{"id":"1u806u8613","title":"Business Compliance  Consultant","posted_at":"2026-03-01T10:03:13.000Z","apply_url":"https://centene.wd5.myworkdayjobs.com/en-US/Centene_External/job/Remote-IN/Business-Compliance--Consultant_1624443-1","locations":null,"employment_type":"part_time","workplace_type":null,"seniority_level":"senior","description_language":"en","source_name":"workday","source_url":"https://centene.wd5.myworkdayjobs.com/en-US/Centene_External/job/Remote-IN/Business-Compliance--Consultant_1624443-1","salary":{"min":87700,"max":157800,"currency":"USD","period":"year","display":"$87,700–$157,800"},"job_summary":null,"job_description":null,"description_text":"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. This position will allow for remote work flexibility, but per contract requirements selected candidate must reside in Indiana. Position Purpose: This role resides in the business departments and works closely with department management, assigned compliance liaison, compliance department, change implementation team, business compliance leads in other departments and the segment business performance lead. Conduct the review of and make changes to product-specific contracts and amendments between Health Plan and Material Subcontractors. Remain up to date on all state and federal health care laws, including laws applicable to managed care industry, and on all IN Medicaid contracts and amendments. Perform legal research and prepare memoranda regarding legislative or regulatory changes affecting the company’s vendor and/or health care provider contracts. Coordinate SIU waste and abuse efforts with the Corporate SIU Team. Complete all research on and file preparation for State Fair Hearings between Health Plan and State Regulatory Agency. Represent MHS at all State Fair Hearings. Track all outcomes and provide reports to Senior Leadership on outcomes. Collaborate with cross-functionally to remedy MHS process issues. Identifies issues with questionable billing providers and vendor contracts. Tracks trends for department use and Corporate Compliance. Escalates as required to senior management. Coordinates department preparation for State Fair Hearings and Questionable Provider Audits (building case files, universes, evidence of compliance and other documentation as needed). Completes all required compliance training. Participate in implementation of regulatory changes that span multiple departments, as needed. Provide support and input into the development and maintenance of a consistent process for identification and escalation of issues and supporting tools; may participate in the implementation of a tool(s) for maintenance of mapping requirements/regulations to policies and procedures (P&Ps) and owners (i.e. CFR owners). Participate in developing and maintaining consistent processes/methods for development, implementation, communication and training on new/updated policies and procedures. Participate with Business Units/departments with an end-to-end process orientation to ensure appropriate connectivity and handoffs are built into P&Ps that span multiple departments. Participates in and supports other programs such as privacy and security (including HIPAA program), Ethics & Privacy, Fraud Waste & Abuse, Code of Conduct, etc. Performs other duties as assigned. Education/Experience: BA degree in Business Administration, Finance or related field. Five to ten years experience in progressively broad and challenging roles in a given operational area. Prior experience in a compliance-related role highly desirable For MHS Indiana plan only: 7+ years of combined contract drafting and legal research experience. Knowledge of the health care industry, specifically government services and applicable laws and regulations. Advanced knowledge of Indiana Medicaid insurance, Indiana Administrative Code and Code of Federal Regulations preferred. Pay Range: $87,700.00 - $157,800.00 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, 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 Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.","visa_sponsorship":null,"experience_years_min":null,"job_address":null,"job_city":null,"job_state":null,"job_country":null,"location_lat":null,"location_lng":null,"closed_at":null,"apply_with_ai_eligible":false,"keywords":["cross-functionally","documentation","communication","high-quality","Collaborate","performance","competitive","end-to-end","compliance","regulatory","handoffs","security","business","Flexible","research","privacy","trends","email","forms","Legal","stock"],"company":{"name":"Centene","slug":"centene","logo_url":"https://img.logo.dev/centene.com?token=pk_fWx5G5QrQMm-0Ud8BW3mBg&size=64&format=png","description":"Centene is a healthcare enterprise that provides programs and services to under-insured and uninsured individuals through government-sponsored healthcare programs.","website_url":"https://centene.com","linkedin_url":"https://linkedin.com/company/centene-corporation","glassdoor_url":"https://www.glassdoor.com/Overview/Working-at-Centene-EI_IE13542.11,18.htm","x_url":"https://x.com/Centene","instagram_url":null,"youtube_url":"https://www.youtube.com/user/CenteneCorp","github_url":null,"huggingface_url":null,"tiktok_url":null,"crunchbase_url":null,"facebook_url":"https://www.facebook.com/CenteneCorporation/","employee_count_range":"10000+","employee_count":null,"founded_year":1984,"headquarters":{"address":null,"city":"saint louis, MO","country":"US","lat":38.6254063,"lng":-90.190009},"industry":"healthtech","company_type":"enterprise","total_funding_usd":null,"locations":["Atlanta - 1100 Circle 75 Pkwy, Ste 1100","Atlanta-Georgia","Austin - 2100 S Interstate 35","Barrington-Illinois","Bath-23 Liberty St","Bayshore - 1656 Fifth Ave","Brooklyn - 2133 86th St","Brooklyn - 5708 7th Ave","Burr Ridge - 1333 Burr Ridge Pkwy, Ste 125","Champaign-Illinois","Chesterfield - 111 Chesterfield Industrial Blvd, Suite 115","Chicago Heights-Illinois","Clayton - 7700 Forsyth Blvd","Clayton - 7711 Carondelet Ave","Columbus (OH) - 4349 Easton Way","Des Moines - 1080 Jordan Creek Pkwy","Elgin-Illinois","Elizabeth City-North Carolina","Elizabeth-North Carolina","Fairport-Rochester Regional","Farmington (MO) - 1350 Airpark Dr","Getzville-Buffalo Regional","Harrison-Arkansas","Houston - 1311 W. Sam Houston Pkwy N.","Indianapolis - 429 North Pennsylvania St","Jacksonville-Florida","Latham - 10 British American Blvd","Latham - Albany Regional","Lenexa - 8325 Lenexa Dr","Little Rock - 1001 Technology Dr","Long Island City - 25-01 Jackson Ave","Macomb-Michigan","Madison-Wisconsin","Marion-Illinois","McAllen - 3900 North 10th St","Missouri","Moline-Illinois","Naples-Florida","New York (Inwood) -100-02 Post Ave","Newark-750 Prides Crossing","Orlando - 30 S. Keller Rd","Orlando-8427 South Park Cir, Ste 150","Panama City-Florida","Pekin-Illinois","Phoenix-Arizona","Pittsburgh - 48 26th Street","Poughkeepsie - Mid-Hudson Satellite","Queens - 163-05 Archer Avenue","Raleigh - 1100 N. Raleigh Blvd","Rego Park - 95-01 63rd Drive","Rego Park - New York City Regional","Ridgewood-1674 Putnam Ave","Russellville-Arkansas","Sacramento - 4151 E. Commerce Way, Bldg B","Salina-Kansas","Springfield - 400 International Way","Staten Island - 965 Richmond Ave Suite B7","Syracuse Regional","Tacoma - 1145 Broadway","Tampa-8715 Henderson Rd","Tampa-8725 Henderson Rd","Tempe - 1850 W. Rio Salado Pkwy","Tempe - 1850 W. Rio Salado Pkwy, Ste 211","Utica-209 Elizabeth St","West Palm Beach-4278 Okeechobee Blvd","Woodland Hills-21271 Burbank Blvd","Woodland Hills-21281 Burbank Boulevard"]},"structured_data":{"@context":"https://schema.org","@type":"JobPosting","@id":"https://worklittle.com/jobs/1u806u8613#job","title":"Business Compliance  Consultant","description":"Business Compliance  Consultant at Centene. View role details and apply on Worklittle.","datePosted":"2026-03-01T10:03:13.000Z","validThrough":"2026-03-31T10:03:13.000Z","url":"https://worklittle.com/jobs/1u806u8613","directApply":true,"hiringOrganization":{"@type":"Organization","name":"Centene","sameAs":"https://centene.com","logo":"https://img.logo.dev/centene.com?token=pk_fWx5G5QrQMm-0Ud8BW3mBg&size=64&format=png"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","streetAddress":"saint louis, MO","addressLocality":"saint louis, MO","addressCountry":"US"}},"employmentType":"PART_TIME","identifier":{"@type":"PropertyValue","name":"Centene","value":"1u806u8613"},"baseSalary":{"@type":"MonetaryAmount","currency":"USD","value":{"@type":"QuantitativeValue","minValue":87700,"maxValue":157800,"unitText":"YEAR"}}}}