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Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: This position will be a member of Medicare &amp; Compliance Senior Leadership, chairs Centene's Medicare Compliance Committee, attends meetings of the Enterprise Compliance Committee (ECC), and does not have financial, operational, or other non-compliance duties. This position is expected to promote an appropriate "Tone at the Top" of the organization with a commitment to service leadership. <ul><li>Leading the Medicare Compliance team with a collaborative mindset and demonstrated commitment to excellence</li><li>Developing a best-in-class Medicare Compliance Program that exceeds stakeholder expectations</li><li>Ensuring that Medicare Compliance reports are provided regularly to the CRECO, the Medicare Compliance Committee, the Medicare Senior Leadership team and the A&amp;CC of the Board</li><li>Through appropriate designees, ensuring that colleagues receive timely and practical advice regarding new guidance from federal and state regulators ensuring that all Medicare Compliance policies and procedures are reviewed annually and revised, as necessary, to reflect relevant legal, regulatory, and administrative developments and to address any compliance concerns or gaps that have been identified</li><li>Creating and coordinating, by appropriate delegation as warranted, education training program to ensure that the Board, officers, employees, First Tier Downstream and Related Entities (FDRs), and other individuals and entities are knowledgeable about the Enterprise Ethics and Compliance Program, Centene's Business Ethics and Code of Conduct (Code), the Company's compliance policies and procedures and applicable statutory, regulatory, and administrative requirements</li><li>Facilitating a quarterly Medicare Compliance Risk Assessment and developing an annual Compliance work plan</li><li>Chairing the quarterly Medicare Compliance Committee and ensuring appropriate reporting is provided to the Committee</li><li>Developing and implementing methods and programs that encourage managers and employees to report, without fear of retaliation, good faith concerns regarding Medicare non-compliance and potential instances of fraud, waste and abuse (FWA)</li><li>Responding to reports of potential FWA, including the coordination of internal investigations with the Special Investigations Unit and the development of appropriate corrective or disciplinary actions</li><li>Ensuring, by appropriate delegation as warranted, that all applicable government exclusion lists, including, but not limited to those issued by the Office of Inspector General, U.S. Department of Health and Human Services and the Government Services Administration are screened monthly with respect to all Board members, employees and FDRs and that any identified personnel issues are promptly addressed in accordance with applicable policies and procedures</li><li>Maintaining documentation for each report of potential non-compliance or potential FWA received from any source, through any reporting channel or mechanism</li><li>Overseeing the development and implementation of Corrective Action Plans</li><li>Coordinating potential fraud investigations and referrals from and with the SIU, where applicable, and the appropriate National Benefit Integrity Medicare Drug Integrity Contractor</li><li>As appropriate and in coordination with the SIU, collaborating with other sponsors, State Medicaid programs, Medicaid Fraud Control Units, commercial payers, and other organizations when a potential FWA issue is discovered that involves multiple parties</li><li>Ensuring that data and other information and materials submitted to CMS are accurate and in compliance with CMS reporting requirements</li><li>Reporting potential FWA to CMS, its designees and other regulatory and enforcement agencies</li><li>Directing, through one or more designees, audits and investigations of FDRs</li><li>Directing, through one or designees, audits of any area or function involved with Medicare Parts C or D plans</li><li>Interviewing, personally or through designees, employees and other relevant individuals regarding Medicare compliance issues</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul>Education/Experience: Bachelor's Degree required: Juris Doctor (JD) from an accredited law school, with a strong academic record and a state bar admission preferred 5+ years of experience in a leadership role required 10+ years of Medicare Managed Care Compliance experience required Experience in the managed care sector preferred, ideally with rigorous professional training in a law firm, corporate legal or compliance department and/or relevant government agency preferred Pay Range: $227,400.00 - $431,900.00 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

Medicare Compliance Officer

Overview As we continue to build our team in support of our vision to be the world's best and most trusted mobility company, the Risk Management team is excited to announce an opportunity for an Insurance &amp; Actuarial Services Analyst! ABOUT THE ROLE The Insurance &amp; Actuarial Services Analyst evaluates the company's worldwide insurance programs and conducts actuarial analysis, analytics, pricing, loss reporting and risk assessment of financial outcomes. This position applies their knowledge of mathematics, probability, analytics and statistical principles toward casualty, property and self-insurance program calculations. Enterprise offers an excellent benefits package with market-competitive pay, comprehensive healthcare packages, 401k matching &amp; profit sharing, schedule flexibility, paid time off, and organizational growth potential. Compensation decisions will be made based on factors that include, but are not limited to experience, education, location and skill level This position is located at our Corporate Headquarters in Clayton, MO with a hybrid schedule. Company Overview Enterprise Mobility is a leading provider of mobility solutions, owning and operating the Enterprise Rent-A-Car, National Car Rental and Alamo Rent A Car brands through its integrated global network of independent regional subsidiaries. Enterprise Mobility and its affiliates offer extensive car rental, carsharing, truck rental, fleet management, retail car sales, as well as travel management and other transportation services, to make travel easier and more convenient for customers. Privately held by the Taylor family of St. Louis, Enterprise Mobility together with its affiliate Enterprise Fleet Management manages a diverse fleet of 2.3 million vehicles and accounted for nearly $35 billion in revenue through a network of more than 10,000 fully-staffed neighborhood and airport rental locations in more than 90 countries and territories. Responsibilities Insurance Programs <ul><li>Participate in formulation and negotiation of insurance placement and renewal strategies</li><li>Gather underwriting requirements from other departments to submit to insurers</li><li>Establish and maintain strong partnerships with broker partners throughout the insurance placement process</li><li>Manage the administration of self-insurance in all 50 states- submit loss, vehicle and financial information to individual state Departments of Insurance, investigate and respond to questions from the states, serve as first point of contact with state personnel, and maintain self-insurance certificates for group vehicles</li><li>Review insurance language in contracts and agreements for multiple business lines and make recommendations to ensure compliance with insurance programs and mitigate risk</li><li>Participate in company's insurance administration, including</li><li>Surety bond program</li><li>Insurance certificates</li><li>Insurance policies and associated acceptance/rejection forms</li><li>Premium payment/true-up</li></ul>Actuarial Analysis <ul><li>Conduct actuarial analysis for the company's insurance and self-insurance programs</li><li>Estimate company's reserve fund and captive loss reserves</li><li>Work closely with accounting to reconcile reserve fund and captive reserves and paid losses</li><li>Review reserve fund and captive financials for reasonability</li><li>Consult with outside actuaries when necessary for best practices</li><li>Responsible for the accuracy of their own estimates</li><li>Conduct peer review of the actuarial analysis of team members</li><li>Communicate results to management</li></ul>Analytics <ul><li>Collect risk related loss and exposure data and validate its accuracy</li><li>Apply analytical skills and tools to identify correlations between risk trends and business practices and communicate them with the business, providing insights and recommendations</li><li>Perform ad-hoc analysis for all areas within Risk Management</li></ul>Pricing <ul><li>Develop pricing for the company's self-insurance losses and losses within an insurance deductible</li><li>Use actuarial methods to project the loss cost associated with all property and casualty charges to Groups</li><li>Determine property and casualty charges to Groups</li><li>Consult with Groups on pricing changes from the prior year</li><li>Responsible for the accuracy of own projections</li></ul>Loss Reporting <ul><li>Develop accurate and timely loss reporting and analyze the reports to identify meaningful loss trends</li><li>Communicate report results and analysis conclusions with Risk Management Managers, Corporate Business Managers and other key business partners</li></ul>Risk Assessment <ul><li><ul><li>Conduct risk assessment of the company's loss exposures</li><li>Use actuarial methods to estimate losses within an insurance layer</li><li>Assist in the determination of the most cost-effective insurance retention/deductible level</li></ul></li></ul>Competencies: <ul><li>Results-Oriented</li><li>Working With a Team</li><li>Planning and Organizing</li><li>Detail-Oriented</li><li>Analyzing</li><li>Communication</li><li>Flexibility</li><li>Ethics and Values</li></ul>Equal Opportunity Employer/Disability/Veterans Qualifications Minimum: <ul><li>Bachelor's Degree (Actuarial Science, Business, Statistics, Risk Management, or Mathematics)</li><li>Must be authorized to work in the United States and not require work authorization sponsorship by our company for this position now or in the future</li><li>One (1+) year of experience in analysis, customer service, or risk management</li></ul>

