Company: Oklahoma Complete Health
Posted on: September 11, 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
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, Stillwater , Director, Compliance, Executive , Stillwater, Oklahoma
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