Director, Compliance & Risk Processes – Initiatives

Centene Corporation

Director overseeing compliance and risk programs for Centene, enhancing regulatory adherence and governance structures. Engaging cross-functional teams to refine compliance processes and training.

Posted 4/16/2026full-timeRemote • Montana • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

Develops and implements strategies to ensure successful maintenance and implementation of compliance and risk programs that meet regulatory requirements for assigned products across the enterprise
Champions cross-functional collaboration by working closely with Risk & Compliance teams, business units, legal, IT, and operational leaders
Oversees the review and periodic update of compliance process documentation to reflect evolving regulatory requirements and organizational priorities
Coordinates with the GRC Administration team, Compliance Systems & Reporting to translate business needs into actionable technology requirements
Serves as the principal liaison between business/process stakeholders, GRC Administration team, and technology teams
Architects and implements governance structures for the GRC application
Designs and maintains robust standards and criteria for business cases submitted to the governance committee
Develops a framework to evaluate and interpret data outputs and reporting generated from activities recorded in the GRC tool
Champions other strategic initiatives as assigned supporting Risk & Compliance Programs
Complies with all policies and standards

Requirements

What you’ll need

Bachelor's Degree Business Administration or related field; or equivalent experience required
7+ years Compliance program management and contract experience with state Medicaid, Medicare or commercial programs, including internal and state audits required
Working with healthcare regulatory agencies to develop compliance and fraud prevention programs preferred
Overseeing the implementation of federal and state insurance or program requirement preferred
Utilization of various Governance, Risk, and Compliance applications preferred

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules

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Hard Skills & Tools

compliance program managementcontract managementdata evaluationrisk managementgovernance structuresprocess documentationfraud prevention programsaudit managementregulatory compliancebusiness case development

Soft Skills

cross-functional collaborationcommunicationleadershiporganizational skillsstrategic thinkingliaison skillsproblem-solvingadaptabilitystakeholder managementteamwork