Director, Third Party Risk Management

🕒 Maio 20

🏰 Missouri – Remoto

🏰 Missouri – Remote

💵 $118.400 - $219.000 / ano

⏰ Tempo Integral

🔴 Especialista

🎲 Riscos

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Centene Corporation

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1984

⚕️ Seguro de Saúde

🤝 Sem Fins Lucrativos

🌍 Impacto Social

Healthcare Insurance • Non-profit • Social Impact

Centene Corporation é uma provedora líder de serviços de saúde patrocinados pelo governo, especializada em oferecer soluções de saúde acessíveis e de alta qualidade. Há mais de 40 anos, a Centene tem se dedicado a transformar a saúde das comunidades, ampliando o acesso a Medicaid, Medicare e ao Health Insurance Marketplace, além de atender comunidades militares por meio do programa TRICARE. Como a maior organização de managed care do Medicaid e participante-chave no Marketplace, a Centene enfatiza a entrega de cuidados de saúde com foco local, combinada a parcerias sólidas com organizações sem fins lucrativos para atender às necessidades únicas de seus membros. A Centene também é comprometida com sustentabilidade corporativa e responsabilidade social, priorizando a gestão ambiental e a governança ética para promover o bem-estar das comunidades que atende.

Descrição

• 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. • 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.

🎯 Requisitos

• Bachelor's Degree in Business Management, Health Administration, or directly related equivalent work experience. • 7+ years of Audit, compliance and/or third-party oversight. • Excellent verbal and written communication and project management skills. • Practical knowledge of Medicare, Medicaid, Marketplace and health plan administration preferred. • Medicare Sales and Marketing Agency oversight preferred. • Certified Internal Auditor (CIA) preferred.

🏖️ Benefícios

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules