Manager, External Audit Compliance

Location: Remote-MO

Time Type: Full time

Job Description

Position Purpose: 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. However, the selected candidate must be available to work Pacific Time business hours and will be required to travel as needed for business purposes.

• 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:

• Bachelors Degree Business Administration, Healthcare Administration, Compliance, Law or related field; or equivalent experience required
• Masters 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 Range: $87,700.00 - $157,800.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

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 individuals 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