Insurance & Actuarial Services Analyst - Risk Management

Sunflower Bank, N.A. is looking for an energetic, highly motivated individual to fill the position of a full-time Fair Banking Compliance Officer in Kansas City, MO. MUST HAVE- 3-5 years of analytical experience in fair lending ideally with a few years of underwriting or origination experience. MUST HAVE- Prior experience with working at a large bank or similar organization, preferably in a Compliance. Legal or similar function. MUST HAVE- Bachelor Degree or equivalent experience Summary The Fair Banking Compliance Officer will be responsible for managing the Fair Banking Program to ensure the organization is operating in compliance with fair lending, anti-predatory and unfair, deceptive and abusive laws and regulations. Primary Responsibilities <ul><li>Development and maintenance of the Bank's Fair Banking programs.</li><li>Development and maintain formal process documentation including job aids and other procedural documents related to the Fair Banking program</li><li>Prepares periodic reports concerning ongoing compliance with Fair Banking regulations.</li><li>Perform Fair Banking reviews, analyses, and testing, with subsequent comparative file reviews, including but not limited to underwriting, redlining, steering, and pricing, as applicable.</li><li>Reviews procedures in the business line to ensure compliance with applicable Fair Banking laws and regulations.</li><li>Collaborate with Community Affairs in establishing annual CRA and Fair Banking goals and monitor and reports upon the bank's performance in achieving said goals.</li><li>Provides constructive feedback and coaching as well as prepare and submit performance reports.</li><li>Leads or assists in ongoing Fair Banking risk assessments based on lines of business and by CRA and Fair Banking regulations; identify acceptable level of compliance risk and corresponding controls; identify and provide solutions to address gaps in controls, mitigate Fair Banking risks, and enhance Fair Banking training.</li><li>Champions a corporate culture in which all personnel view Fair Banking &amp; CRA compliance as aligned with the Company's purpose and values and is regarded as a key objective in business decisions and process development/implementation.</li><li>Acts as subject matter expert and provide consulting or advisory services to business or internal partners on an as needed basis.</li><li>Collaborate with business partners on requests for internal audits, internal projects, regulatory examinations related to CRA, Fair Lending and UDAAP.</li><li>Contribute to the CRA &amp; Fair Banking performance context.</li><li>Assist with training and education on Fair Banking and CRA topics as necessary.</li><li>Stays abreast of changes to the Fair Lending, CRA, and UDAAP laws, rules, and related regulations.</li><li>Perform the job in accordance with applicable industry laws and regulations as well as the policies and procedures established by the company.</li><li>Responsible for upholding Fair and Responsible Banking practices and Code of Ethics and Conduct guidelines.</li><li>Understand and participate in the Bank's Community Reinvestment Act program.</li><li>Perform other duties as assigned.</li></ul>Education / Experience <ul><li>Bachelors Degree or equivalent experience required in compliance, legal or other control-related function in the financial services firm, regulatory organization, or legal/consulting firm, or a combination thereof with knowledge of the fair lending laws and regulations; strong working knowledge of function/business/product supported and the related operations and financial requirements</li><li>Advanced (MS, MBA, JD, etc.) Degree preferred</li><li>CRCM or other relevant certification preferred</li><li>Knowledge of Compliance laws, rules, regulations, risks and typologies, including working knowledge of the US fair lending and fairness laws</li><li>Prior experience with working at a large bank or similar organization, preferably in a Compliance. Legal or similar function.</li><li>Must be a self-starter, flexible, innovative and adaptive</li><li>Strong interpersonal skills with the ability to work collaboratively and with people at all levels of the organization</li><li>Strong written and verbal communication and interpersonal skills</li><li>Ability to both work collaboratively and independently; ability to navigate a complex organization</li><li>Ability to master laws, rules and regulations and apply them to business scenarios</li><li>Advanced analytical skills</li><li>Ability to both work independently and collaborate with team members</li><li>Excellent project management and organizational skills and capability to handle multiple projects at one time</li><li>Proficient in MS Office applications (Excel, Word, PowerPoint)</li><li>Demonstrated knowledge in area of focus as noted above.</li><li>Must be bondable</li></ul>Pay is dependent on knowledge, skills, abilities, experience and location Working Conditions Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Sunflower Bank Benefits Employees enjoy outstanding benefits, including: <ul><li>401(k) Plan with 6% Match </li><li>Health/Dental/Vision Insurance </li><li>Company-paid Life Insurance </li><li>Tuition Reimbursement </li><li>Fitness Reimbursement </li><li>Paid Time Off </li><li>Volunteer Leave </li><li>Paid Holidays </li><li>Plus many more employee perks &amp; incentives!</li></ul>People choose to "bank" with us, but for those we serve, we're more than a bank. We strive to be the financial backbone of their lives and we know that starts with our team. You've never worked anyplace like Sunflower Bank! EOE/AA: Minorities/Females/Disabled/Vets If you are a California resident, you may be entitled to certain rights regarding your personal information, which is information that identifies, relates to, or could reasonably be linked with a particular California resident or household. Additional information about our data collection practices and location specific notices is available on our privacy policy .

3 Jobs in Missouri