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. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States
Position Purpose: Supports the Senior Director in driving the strategy, execution, and ongoing enhancement of the organizations third-party risk management program. Helps translate the strategic vision into operational plans, overseeing key components of due diligence, risk assessments, compliance monitoring, and performance evaluation across the third-party lifecycle.
Key Responsibilities: • Leads issue management activities, supports cross-functional initiatives that strengthen risk transparency, and ensures adherence to regulatory, contractual, and accreditation requirements. • Contributes to executive-level reporting, supports internal and external audits, optimizes program operations, and develops team members to advance a culture of accountability and continuous improvement.
Strategic Vision: Assists with defining the strategic vision, operating model, and organizational roadmap for the third-party risk management program, ensuring alignment with enterprise priorities and regulatory and accreditation obligations.
Program Management: Leads the development, execution, and continuous refinement of a comprehensive third-party risk management framework, a risk-based annual audit plan that adapts to emerging risks and changes within third-party operations.
Compliance and Risk Management: • Evaluates third-party compliance and performance by conducting preservice, annual, risk-based audits, and monitoring activities. • Oversees the full lifecycle of due diligence, compliance monitoring, and performance assessment of third parties, ensuring alignment with contractual, regulatory, and accreditation requirements.
Issue Management: Leads enterprise issue management activities by identifying and documenting issues, defining corrective actions, monitoring remediation, and escalating risks where appropriate.
Risk Assessment and Due Diligence: Drives cross-functional initiatives to enhance risk transparency and ensure comprehensive identification, evaluation, and mitigation of third-party risks. Lead risk assessments and due diligence processes for new and existing third parties.
Reporting and Communication: • Oversees the monitoring and validation of regulatory and contractual reporting from third parties, ensuring accuracy and organizational readiness. • Establishes strong partnerships with third parties and internal stakeholders to communicate expectations, regulatory changes, and required actions.
Operational Effectiveness: Drives operational effectiveness by optimizing program resources and strengthening workforce capabilities.
Leadership and Development: Leads development and delivery of executive-level reporting and dashboards with insights for senior leadership and the board. Supports internal and external audits related to third-party compliance oversight by maintaining appropriate documentation, coordinating with third parties, performing quality review of submissions, and preparing presentations to stakeholders.
Mentorship and Development: Oversees, mentors, and develops direct reports, including other management or supervisory personnel that support third-party risk management processes, fostering a culture of accountability and continuous improvement.
Education/Experience: Bachelors Degree in Business Management, Health Administration, or directly related equivalent work experience. Required. 7+ years of Audit, compliance, and/or third-party oversight required. Excellent verbal and written communication, and project management skills required. Practical knowledge of Medicare, Medicaid, Marketplace, and health plan administration preferred. Medicare Sales and Marketing Agency oversight preferred.
Licenses/Certifications: Certified Internal Auditor (CIA) preferred.
Pay Range: $118,400.00 - $219,000.00 per year.
Benefits: Centene offers a comprehensive benefits package including: • Competitive pay • Health insurance • 401K and stock purchase plans • Tuition reimbursement • Paid time off plus holidays • A flexible approach to work with remote, hybrid, field, or office work schedules.
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.