Senior Director, Third Party Risk Management

Centene Corporation

. Provides enterprise-wide leadership and strategic direction for third party risk management from a compliance perspective .

Posted 11/3/2026full-timeRemote • United StatesSenior💰 $134,600 - $249,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in third party risk management, compliance oversight, and audit leadership within healthcare environments. Proven ability to establish governance frameworks, direct cross-functional teams, and advise executive leadership on regulatory matters.

Highest-signal resume keywords

Third Party Risk ManagementAudit LeadershipHealthcare Regulatory ComplianceCertified Internal Auditor (CIA)Leadership Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Risk Framework DevelopmentDue Diligence StandardsControl ExpectationsQuality AssurancePerformance MeasuresRoot Cause AnalysisCorrective Action ValidationRegulatory ReadinessAudit PlanningCompliance Monitoring

Soft Skills

Strategic DirectionCross-Functional CollaborationExecutive CommunicationIssue ManagementTalent Strategy

Certifications & Qualifications

Certified Internal Auditor (CIA)Certified in Healthcare Compliance (CHC)

Industry Keywords

Healthcare ComplianceMedicareMedicaidMarketplace EnvironmentsEnterprise Risk ManagementGovernance ModelCompliance AssessmentsDelegated OversightOperational RiskRegulatory Examinations

About the role

Key responsibilities & impact

Provides enterprise-wide leadership and strategic direction for third party risk management from a compliance perspective
Establishes the governance model, risk framework, enterprise standards, and multi-year roadmap for third party compliance risk
Leads audit, monitoring, compliance, and delegated oversight programs for third parties and delegated healthcare functions
Defines operating roadmaps, investment priorities, performance measures, scalable processes and technology, and organizational capabilities
Owns the enterprise third party risk management framework, including risk segmentation, due diligence standards, control expectations, quality assurance, and program effectiveness evaluation
Leads risk-based audit plans and oversees audit planning, execution, reporting, and validation
Oversees auditing and monitoring of delegated operational, regulatory, clinical, pharmacy, claims, credentialing, utilization management, customer service, and other healthcare functions
Directs third party lifecycle oversight, including due diligence, risk assessment, compliance monitoring, performance oversight, issue management, corrective action, termination or transition risk, and regulatory readiness
Directs issue identification, root cause analysis, corrective action validation, closure, escalation, remediation, and reporting
Chairs enterprise governance forums and directs cross-functional decisions across Compliance, Legal, Procurement, Operations, Enterprise Risk, and business stakeholders
Leads responses to CMS audits, external quality reviews, regulatory examinations, delegated oversight reviews, external audits, and compliance assessments
Advises executive leaders and business owners on regulatory change, emerging risk, third party concentration or dependency concerns, and significant control gaps
Directs executive and board-level reporting on risk exposure, trends, material issues, program performance, and remediation status
Leads directors, people leaders, auditors, monitoring specialists, compliance analysts, and delegated oversight professionals
Establishes organizational structure, resource planning, succession and talent strategies, leadership expectations, and accountability
Performs other duties as assigned
Complies with all policies and standards

Requirements

What you’ll need

Bachelor's Degree Business Management, Health Administration, or related field; or, equivalent work experience
10+ years progressively responsible experience in audit, compliance, enterprise risk, and/or third party risk management, including responsibility for complex, enterprise-scale programs
Leadership experience leading managers or other people leaders and directing work across multiple business areas or operating units
Experience advising executive leadership and presenting material risk, program performance, or regulatory matters to executive governance committees and/or boards
Knowledge of healthcare regulatory requirements and government-sponsored programs, including Medicare, Medicaid, and Marketplace environments
Certified Internal Auditor (CIA) certification required
Certified in Healthcare Compliance (CHC) preferred

Benefits

Comp & perks

Competitive pay
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules