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Senior Director, Audit, Monitoring and Oversight (Medicare)

Remote, USA Full-time Posted 2025-04-16

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you?l have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Leads teams and individuals in the performance of internal audit activities, provides independent objective assurance and consulting services, builds strategic relationships between the Internal Audit department and other departments, and helps to promote innovative changes to protect and improve WellCare's control environment.
?Lead the annual and ongoing planning of audit activities, budgets and resources.
?Direct activities for system-wide audits established to investigate and monitor compliance with state contract requirements, standards and procedures implemented by the compliance program, reviewing completely all legal duties imposed by government agencies and others.
?Identify and promote operational and procedural changes in the organization through innovation and dialogue with key stakeholders.
?Maintain a continuous, flexible audit plan that aligns with corporate strategic imperatives, and high-risk areas.
?Provide strategic guidance to help management identify and implement solutions to complex issues facing the organization.
?Direct activities for system-wide audits established to investigate and monitor compliance with state contract requirements, standards and procedures implemented by the compliance program, reviewing completely all legal duties imposed by government agencies and others.
?Direct all contract compliance reporting activities and maintain the compliance dashboard.
?Hire, manage, and develop direct reports that support the organization? mission.
?Provide strategic leadership on industry and functional (e.g., Financial/Operational, IT, Compliance, SOX, ERM) best practices to the entire Internal Audit Department to optimize Internal Audit? cross functional matrix environment, which also results in enhanced succession planning and career development for all staff.
?Build effective relationships with key management stakeholders by sharing information on current industry practices and standards.
?Appropriately influence management to improve performance and assists management in meeting corporate goals.
?Identify recommendations that have a significant impact on corporate goals and objectives and ensures that issues are clearly communicated.
?Ensure timely, value-added audit results that lead to management action and improved controls environment.
?Maintain a trusted, collaborative relationship with organization management to promote an appropriate level of engagement in audit activities.
?Manage relationships with external auditors and consulting groups to mitigate regulatory issues and help ensure compliance with federal and state requirements.
?Provide input into the budget and is responsible for fiscal performance of assignments and staffing.
?Performs other duties as assigned.
?Complies with all policies and standards.

Education/Experience:
?Bachelor's Degree Business Administration, Healthcare Administration, related field or equivalent experience, required. Master's Degree Business Administration, Healthcare Administration or related field, preferred.
?7+ years Regulatory, audit, compliance, operations, or related experience in a healthcare environment, required.

Licenses/Certifications:
?Certified Public Accountant (CPA) preferred
?Certified Internal Auditor preferred
Pay Range: $145,100.00 - $268,800.00 per year

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. Total compensation may also include additional forms of incentives.

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

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