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.
 

Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.

Position Purpose: Manage assigned functional area (filing submissions; state legislative/regulatory interpretation and policy research; development of member materials or QHP templates, and/or product benefit database). Responsible for quality of their functional area outputs. Regulatory oversight and advocacy positioning, as it relates to functional area. Understand how cross-functional teams and business units work, including regulatory and/or benefit impacts to their functional areas. Serve as the Primary Point of Contact for Health Plan and State Department of Insurance (DOI) communications.

• Manage the team’s review, interpretation, and summarization of current, proposed, and enacted legislation and/or regulatory updates, including risk assessments and/or risk feedback communications to business leads and leadership.
• Manage, coordinate, develop, monitor, and lead projects (regulatory or filing) internal to the department and cross-functional business partners, including product filings and submissions (CMS and State DOIs).
• Manage and perform quality assurance audits on department work product, including regulatory research, filings, member-facing policy documents, projects, and communications.
• Manage the maintenance of the product benefit system utilized as the Source of Truth for all Qualified Health Plan (QHP) template and member document population. Supervise and/or perform audit outputs from the Source of Truth system and/or document.
• Achieve a solid understanding of the team’s performance and use that assessment as a catalyst for performance, quality improvement and growth development for staff.
• Support the implementation of measurable, repeatable, scalable, and predictable processes related to organizational goals and drive continuous improvement to enable the department to scale efficiently and effectively.
• Responsible for working with IT on system enhancements and/or fixes to the product benefit database. Manages staff working with IT on product benefit database.

Education/Experience:

• Bachelor’s degree, preferably in Business, Communications, Healthcare, Political Science, or 5+ years of regulatory experience, including policy analysis and/ or product filing or Qualified Health Plan (QHP documentation and template creation (CMS and/ or State DOI).
• Experience in commercial health insurance or a highly regulated industry.
• Pre-Law, Master’s Degree or JD desirable.
• 0-3 years of supervisory/management experience.
• In depth knowledge of health products, procedures, and state insurance regulations.
• Experience providing product regulatory proposals and recommendations.

Travel: 20% within continental United States

License/Certification: N/A

Pay Range: $84,300.00 - $151,700.00 per year

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.  Total compensation may also include additional forms of incentives.

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