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Director, Risk & Compliance Processes – Initiatives
Centene CorporationDirector of Risk & Compliance Processes at Centene responsible for implementing compliance and risk initiatives across the enterprise. Requires leadership in cross-functional collaboration and project management.
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
- Leads the documentation of processes and controls
- Oversees the review and periodic update of compliance process documentation
- Coordinates with the GRC Administration team, Compliance Systems & Reporting
- Serves as the principal liaison between business/process stakeholders 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
- Leads efforts to ensure the accuracy and currency of field values within the GRC application
- Develops a framework to evaluate and interpret data outputs and reporting
Requirements
What you’ll need- Bachelor's Degree in Business Administration or related field; or equivalent experience required
- 7+ years related program management experience required
- Governance, risk, and compliance applications experience required
- Compliance program management experience preferred
- Managed care contract experience with state Medicaid, Medicare, or commercial programs, including internal and state audits preferred
- Working with healthcare regulatory agencies in the development of compliance and fraud programs preferred
- Oversight of implementation of federal or state insurance or program requirement 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
compliance program managementrisk managementgovernancedata evaluationprocess documentationprogram managementGRC applicationsaudit managementreportingbusiness case development
Soft Skills
cross-functional collaborationleadershipcommunicationorganizational skillsstakeholder management