/ML</li> <li>Prior experience in Python, R, TensorFlow, PyTorch, Keras, Julia, ML libraries, NLP.</li> <li>Prior experience with Angular, React, NodeJS, Python, Streamlit, C#, .NET Core, Golang, SQL/NoSQL.</li> <li>Prior experience with experience with cloud-native engineering, using FaaS/PaaS/micro-services on cloud hyper-scalers like Azure, AWS, and GCP.</li> <li>Prior experience and familiarity with XP, Lean, SAFe, DevSecOps, SRE, ADO, GitHub, SonarQube.</li> <li>Advanced degree (e.g., MS) in computer science, software engineering, or related field.</li> </ul> The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $102,500 to $ 210,600. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. Information for applicants with a need for accommodation: Hyperlink: <a href="https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html" target="_blank">https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html</a> EA_ITS_ExpHire Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. <a href="https://www2.deloitte.com/us/en/pages/careers/topics/recruiting-tips.html" target="_blank">Check out recruiting tips from Deloitte recruiters.</a> Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. <a href="https://www2.deloitte.com/us/en/pages/careers/articles/life-at-deloitte-benefits-and-rewards.html" target="_blank">Learn more about what working at Deloitte can mean for you.</a> Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte’s purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/purpose-at-deloitte-us.html" target="_blank">Learn more about Deloitte's purpose, commitments, and impact.</a> Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

Deloitte

Manager, GenAI Engineering

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose:Expand the provider network development and value based contracting activities. Assist with value based contracting provider network strategy, including provider contract negotiation, development of new value-based models, drive provider performance related to quality and reduction of avoidable healthcare costs, assist with preparation for provider performance meetings, and support decision makers with analysis related to historical and projected provider performance.Below relates to value based efforts only:<ul> <li>Develop relationships in multiple markets and implement strategies with key providers, provider associations and provider stakeholders</li> <li>Lead key provider negotiations with Hospitals, Physicians, Ancillaries, and Community Health Centers</li> <li>Develop and implement network development strategy plans with key providers in multiple markets</li> <li>Oversee the development of provider networks across expansion markets</li> <li>Manage budgeting and forecasting initiatives for stakeholder/network strategies, product lines, networks costs, and/or provider contracts</li> <li>Develop, coordinate and managed provider advisory boards, committee’s and governance and maintain relationships with key provider leadership</li> <li>Assist and advise on key provider relations and strategies</li> <li>Evaluating opportunities to expand or change the network to meet company goals</li> </ul>Education/Experience:Bachelor's degree in Business, Management, Healthcare Administration, or related field. MBA preferred.10+ years of healthcare administration, network development, or provider/payor contracting experience in a healthcare or managed care environment.Provider network development and strategy, provider contract negotiations, leading network development staff, unit cost and network strategy budgeting.Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.Pay Range: $182,100.00 - $345,600.00 per yearCentene 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. Total compensation may also include additional forms of incentives.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

Staff Vice President, Value-Based Contracting Network Strategy & Development

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. Position Purpose: Ensure regulatory compliance with federal and state legal and regulatory requirements as it relates to Medicare compliance and HPMS/CMS regulations.<ul> <li>Oversee and monitor various of cross-functional projects implemented by management.</li> <li>Develop strategic relationships to assist with the development of public policy concerning federal managed care regulations and initiatives.</li> <li>Represent senior management at various committees, meetings, and seminars.</li> <li>Communicate with CMS ensure timely completion of CMS requirements and expectations.</li> <li>Ensure all Medicare and Medicaid product and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.</li> <li>Maintain and track laws and regulations, contract documentations, amendments, and carious compliance measures.</li> <li>Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations.</li> <li>Work with Operational Departments to ensure that policies, procedures, and processes are developed and modified to comply with state regulatory standards. Provide guidance to various departments with respect to regulatory and contract language.</li> <li>Oversee, administer, and implement various aspects of the Medicare Compliance program.</li> <li>Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language.</li> <li>Identify, evaluate, and analyze the impact of CMS and Medicare regulatory issues and advise management concerning impact.</li> <li>Report all Medicare and MMP risks in accordance with the risk reporting policies.</li> <li>Provide required Ethics, Compliance, Risk Management, FWA, privacy, and security training for existing and new employees and as required non-employees such as contracted temporary staff, and FDR’s as needed.</li> <li>Partner with various departments to ensure that state and/or federal regulatory requirements are communicated and met.</li> <li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li> </ul>Education/Experience:<ul> <li>Bachelor’s degree Business Administration, Healthcare Administration, related field or equivalent experience. Master's Degree Business Administration, Healthcare Administration, or related field preferred. Pre-Law Degree or Juris Doctor preferred.</li> <li>7+ years Compliance, preferably in healthcare environment, required.</li> <li>5+ years Medicare and/or Managed Care, required.</li> <li>1+ years Overseeing implementation of contract requirements, required.</li> <li>1+ years Interaction and communication with federal and state regulatory agencies, preferred.</li> <li>1+ years Medicare, CMS regulations and software application tools, preferred.</li> </ul>Pay Range: $145,100.00 - $268,800.00 per yearCentene 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. Total compensation may also include additional forms of incentives.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

