Manager, External Audit Compliance

Description

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.

Key Details

• Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.
• The selected candidate must be available to work Pacific Time business hours.
• Required to travel as needed for business purposes.

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.

Education & Experience

• 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

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.