Job Closed
This listing is no longer active.
Manager, Ethics & Compliance
Location
Florida + 2 moreAll locations: Florida | Missouri | Tennessee
Posted
122 days ago
Salary
$87.7K - $157.8K / year
Seniority
Senior
Job Description
Manager, Ethics & Compliance
Centene Corporation Group
• Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company • Enhance the enterprise ‑ wide COI and Exclusions compliance program, including governance, controls, documentation, and reporting • Provide strategic oversight of COI intake, review, adjudication, mitigation, and monitoring processes • Oversee COI case management systems, workflows, and data integrity to support timely, consistent, and defensible decision ‑ making • Identify, assess, and implement effective risk mitigation strategies for actual, potential, or perceived conflicts • Lead the enterprise‑wide COI and Exclusions compliance programs, including governance, controls, documentation, and reporting • Maintain awareness of applicable federal and state laws, regulations, guidance, and contractual requirements impacting COI and Exclusions compliance (including Medicare, Medicaid, and managed care regulations) • Draft compliance policies, procedures, and standards consistent with regulatory expectations and industry best practices • Ensure timely updates to policies and processes in response to regulatory or contractual changes • Serve as a trusted compliance advisor to business partners • Identify emerging COI and Exclusions risks, trends, and control gaps • Promote a strong culture of ethics, transparency, and accountability through education and stakeholder engagement • Prepare clear, concise compliance reports and metrics for leadership and governance committees • Analyze data and trends to drive continuous improvement and program maturity
Job Requirements
- Bachelor’s degree in related field (e.g., Compliance, Healthcare Administration, Business, Law)
- Master's or Juris Doctorate degree strongly preferred
- Minimum of 3+ years of progressive compliance experience, preferably within healthcare, managed care, insurance, or regulated industries
- Hands on experience managing COI, Exclusions, or related ethics compliance programs strongly preferred
- Proven ability to lead complex, cross functional initiatives
- Excellent analytical, communication, and presentation skills
- High level of professional judgment, discretion, and integrity
- Experience with compliance case management systems
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Related Guides
Related Categories
Related Job Pages
More Compliance Jobs
• Map out an overview of the activities performed by a PSM (Product Security Manager) or PSO (Product Security Officer) • Conduct a benchmarking analysis of regulatory and standards constraints across industry sectors • Prepare a presentation summarizing the scope of a PSM's activities • Design a maturity assessment tool for PSMs • Analyze the major risks impacting a specific product
Technical Regulatory Lead
Intersect PowerEnabling new pathways between clean electricity and the broader economy
• Engage directly with ERCOT, PUCT, and Texas market stakeholders to interpret nodal protocols and influence rule making processes • Participate in and lead working group engagement to defend existing rules or advance protocol revisions aligned with Intersect’s co-location model • Analyze and respond to implementation of SB6, large load reforms, and ERCOT batch processes to protect and optimize project economics • Advocate for market reforms that support co-located generation and large flexible loads, including load shed frameworks and PUN alignment • Partner with Development, Engineering, Commercial, and Power Marketing teams to ensure project designs align with evolving market rules • Evaluate micro-grid concepts and pathways for integration or migration into the ERCOT grid • Advance nodal protocol revisions related to metering structures, including complex BESS configurations operating behind multiple POIs • Ensure regulatory, operational, and commercial considerations are fully harmonized across project lifecycles • Lead strategy around Controllable Load Resource constructs and protocol changes affecting large flexible loads • Collaborate with TSPs, TDSPs, and counterparties to structure sleeve agreements that align behind-the-meter commercial arrangements with operational and regulatory requirements • Develop clear positions on regulatory ambiguities and drive consensus-building across stakeholders • Assess SPP market structures and regulatory frameworks to evaluate replication of Intersect’s co-location model • Translate lessons learned in ERCOT into scalable regulatory playbooks for new markets • Build relationships with regional stakeholders to position Intersect as a credible and constructive market participant
Compliance Manager
Allianz InsuranceAllianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us. At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust. We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations. Join us. Let's care for tomorrow.
