Director, Third Party Risk Management

🕒 May 20

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $118.4k - $219k / year

⏰ Full Time

🔴 Lead

🎲 Risk

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

Healthcare Insurance • Non-profit • Social Impact

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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