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Senior Medicare Communications Compliance Specialist

Senior Medicare Communications Compliance Specialist

CompanyCentene
LocationNew Mexico, USA, Washington, USA, Kansas, USA, Pennsylvania, USA, North Dakota, USA, Oregon, USA, Delaware, USA, Iowa, USA, Washington, DC, USA, Vermont, USA, Wyoming, USA, Texas, USA, Montana, USA, Jackson Township, NJ, USA, Florida, USA, Waterbury, CT, USA, Nevada, USA, South Carolina, USA, South Dakota, USA, Georgia, USA, Arizona, USA, Concord, NH, USA, Mississippi, USA, Tennessee, USA, Virginia, USA, Arkansas, USA, Minnesota, USA, Colorado, USA, Rhode Island, USA, Utah, USA, Northeastern United States, USA, Kentucky, USA, West Virginia, USA, New York, NY, USA, Maryland, USA, Hawaii, USA, Wisconsin, USA, Maine, USA, Massachusetts, USA, North Carolina, USA, Oklahoma, USA, Missouri, USA, Ohio, USA, Louisiana, USA, Alaska, USA, Michigan, USA, Illinois, USA, Alabama, USA, United States, Idaho, USA
Salary$68700 – $123700
TypeFull-Time
DegreesBachelor’s
Experience LevelSenior

Requirements

  • Bachelor’s degree in Health Administration, related field, or equivalent experience required.
  • 5+ years of experience in Managed Care/Health Insurance/Public Health/Health Care Administration/ Medicare Part D or related field required.
  • Some experience in State or Federal managed care compliance and project coordination required.

Responsibilities

  • Conducts review of difficult or detailed member and prospective member communications against regulations to ensure compliance.
  • Performs comprehensive, complex regulatory analyses, including the review, summarization and dissemination of key regulatory updates and changes with the Medicare Marketing Guidelines and relevance on material review.
  • Provides project leadership, including the review of departmental documents, summarizing results, and implementing recommendations.
  • Provides mentoring or coaching to specialists or operational business partners on review of materials.
  • Assists department management with review of new or updated regulations.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Preferred Qualifications

    No preferred qualifications provided.