Manager, External Audit Compliance

🔥 13 hours ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $87.7k - $157.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

👻 Ghost score 0%

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

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

• Manage and oversee coordination of regulatory audits, examinations, and oversight activities for a regional portfolio of Medicaid health plans across the West Region • Lead a team of audit coordinators supporting regulatory audits and examinations • Oversee audit readiness, coordination, documentation management, and stakeholder engagement across assigned markets • Partner with health plan leadership, Operations, Compliance, and business subject matter experts throughout the audit lifecycle • Monitor audit timelines, deliverables, risks, and escalation items • Present audit status updates, risks, trends, and outcomes to leadership audiences • Drive adherence to audit management processes and continuous improvement initiatives • Support development of audit strategies, lessons learned, and knowledge-sharing practices across markets • Mentor and develop team members while ensuring workload balancing and effective resource allocation • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Bachelor's Degree in Business Administration, Healthcare Administration, Compliance, Law or related field; or equivalent experience required • 4+ years Compliance experience, preferably in a healthcare environment; or equivalent experience acquired through applicable knowledge, duties, scope and skill required • 2+ years Medicaid, Medicare or Commercial Managed Care experience required • Previous experience interacting effectively with federal and state regulatory agencies in a managed care or insurance environment preferred • Master's Degree preferred • Juris Doctor (JD) preferred • Availability to work Pacific Time business hours • Willingness to travel as needed for business purposes

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation