Manager, External Audit Compliance

About the role

Manage and oversee the coordination of regulatory audits, examinations, and oversight activities for a regional portfolio of Medicaid health plans across the West Region. Provide leadership and direction to team members responsible for day-to-day audit execution while ensuring consistent application of departmental processes and standards.

Responsibilities

• Lead a team of audit coordinators supporting regulatory audits and examinations.
• Oversee audit readiness, coordination, documentation management, and stakeholder engagement activities across assigned markets.
• Partner with health plan leadership, Operations, Compliance, and business subject matter experts throughout the audit lifecycle.
• Monitor audit timelines, deliverables, risks, and escalation items.
• Present audit status updates, risks, trends, and outcomes to leadership audiences.
• Drive adherence to established audit management processes and continuous improvement initiatives.
• Support development of audit strategies, lessons learned, and knowledge-sharing practices across markets.
• Mentor and develop team members while ensuring workload balancing and effective resource allocation.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• Bachelor's Degree in Business Administration, Healthcare Administration, Compliance, Law or related field; or equivalent experience required.
• Master's Degree preferred.
• Juris Doctor (JD) preferred.
• 4+ years Compliance experience, preferably in a healthcare environment; or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position required.
• 2+ years Medicaid, Medicare or Commercial Managed Care experience required.
• Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment preferred.

Pay

$87,700.00 - $157,800.00 per year

Schedule

Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. However, the selected candidate must be available to work Pacific Time business hours and will be required to travel as needed for business purposes.

Benefits

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.