Senior Director, Compliance Advisory (Medicare)

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose:Applies cybersecurity and privacy principles to organizational requirements relevant to confidentiality, integrity, availability, authentication, and non-repudiation on key infrastructure systems. Analyzes, streamlines, and automates operational tasks and processes to protect the organization's infrastructure components against adversaries. Builds infrastructure security systems and solutions. Defines infrastructure security standards as well as implements and maintains technologies to measure conformance against infrastructure security standards.<ul> <li>Provides leadership and oversight for design, documentation, planning, implementation, monitoring, and support for server and database- based network services.</li> <li>Oversees the daily operations of infrastructure and operations staff.</li> <li>Manages organization’s database infrastructure needs and develops a long-term strategy for data storage, computing, and networking.</li> <li>Manages the hiring and training of new and existing staff, conducts performance reviews, and provides leadership, technical guidance and coaching.</li> <li>Shares knowledge and develops staff capabilities to strengthen understanding of business issues and best practices.</li> <li>Develops and communicates organizational objectives; inspires and motivates team members to achieve results.</li> <li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li> </ul>Education/Experience:Requires a Bachelor's degree and 5+ years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.Technical Skills:<ul> <li>Deep understanding of vulnerability management and common platforms such as Tenable, Rapid7 and Quest. </li> <li>Prior management and engineering experience focused on enterprise vulnerability management platforms.</li> </ul> Soft Skills:<ul> <li>Ability to lead/manage others</li> <li>Collaboration and team building skills</li> <li>Effectively coaches and delivers constructive feedback</li> <li>Instills commitment to organizational goals</li> <li>Ability to communicate and make recommendations to upper management</li> <li>Effective conflict management skills</li> <li>Develops and delivers effective presentations</li> <li>Demonstrated negotiation skills</li> </ul>Pay Range: $100,900.00 - $186,800.00 per yearCentene 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. Total compensation may also include additional forms of incentives.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

Manager, Threat & Vulnerability Management

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.Position Purpose: Perform internal audits, including the execution of strategic, operational, IT, and compliance risk-based audits for the company<ul> <li>Design, perform, and manage risk-based audits, evaluating controls and processes for scalability, effectiveness, efficiency, and risk mitigation strategies</li> <li>Perform audit planning, fieldwork, and wrap-up of engagements, including development and refinement of work programs</li> <li>Draft audit reports summarizing key findings and recommendations and consolidation of metrics and graphing</li> <li>Develop and communicate audit observations, recommendations, process improvement opportunities and best practices and obtain management responses</li> <li>Monitor and report on the status and findings of audits</li> <li>Serve as contact for corporate and external auditors regarding auditing, fraud matters, and projects</li> <li>Work with external professionals to complete audits/projects</li> </ul>Education/Experience:<ul> <li>Bachelor’s degree in Business, Accounting, Finance, Healthcare, related field or equivalent experience.</li> <li>2+ years of public accounting, internal audit, or related operational auditing or compliance experience required.</li> <li>Knowledge of Generally Accepted Accounting Principles required.</li> <li>Health Care industry experience preferred.</li> </ul> License/Certificates: CPA, CIA and/or CISA preferred.Pay Range: $55,100.00 - $99,000.00 per yearCentene 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. Total compensation may also include additional forms of incentives.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

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