Top 19 Senior compliance Jobs in New Hampshire

Senior Compliance Investigator
Centene —New Hampshire
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
13d
Compliance & Privacy Program SR. Manager - Full Time - Onsite in Manchester NH
Elliot Health System —Manchester, NH
- Full-time
- Management
- 5 years
- HIPAA
- Disability insurance
- Health insurance
Senior Corporate Counsel
New Hampshire Ball Bearings, Inc (NHBB) —Laconia, NH
- Office
- Analysis skills
- Organizational skills
- Dental insurance
Quick Apply
Customs Compliance Specialist, Senior
Buckland —New Hampshire
- Full-time
- Microsoft Outlook
- Research
- Analysis skills
- Retirement plan
Quick Apply
Senior Regulatory Affairs Specialist
Advanced Regenerative Manufacturing Institute Inc —Manchester, NH
- Full-time
- Bachelor of Science
- 8 years
- Analysis skills
Quick Apply
Senior IT SOX Compliance Administrator
Elbit America —Merrimack, NH
- Full-time
- Oracle
- Computer Science
- Mid-level
- Paid parental leave
- AD&D insurance
11d
Senior Environmental Compliance Specialist
Atlas —New Hampshire
- Full-time
- Hybrid work
- Travel
- Senior level
- Leadership
- Paid parental leave
- AD&D insurance
Quick Apply
Sr. Manager, Contracts
L3Harris Technologies —Londonderry, NH
- Office
- Bachelor's degree
- Travel
2d
Sr. Manager of Contracts, Advanced Technology
Albany International Corp. —Rochester, NH
- 7 years
- Up to 50% travel
- Office
Quick Apply
Senior Contracts & Claims Manager
Katalyst Healthcares & Life Sciences —Portsmouth, NH
- Contract
- Engineering
- Senior level
- Business
Quick Apply
Global Trade Compliance and Logistics Director
SubCom —Newington, NH
- Full-time
- Bachelor of Science
- Research
- Office
- Paid parental leave
- Health savings account
Quick Apply
LSA QA Sr. Compliance Specialist
Lonza —Portsmouth, NH
- Full-time
- 5 years
- Office
- Analysis skills
- Disability insurance
- Health insurance
Senior Counsel, Finance & SEC (hybrid schedule)
Eversource Energy Service Company —Manchester, NH
- $176,930 - $196,590 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Analysis skills
- Bachelor's degree
Senior Internal Auditor
Washington Metropolitan Area Transit Authority —United States
- Full-time
- CPA
- Computer Science
- 5 years
1d
Sr Legal Counsel Exchange Marketplace
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- 8 years
- Organizational skills
- Senior level
- Paid holidays
- Health insurance

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Compliance & Privacy Program SR. Manager - Full Time - Onsite in Manchester NH
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Senior Compliance Investigator

Centene -
New Hampshire

Apply Now

Job Details

Full-time
$70,100 - $126,200 a year
13 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Investigations regulatory compliance
Medical law
State healthcare regulations
Investigating compliance violations
Risk & issue management

Full Job Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Under the general direction of the VP of Compliance Investigations this position assists with the development, implementation, and continuous monitoring of an enterprise-wide Compliance Investigations Program and leads the Company's Compliance Investigations for all Business Units, Health Plans, and Corporate functions. Leads and oversees compliance and ethics investigations, facilitates and leads meetings with business management and cross-functional stakeholders, and prepares, reviews, and analyzes internal and external reporting. Supports the Director, Ethics & Investigations in the day-to-day operations of the Compliance Investigations Unit (CIU).

Leads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions.
Independently evaluates and assesses allegations to determine applicable criteria, including federal and state regulations, the Centene Code of Conduct, and internal policies, procedures, and standards that are alleged to have been violated.
Adheres to Compliance Investigation workplans and protocols and conducts investigations in compliance with established protocols and timelines.
Provides weekly case summaries and adheres to established minimum case review quotas to ensure timely progression and resolution of the investigative caseload.
Ensures all investigative findings are clearly tied to applicable company policies (e.g., Code of Conduct), federal and state regulations, and to maintain regulatory defensibility and support appropriate remediation.
Provides timely reports, both orally and in writing, to the Director of Ethics & Investigations and/or senior management regarding the status and outcomes of investigations.
Thoroughly documents, organizes, and reviews case files within centralized case management systems (e.g., Archer) in accordance with Company policy and CIU protocols.
Collaborates cross-functionally with other departments, including Legal, People Relations, SIU, Privacy, Finance, and Business Operations on investigations and the investigative process.
Prepares and analyzes departmental metrics, including investigation KPIs, case aging, and trending data, and makes recommendations accordingly.
Prepares presentations and presents findings to departmental and business management, executive leadership, and other stakeholders as needed.
Identifies risks, interprets investigation results, and recommends and communicates remedial actions to mitigate future potential risks.
Performs follow-up to ensure remedial/disciplinary measures are implemented appropriately and timely, including tracking remediation activities through case management systems.
Assists with various projects as assigned by the Director of Ethics & Investigations or the VP of Compliance Investigations.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.
4+ years of experience in investigations, auditing and risk analysis required.
1+ year of experience in reading, analyzing and interpreting State and Federal laws, rules and regulations required.

Preferred Qualifications:

Managed care or health insurance company experience preferred.
Experience with compliance case management systems (e.g., Archer, Navex) preferred.
Demonstrated experience conducting ethics and compliance investigations in a regulated healthcare environment preferred.
Experience collaborating with cross-functional teams including Legal, People Relations, SIU, and Privacy preferred.

Licenses and Certifications:

Certified Fraud Examiner (CFE) preferred.
Certified Compliance & Ethics Professional (CCEP) or Certified Healthcare Compliance (CHC) preferred.

Pay Range: $70,100.00 - $126,200.00 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

Apply Now

Refine Your Search

senior compliance jobs in new hampshire

Senior Compliance Investigator

Compliance & Privacy Program SR. Manager - Full Time - Onsite in Manchester NH

Senior Corporate Counsel

Customs Compliance Specialist, Senior

Senior Regulatory Affairs Specialist

Senior IT SOX Compliance Administrator

Senior Environmental Compliance Specialist

Sr. Manager, Contracts

Sr. Manager of Contracts, Advanced Technology

Senior Contracts & Claims Manager

Global Trade Compliance and Logistics Director

LSA QA Sr. Compliance Specialist

Senior Counsel, Finance & SEC (hybrid schedule)

Senior Internal Auditor

Sr Legal Counsel Exchange Marketplace

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