Centene
Health Plan Administration
Director,ThirdPartyRiskManagement
Neural analysis suggests this role is
optimal for Director candidates.
“Director, Third Party Risk Management at Centene. Skills: Third Party Risk Management, Risk Assessment, Compliance Monitoring, Due Diligence, Regulatory Compliance. 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 th”
What You'll Achieve.
Ensures adherence to regulatory, contractual, and accreditation requirements.; Strengthen risk transparency; Optimize program operations; Advance a culture of accountability and continuous improvement.; Ensuring alignment with enterprise priorities and regulatory and accreditation obligations.; Adapts to emerging risks and changes within third party operations.; Ensuring accuracy and organizational readiness.; Drives operational effectiveness by optimizing program resources and strengthening workforce capabilities.
Industry & Context.
Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States
What They're Looking For.
Must Have
Bachelor's Degree in Business Management, Health Administration, or directly related equivalent work experience, 7+ years Audit, compliance and/or third-party oversight required, Excellent verbal and written communication, and project management skills required
Nice to Have
Practical knowledge of Medicare, Medicaid, Marketplace and health plan administration preferred, Medicare Sales and Marketing Agency oversight preferred, Certified Internal Auditor (CIA) preferred
What You'll Do.
Supports the Senior Director in driving the strategy
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
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
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
and organizational roadmap for the third party risk management program
ensuring alignment with enterprise priorities and regulatory and accreditation obligations.
Leads the development
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
and monitoring activities.
Oversees the full lifecycle of due diligence
compliance monitoring
and performance assessment of third parties
ensuring alignment with contractual
and accreditation requirements.
Leads enterprise issue management activities by identifying and documenting issues
defining corrective actions
monitoring remediation
and escalating risks where appropriate.
Drives cross functional initiatives to enhance risk transparency and ensure comprehensive identification
and mitigation of third party risks.
Lead risk assessments and due diligence processes for new and existing third parties.
Oversees the monitoring and validation of regulatory and contractual reporting from third parties
ensuring accuracy and organizational readiness.
Establishes partnerships with third parties and internal stakeholders to communicate expectations
and required actions.
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.
Supports internal and external audits related to third party compliance oversight by maintaining appropriate documentation
coordinating with third parties
performing quality review of submissions
and preparing presentations to stakeholders.
and develop direct reports
including other management or supervisory personnel that support third party risk management processes
fostering a culture of accountability and continuous improvement.
Performs other duties as assigned.
Complies with all policies and standards.
How You'll Work.
Team & Collaboration
Supports cross‑functional initiatives that strengthen risk transparency; Establishes partnerships with third parties and internal stakeholders to communicate expectations, regulatory changes, and required actions.; Supports internal and external audits related to third party compliance oversight by maintaining appropriate documentation, coordinating with third parties, performing quality review of submissions, and preparing presentations to stakeholders.
Communication Scope
Excellent verbal and written communication required
Process & Methodology
Excellent project management skills required
Full Job Description
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. *Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States* **Position Purpose:** 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. * Leads enterprise issue management activities by
Applying for this Director, Third Party Risk Management role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Workday
- Workday has a multi-step form — save your progress after every section.
- "Apply With LinkedIn" can fail or lose data; manual entry is more reliable.
- Watch for the "Submit for Review" final step — hitting "Save" alone does not submit.
- Job requisition numbers are useful when following up with HR by email.
ANONYMOUS · UNFILTERED
What do employees actually say about Centene?
Real rants from real employees. Read before you apply.