Director, Third Party Risk Managment

Centene Corporation•Remote-MO, MO

2d•$118,400 - $219,000•Remote

About The Position

Supports the Senior Director in driving the strategy, execution, and ongoing enhancement of the organization's 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. 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. 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. 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. Evaluate 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. Leads enterprise issue management activities by identifying and documenting issues, defining corrective actions, monitoring remediation, and escalating risks where appropriate. 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. 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. Drives operational effectiveness by optimizing program resources and strengthening workforce capabilities. 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 Oversees, mentor, and develop direct reports, including other management or supervisory personnel that support third party risk management processes, fostering a culture of accountability and continuous improvement Performs other duties as assigned. Complies with all policies and standards.

Requirements

Bachelor's Degree Business Management, Health Administration, or directly related equivalent work experience.
7+ years Audit, compliance and/or third-party oversight required
Excellent verbal and written communication, and project management skills required

Nice To Haves

Practical knowledge of Medicare, Medicaid, Marketplace and health plan administration preferred
Medicare Sales and Marketing Agency oversight preferred
Certified Internal Auditor (CIA) preferred

Responsibilities

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.
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.
Evaluate 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.
Leads enterprise issue management activities by identifying and documenting issues, defining corrective actions, monitoring remediation, and escalating risks where appropriate.
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.
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.
Drives operational effectiveness by optimizing program resources and strengthening workforce capabilities.
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
Oversees, mentor, and develop direct reports, including other management or supervisory personnel that support third party risk management processes, fostering a culture of accountability and continuous improvement
Performs other duties as assigned.
Complies with all policies and standards.