Hiring: Compliance Officer - New Jersey Company: Centene Corporation Location: New Jersey, United States Job Posted Time: 2026-09-10 11:04:15 Employment Type: Full-time / Remote Target Skills & Keywords : Medicaid, Medicare, Program Management, Risk Management About the job Experience: •7+ years Compliance program management and contract experience with State Medicaid programs including internal and State audits required •5+ years Health care regulatory agencies in development of compliance and fraud programs; required •5+ years Overseeing implementation of contract requirements required •10+ years Compliance/Enterprise Risk Management preferred Required Skills: •Provide strategic leadership and oversight for the health plan compliance program, including compliance governance, regulatory strategy, policy development, and cross-functional implementation. Ensure accurate and timely execution and regulatory deliverables across business and operational areas. •Lead the design, execution, and ongoing effectiveness of the market compliance program in alignment with enterprise standards and regulatory expectations. •Oversee compliance with CMS Medicare requirements including SNP related obligations, and ensure timely submission of all applicable regulatory filings and deliverables. •Serve as senior compliance leader and single point of contact for state interactions, compliance meetings and market level escalations. •Serve as senior leadership in all Department of Insurance, Medicaid agency, and other regulatory audit activities applicable to New Jersey market. •Partner cross-functionally with Corporate Enterprise Risk Management and market leaders to identify, assess, document, and reduce compliance and business risks. •Internal compliance auditing and monitoring activities, direct corrective action planning, and hold business owners accountable for timely remediation and sustained compliance. •Provide oversight of delegated entities, vendors, and material subcontractors, including annual oversight performance monitoring and corrective action follow up. Qualifications: •Bachelor's Degree in related field, or equivalent experience required •Master's Degree in related field preferred Compensation: •$134,600 - $249,000 / year •Flexible work environment (work from home / hybrid options) •Competitive benefits and rewards package Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!