Sr. Manager, Auditing

The Senior Manager, Auditing, Monitoring & Vendor Oversight is responsible for providing independent, second-line oversight and assurance over Sendero Health Plan’s compliance with federal and state regulatory requirements applicable to a Qualified Health Plan This role evaluates whether compliance controls—implemented and maintained by operational areas and supported by the Senior Manager, Compliance—are designed effectively and operating as intended.The Senior Manager, Auditing, Monitoring & Vendor Oversight conducts risk-based compliance monitoring, auditing, and vendor oversight activities, validates corrective actions, and identifies systemic compliance risks. This role works in close coordination with the Senior Manager, Compliance, while maintaining appropriate independence to support objective findings, credible escalation, and regulatory defensibility under the Affordable Care Act (ACA), Centers for Medicare & Medicaid Services (CMS) Marketplace regulations, and Texas Department of Insurance (TDI) requirements.

• →Risk based compliance monitoring and auditing
• →Independent judgment and objectivity
• →Vendor and delegated entity oversight
• →Root cause analysis and validation
• →Clear reporting and escalation
• →Cross functional collaboration

• Bachelor's Degree (higher degree accepted) in healthcare administration, business, accounting, law, or a related field.

• 6 years years of experience in healthcare compliance monitoring, auditing, risk management, or vendor oversight.
• Working knowledge of ACA, CMS Marketplace, Medicaid requirements, and Texas Department of Insurance regulatory frameworks. 
• Experience conducting compliance monitoring or audits in regulated healthcare environments. 
• Strong analytical, investigative, and documentation skills.