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.
Position Purpose: Develops, implements, and maintains the organization’s contract governance and vendor management oversight framework, policies, and procedures. Conducts risk-based audits, monitoring, and assessments to evaluate compliance with contractual obligations, regulatory requirements, and industry best practices across product lines. Partners with cross-functional stakeholders to identify, evaluate, and mitigate third-party and operational risks, supports regulatory and corporate audit readiness activities, and serves as a key point of contact for vendor and relationship managers by providing guidance on oversight requirements and the implementation of new obligations.
- Develops, implements, and maintains the contract governance and vendor management oversight framework, including policies, standards, and procedures.
- Conducts periodic audits, monitoring activities, and other oversight routines to help mitigate risk of noncompliance across product lines.
- Evaluates the effectiveness of contract lifecycle management against regulatory requirements and industry best practices using a risk-based approach.
- Supports regulatory and corporate audit preparation and assessments by coordinating documentation, evidence collection, and responses.
- Serves as a key point of contact for vendor and relationship managers by providing guidance on contractual and regulatory obligations and supporting the implementation of new requirements, as applicable.
- Provides oversight and guidance on vendor management requirements and best practices, including documentation standards, issue management, and remediation expectations.
- Provides people leadership and oversight for a team of professionals, with accountability for performance management, coaching, and employee development.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience:
- Bachelor's degree in health care administration, compliance, business administration, public administration, or related field or equivalent experience.
- 5+ years Audit, compliance, third-party contracting, vendor oversight,
and/or a related area required. - Healthcare management experience, preferably in vendor managed care or the health insurance field with knowledge of Medicare, Medicaid, Marketplace and health plan administration.
- Project management experience in planning, coordinating and
executing projects.
Centene offers a comprehensive benefits package including: competitive pay, 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-related 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. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, 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
