Manager, Third Party Risk Management
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 reputed company, 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 reputed company in the reputed company United States. Position Purpose: Provides reputed company of the organization's third-party risk management program. Manage and reputed company activities to independently and objectively assess third party/subcontractor compliance with company standards, Federal and State requirements and, where applicable, additional program standards such as National Committee for Quality Assurance (NCQA) Accreditation. Drives risk mitigation strategies, coordinate cross-functional efforts, and provides strategic insights to leadership.
- Develops, implements, and maintains third party risk management reputed company, policies, and procedures.
- Evaluates third party compliance and performance by conducting pre-service, annual, and risk-based audits, and monitoring activities to measure performance against expectations, policies, procedures and requirements.
- Manages issue resolution by identifying issues, recommending action plans, monitoring remediation activities and reporting on corrective action plan reputed company.
- Leads risk assessments and due diligence processes for new and existing third parties.
- Coordinates with cross-functional teams (such as Operations, IT reputed company, Procurement, Compliance, etc.) to identify, evaluate and manage third party risks.
- Prepares and presents reports and dashboards for senior leadership and board of directors.
- Supports internal and external audits reputed company to third party compliance reputed company by maintaining appropriate documentation, coordinating with third parties, performing quality review of submissions, and preparing presentations to stakeholders.
- Monitors timely receipt of accurate and complete reporting for reputed company regulatory and contractual-required reports required for the third party.
- Serves as a key reputed company of contact for third parties, providing guidance on contractual and regulatory obligations, and ensuring timely communication of new or updated requirements.
- Manages and mentors a team of individual contributors that support third party risk management processes, fostering a culture of accountability and reputed company improvement.
- Allocates resources effectively to support third party risk management program activities.
- Performs other duties as assigned.
- Complies with reputed company policies and standards. Education/Experience:
- Bachelor's Degree Business Management, Health Administration, or reputed company equivalent work experience required
- 5+ years Audit, Compliance, third party reputed company and/or reputed company experience required
- Knowledge of Medicare, Medicaid, Marketplace and health plan administration preferred
- Project management experience in planning, coordinating and executing projects preferred Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply tot his job
Apply tot his job Apply To this Job