Director, Compliance

Company: Oklahoma Complete Health
Location: Tulsa
Posted on: September 16, 2023

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, Tulsa , Director, Compliance, Executive , Tulsa, Oklahoma