Role Description The Compliance Manager is responsible for ensuring that Allianz Partners entities adhere to applicable laws, regulations, and internal policies. This role involves managing compliance support for the company's global objectives across all relevant Compliance Risk Areas as per the AZP Compliance Policy. The Compliance Manager will oversee the execution of Compliance Programs, coordinate compliance activities, and serve as a key point of contact for compliance matters with local regulators and management. Key Responsibilities - Compliance Management: Identify and assess compliance regulatory requirements, risks, and trends within local AzP entities, and mitigate these risks based on Allianz Group’s Compliance programs. - Implementation and Improvement: Steer the implementation and continuous improvement of compliance-related requirements and Allianz Group Standards across relevant jurisdictions, fostering alignment across the global operating model and three lines of defense functions. - Regulatory Monitoring: Monitor regulatory developments, assess their impact, and oversee the implementation of necessary compliance measures. - Process Oversight: Provide oversight on compliance-related processes and controls. - Review Participation: Participate in AzP Compliance-related reviews, identify ownership, and drive mitigation activities in alignment with AzP Compliance Quality Assurance Team. - Risk Advisory: Advise on relevant risks and report to senior-level stakeholders, participate in relevant committees to oversee adherence with AzP local Compliance requirements. - Investigation Oversight: Analyze and oversee investigations in alignment with AzP Investigation team. - Escalation and Reporting: Escalate and report compliance topics to relevant stakeholders where required. - Business Advisory: Advise business functions on compliance-related matters in new and existing business or M&A transactions together with the Global Practice Groups and AzP’s Compliance community. - Stakeholder Collaboration: Support compliance efforts and collaborate with relevant stakeholders to address high-risk situations. - Regulatory Interaction: Handle interactions with regulatory authorities and address significant compliance issues, maintaining adherence to applicable laws and regulations. Qualifications - Comprehensive experience in all compliance assigned risk areas within the financial services sector. - Deep understanding of international compliance laws, frameworks, and familiarity with screening tools and risk management practices. - Proven ability to lead and develop compliance programs, coordinate cross-functional activities, and adapt to changing regulatory environments and organizational needs. - University/Master’s degree (ideally in Law, Finance, Economics, or related field) or minimum of 5+ years in Financial Crime/Risk/Legal/Regulatory professional roles relevant to the insurance work environment. - CS/Compliance certification (e.g., ICA, or equivalent) preferred. Skills - Confidence in designing and implementing training and communication initiatives. - Strong analytical and problem-solving skills, with the ability to assess complex situations and make informed decisions. - Excellent interpersonal and communication skills, with the ability to interact with senior management. - Experience working internationally and remotely, cooperating with global expert networks across numerous locations. - Process experience focused on operational excellence to enhance program efficiency and effectiveness. - Proficient in MS Office Suite and screening tools. - Fluent written and spoken English language skills. AI-Related Enhancements - Data Analytics: Utilize AI-driven data analytics to enhance compliance risk assessment and monitoring processes. - Automation: Implement automation tools to streamline compliance reporting and regulatory monitoring tasks. - Machine Learning: Employ machine learning algorithms to predict compliance risks and improve regulatory adherence. Justification - Data Analytics: Enhances the ability to analyze large volumes of compliance data efficiently, ensuring proactive risk management. - Automation: Reduces manual workload and increases the speed and accuracy of compliance processes. - Machine Learning: Helps in identifying potential compliance risks and improving overall regulatory adherence. Note Allianz Partners does not accept unsolicited CVs or approaches from agencies. We only work with partners on our approved supplier lists, under contract. Any unsolicited submission will not be considered.
Associate, Regulatory Affairs
OscarAward-winning recruitment consultancy; delivering talent across Tech, Digital, Life-Sciences, Energy & Construction
• Be the subject matter expert on assigned state and federal policy for provider dispute and IDR matters, while applying newly proposed laws and regulations to processes in assigned jurisdictions. • Prepare concise, user-friendly briefing based on case needs. • Be the team resource through mentoring team members, maintaining workflows, and work cross functionally to implement solutions where needed. • Partner with PRO Counsel, Regulatory Affairs colleagues, and cross functional business partners to problem solve and stand up new processes. • Support + optimize sustainable processes which simplify our growing team's outputs while ensuring high quality deliverables. • Manage projects with notable complexity with business area implications, developing action plans and managing from start to completion. • Deliver multiple, simultaneous and diverse assignments while adhering to strict deadlines. • Support cross-training, and knowledge development across Oscar • Perform eligibility reviews of disputed claims to ensure all cases are routed to the appropriate venue • Manage the end-to-end administrative lifecycle of each dispute by maintaining real-time updates on project management boards, gathering and redacting member documentation, and uploading supporting evidence to the appropriate portal stages within set regulatory deadlines • Independently manage workload and related dependencies in compliance with required regulatory timelines • Compliance with all applicable laws and regulations • Other duties as assigned


