Senior Compliance Analyst - Medicaid External Audit

Location: Remote-MO

Time Type: Full time

Job Description

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:

As a Senior Compliance Analyst, you will assist in maintaining Centene Corporation’s Compliance Program with a primary focus on external audit and regulatory exam coordination. This role serves as a lead coordinator and primary point of contact for external auditors and regulators for assigned Medicaid audits, ensuring timely, accurate, and consistent execution of audit activities across markets and functions. The role partners closely with internal stakeholders to manage audit requests, regulatory communications, corrective actions, and executive reporting.

• Serve as the lead coordinator and primary contact for external auditors and regulatory agencies for assigned external audits, examinations, and reviews.

• Manage end‑to‑end external audit coordination, including audit intake, kickoff, evidence collection, quality review, submission, interviews, and closure.

• Respond to and manage external requests for information related to regulatory audits, exams, and formal reviews.

• Coordinate and support auditor and regulator interactions, including entrance conferences, onsite/virtual reviews, follow-up requests, and exit conferences.

• Review draft audit reports, support rebuttal development, and coordinate responses, as applicable.

• Communicate state and federal regulatory requirements related to external audits and examinations to internal stakeholders.

• Maintain and manage audit and regulatory documentation in accordance with enterprise standards and regulatory expectations.

• Assist health plans in managing relationships with regulatory agencies by ensuring consistent, accurate, and timely audit responses.

• Serve as a company-wide compliance and external audit subject matter resource across markets, and functions.

Preferred Skills:

Hands on experience supporting external audits

Background in Medicaid/Healthcare

Experience managing multiple projects simultaneously

Comfortable presenting to large group of stakeholders in addition to executive level leadership

Clear, professional written and verbal communication with auditors, regulators, and internal stakeholders

Required Education/Experience: Bachelor’s degree in related legal field or equivalent experience. Master’s or Juris Doctorate degree preferred and maybe considered in lieu of experience. 3+ years of related experience in compliance privacy and/or regulatory affairs. Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular HIPAA, and state regulations.

 

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