Company: Oklahoma Complete Health
Location: Oklahoma City
Posted on: September 10, 2023
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.Oklahoma Complete Health, a Centene
company, is committed to providing quality healthcare solutions to
transform the health of Oklahomans.
At Oklahoma Complete Health, we are community advocates and
change-makers in search of an inclusive culture grounded by our
commitment to work-life balance, competitive compensation, and
continuous career development. Join us and be a part of a
collaborative, growing network of innovative thinkers delivering
solutions at the local level.
Position Purpose: Oversee the Compliance department.Conduct
compliance audits, write corrective action plans and work with
contract and department managers to ensure timely completion and
compliance with local, state and regulatory requirements.
Represent the key leadership position for compliance at the health
plan, oversee communication, coordinate of policy development and
ensure accurate and timely communication to all departments.
Investigate instances of suspected fraud within the health plan and
report to appropriate management and regulatory entities.
Assist management with enforcement and discipline in appropriate
instances of noncompliance.
Regularly inform health plan's Board of Directors of the status of
and activities pertaining to compliance.Must Reside in Oklahoma
Education/Experience:Bachelor's degree in related field or
equivalent experience. 5+ years of compliance program management
and contract experience with State Medicaid programs including
internal and State audits; 2+ years experience in the development
of compliance and fraud programs; 2 years experience with
overseeing implementation of contract requirements. Previous
management experience including responsibilities for hiring,
training, assigning work and managing performance of staff.Our
Comprehensive Benefits Package: Flexible work solutions including
remote options, hybrid work schedules and dress flexibility,
Competitive pay, Paid time off including holidays, Health insurance
coverage for you and your dependents, 401(k) and stock purchase
plans, Tuition reimbursement and best-in-class training and
development.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.
Keywords: Oklahoma Complete Health, Oklahoma City , Director, Compliance, Executive , Oklahoma City, Oklahoma
Didn't find what you're looking for? Search again!