Manager, Third Party Risk Management

Centene Corporation•Remote-MO, MO

10d•Remote

About The Position

Provides oversight of the organization's third-party risk management program. Manages and oversees activities to independently and objectively assess third-party and subcontractor compliance with company standards, Federal and State requirements, and, where applicable, additional program standards such as National Committee for Quality Assurance (NCQA) Accreditation. Drives risk mitigation strategies, coordinates cross-functional efforts, and provides strategic insights to leadership. Applicants may work remotely from home anywhere in the Continental United States.

Requirements

Bachelor's degree in Business Management, Health Administration, or a related field, or equivalent work experience.
At least 5 years of audit, compliance, third-party oversight, and/or related experience.

Nice To Haves

Knowledge of Medicare, Medicaid, Marketplace, and health plan administration.
Project management experience planning, coordinating, and executing projects.

Responsibilities

Develop, implement, and maintain third-party risk management frameworks, policies, and procedures.
Evaluate third-party compliance and performance through pre-service, annual, and risk-based audits and monitoring activities.
Identify issues, recommend action plans, monitor remediation, and report on corrective action plan progress.
Lead risk assessments and due diligence for new and existing third parties.
Coordinate with cross-functional teams, including Operations, IT Security, Procurement, and Compliance, to identify, evaluate, and manage third-party risks.
Prepare and present reports and dashboards for senior leadership and the board of directors.
Support internal and external audits related to third-party compliance oversight by maintaining documentation, coordinating with third parties, reviewing submissions for quality, and preparing stakeholder presentations.
Monitor timely receipt of accurate and complete regulatory- and contractually-required third-party reports.
Serve as a key point of contact for third parties, provide guidance on contractual and regulatory obligations, and communicate new or updated requirements in a timely manner.
Manage and mentor a team of individual contributors, fostering accountability and continuous improvement.
Allocate resources to support third-party risk management program activities.
Perform other duties as assigned and comply with all policies and standards.