Senior Director, Third-Party Risk & Compliance (Remote)

Centene Corp.; United States; Remote; USD 135,000 - 249,000; Full time

Benefits offered by this job

Health insurance

401K plan

Stock purchase plans

Tuition reimbursement

Job summary

Centene Corporation seeks a senior leader to drive enterprise-wide third party risk management from a compliance perspective. This role chairs governance forums, shapes risk framework, and oversees audits, monitoring, and regulatory readiness across Medicare, Medicaid, and Marketplace environments.

The position requires a CIA certification, 10+ years in audit/compliance/risk, and experience advising executives on regulatory matters.

Qualifications

• Bachelor’s Degree in Business Management, Health Administration, or related field; or equivalent work experience.
• Master’s Degree preferred.
• 10+ years progressively responsible experience in audit, compliance, enterprise risk, and/or third party risk management, including enterprise-scale programs.
• Leadership experience managing managers and cross-functional teams.
• Experience advising executive leadership and presenting material risk or regulatory matters to governance committees/boards.
• Knowledge of healthcare regulatory requirements and government-sponsored programs (Medicare/Medicaid/Marketplace).

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.
• Owns design and effectiveness of the enterprise third party risk management framework.
• Leads the enterprise delegated entity audit and monitoring program and directs risk-based audit plans for various 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 oversight of the third party lifecycle, due diligence, risk assessment, compliance monitoring, and regulatory readiness.
• Directs audit issue identification, root cause analysis, remediation, and escalation for material third party risks.
• Chairs governance forums and directs cross-functional decisions to strengthen third party risk transparency and accountability.
• Prepares executive and board-level reporting on risk exposure and remediation status.

Skills

Leadership

Governance

Risk management

Compliance

Auditing

Executive communication

Education

Bachelor's degree

Master's degree preferred

10+ years experience in audit/compliance/risk

Job description

Centene Corporation seeks a senior leader to drive enterprise-wide third party risk management from a compliance perspective. This role chairs governance forums, shapes risk framework, and oversees audits, monitoring, and regulatory readiness across Medicare, Medicaid, and Marketplace environments.

The position requires a CIA certification, 10+ years in audit/compliance/risk, and experience advising executives on regulatory matters.