Director, Compliance
Company: Oklahoma Complete Health
Location: Oklahoma City
Posted on: September 12, 2023
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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.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
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