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Senior Compliance Corrections Specialist
Location
United States
Posted
122 days ago
Salary
$70.1K - $126.2K / year
Seniority
Senior
Job Description
Senior Compliance Corrections Specialist
Centene Corporation Group
• Participates in corrections process for all lines of business • Intakes and triages suspected issues of non-compliance • Entry of compliance issues into GRC tool and assignment/coordination of issues to corrections team members • Collaborates with compliance and business stakeholders to gather information, develop corrective action plans, identify and escalate barriers to progress and gather evidence of remediation • Updates GRC tool to support corrections reporting • Reviews and oversees progress towards remediation and documents key milestones in GRC tool • Identifies issues that require escalation and ensures they are addressed timely through established paths and processes • Conducts review of evidence to address root cause of issue and facilitate timely closure of issues • Develops, implements and continually refines corrections reporting that provides meaningful trend analysis for business stakeholders and senior leadership on new, in progress and closed issues as well as regulatory sanctions • Supports management in the development and maintenance of corrections processes and tools designed to effectively remediate compliance issues in a timely manner, ensure timely escalation and sustainable resolutions • Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs • Performs other duties as assigned • Complies with all policies and standards
Job Requirements
- Bachelor's Degree Managed Care/Health Insurance or related field, or equivalent experience required
- 5+ years experience in Managed Care/Health Insurance or related experience required
- Excellent Microsoft Office skills preferred
- Experience with data analytics preferred
- Certified in HealthCare Compliance (CHC) preferred
- Certified Compliance & Ethics Professional (CCEP) preferred
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
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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.
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