Remote Senior Director, Third-Party Risk & Compliance

Centene Corp.; Missouri; Hybrid; USD 135,000 - 249,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work schedules (remote,hybrid

Job summary

Centene Corp. seeks an executive to lead enterprise-wide third party risk management from a compliance perspective, shaping governance, risk framework, and roadmaps across Medicare, Medicaid, and Marketplace. You will direct audit, monitoring, and delegated oversight teams and report to executives and the board.

The role requires a CIA certification and 10+ years in audit/compliance with strong cross-functional collaboration. Remote work is available within the continental United States.

Qualifications

• Bachelor's Degree in Business Management, Health Administration, or related field; or, equivalent work experience. Required
• Master's Degree preferred
• 10+ years progressively responsible experience in audit, compliance, enterprise risk, and/or third party risk management, including responsibility for complex, enterprise-scale programs.
• Leadership experience leading managers or other people leaders and directing work across multiple business areas or operating units.
• Experience advising executive leadership and presenting material risk, program performance, or regulatory matters to executive governance committees and/or boards.
• Knowledge of healthcare regulatory requirements and government-sponsored programs, including Medicare, Medicaid, and Marketplace environments.

Responsibilities

• Establishes enterprise strategy, governance model, risk framework, and decision rights for third party risk management from a compliance perspective.
• Defines and sponsors the multi-year operating roadmap, investment priorities, performance measures, scalable processes and technology, and organizational capabilities.
• Owns the design and effectiveness of the enterprise third party risk management framework, including risk segmentation, due diligence standards, control expectations, quality assurance, and program effectiveness evaluation.
• Leads the enterprise delegated entity audit and monitoring program and directs risk-based audit plans for delegated entities, vendors, and other third parties.
• Oversees audit planning, execution, reporting, and validation to meet regulatory expectations and industry standards.
• Oversees auditing and monitoring of delegated healthcare functions, including Medicare and Medicaid delegation oversight.
• Directs enterprise oversight of the third party lifecycle, establishing consistent requirements for due diligence, risk assessment, compliance monitoring, and remediation.
• Directs audit issue identification, root cause analysis, corrective action validation, and closure, plus escalation and reporting at senior levels.
• Chairs enterprise governance forums and directs cross-functional decisions to strengthen third party risk transparency and mitigation.

Skills

Leadership

Stakeholder management

Audit & compliance

Regulatory knowledge

Education

Bachelor's degree in Business/Health Admin

Master's degree preferred

Job description

Centene Corp. seeks an executive to lead enterprise-wide third party risk management from a compliance perspective, shaping governance, risk framework, and roadmaps across Medicare, Medicaid, and Marketplace. You will direct audit, monitoring, and delegated oversight teams and report to executives and the board.

The role requires a CIA certification and 10+ years in audit/compliance with strong cross-functional collaboration. Remote work is available within the continental United States.