Centene Executive and Leadership Team

August, 2026

Leadership Overview

Centene has 10 executives leading key functions including strategy, operations, administration, technology, and financial management.

Committed to expanding access to high-quality healthcare for underserved populations, Centene transforms community health outcomes through integrated, culturally sensitive managed care solutions across the United States.

Leadership Roles at Centene

  • Chief Executive Officer - Sarah London
  • Chief Financial Officer, At Coordinated Care - Adam Ceteznik
  • Chief Financial Officer, Plan - Kia Biller
  • Chief Financial Officer, North Carolina Carolina Complete Health - Christian Miller
  • Chief Operating Officer - Susan Smith
  • Chief Operating Officer, Sunshine Health - William Kruegel
  • Chief Operating Officer, Sunflower Health Plan - Sherilyn Fahlstrom
  • Vice President, Chief of Staff - Kellie Vahey
  • Chief Information Officer, Marketplace & Commercial - Scott Gaydos
  • Chief of Staff To the Chief Health Officer - Lauren da Fonte
  • Sarah London - Chief Executive Officer

    Sarah London, the Chief Executive Officer at Centene, directs the overarching strategic vision for this national healthcare enterprise. London architects long-term growth initiatives focused on expanding managed care access for low-income and underserved populations across all 50 states. By aligning corporate resources with the mission of improving physical, emotional, and social wellbeing, the Chief Executive Officer ensures operational excellence across diverse insurance portfolios including Medicaid and Medicare. Sarah London maintains rigorous oversight of the executive leadership team to drive sustainable performance and market stability. Through continuous engagement with the Board and external stakeholders, the Chief Executive Officer fosters innovation in integrated care delivery models. This leadership role demands constant adaptation to evolving regulatory landscapes and healthcare policy shifts. Ultimately, London secures the company's position as a premier provider of affordable health coverage, ensuring that every strategic decision supports the core objective of transforming community health outcomes on a massive scale.
    Sarah London

    Adam Ceteznik - Chief Financial Officer, At Coordinated Care

    Adam Ceteznik, the Chief Financial Officer, At Coordinated Care at Centene, manages the financial health and fiscal planning for the Coordinated Care division. Ceteznik oversees budgeting, financial reporting, and resource management to ensure the long-term sustainability of care programs. By analyzing market trends and operational costs, the Chief Financial Officer, At Coordinated Care provides the insights necessary to maintain affordable premium structures for members. Adam Ceteznik collaborates with operational leaders to align financial goals with the mission of providing high-quality, integrated healthcare services. This role involves rigorous oversight of financial performance to support the expansion of Medicaid and commercial offerings within the division. Through the implementation of disciplined fiscal policies, the Chief Financial Officer, At Coordinated Care ensures that the organization remains well-positioned to meet the needs of its diverse member base. Ceteznik drives financial accountability, ensuring that every dollar invested contributes directly to the improvement of community health outcomes and the overall stability of the enterprise.

    Kia Biller - Chief Financial Officer, Plan

    Kia Biller, the Chief Financial Officer, Plan at Centene, directs the financial strategy and fiscal oversight for specific health plan operations. Biller manages complex financial modeling and risk assessment to ensure the viability of managed care products. By monitoring revenue cycles and expenditure patterns, the Chief Financial Officer, Plan optimizes the financial performance of regional health plans. Kia Biller works closely with executive leadership to allocate capital toward initiatives that expand access to care for underserved populations. This role involves maintaining strict adherence to financial regulations while driving efficiency in administrative and clinical spending. Through the development of robust financial controls, the Chief Financial Officer, Plan supports the company's ability to provide consistent, high-quality coverage across diverse markets. Biller ensures that fiscal health remains a cornerstone of the organization's mission, enabling the continued delivery of integrated, culturally sensitive healthcare services to millions of members who rely on the company for their wellbeing.

    Christian Miller - Chief Financial Officer, North Carolina Carolina Complete Health

    Christian Miller, the Chief Financial Officer, North Carolina Carolina Complete Health at Centene, manages the financial operations for the Carolina Complete Health plan. Miller directs budgeting, financial planning, and performance analysis to ensure the plan meets the healthcare needs of the North Carolina population. By overseeing fiscal health, the Chief Financial Officer, North Carolina Carolina Complete Health supports the delivery of affordable, high-quality Medicaid services. Christian Miller collaborates with regional leadership to optimize resource allocation and maintain the financial stability required for long-term community impact. This role involves navigating the specific economic and regulatory landscape of the region to ensure that the plan remains a sustainable provider of integrated care. Through the implementation of rigorous financial oversight, the Chief Financial Officer, North Carolina Carolina Complete Health enables the organization to expand its reach and improve health outcomes. Miller drives fiscal responsibility, ensuring that the plan effectively serves its members while maintaining the financial integrity of the broader enterprise.
    Christian Miller

    Susan Smith - Chief Operating Officer

    Susan Smith, the Chief Operating Officer at Centene, manages the complex internal infrastructure required to deliver high-quality health services nationwide. Smith optimizes operational workflows to ensure seamless member experiences across Medicaid and Health Insurance Marketplace plans. By streamlining administrative processes, the Chief Operating Officer enhances the efficiency of care delivery systems, directly impacting the accessibility of services for millions of members. Susan Smith coordinates with regional leadership to maintain consistent service standards while navigating the unique requirements of diverse state markets. This role involves rigorous monitoring of performance metrics to identify opportunities for process improvement and cost-effective service expansion. Through the implementation of scalable operational frameworks, the Chief Operating Officer supports the broader organizational goal of providing integrated, culturally sensitive healthcare. Smith drives the execution of enterprise-wide initiatives that strengthen the company's ability to serve vulnerable populations effectively, ensuring that operational capacity aligns perfectly with the evolving needs of the healthcare market.
    Susan Smith

    William Kruegel - Chief Operating Officer, Sunshine Health

    William Kruegel, the Chief Operating Officer, Sunshine Health at Centene, directs the operational strategy for the Sunshine Health plan, focusing on regional service delivery and member engagement. Kruegel oversees the implementation of integrated care programs designed to improve health outcomes for populations within the Florida market. By managing local provider networks and administrative functions, the Chief Operating Officer, Sunshine Health ensures that members receive culturally sensitive and timely medical services. William Kruegel coordinates with state-level stakeholders to align plan operations with regulatory requirements and community health needs. This role involves optimizing resource allocation to maximize the impact of Medicaid and Medicare offerings in the region. Through the application of data-driven management techniques, the Chief Operating Officer, Sunshine Health enhances the efficiency of care coordination and member support services. Kruegel drives the execution of regional growth strategies, ensuring that the plan remains a reliable partner for individuals and families seeking affordable, high-quality health coverage.

    Sherilyn Fahlstrom - Chief Operating Officer, Sunflower Health Plan

    Sherilyn Fahlstrom, the Chief Operating Officer, Sunflower Health Plan at Centene, directs the day-to-day operations of the Sunflower Health Plan. Fahlstrom oversees the delivery of managed care services, ensuring that members receive timely and effective support. By managing provider networks and administrative workflows, the Chief Operating Officer, Sunflower Health Plan enhances the accessibility of healthcare for the populations served by the plan. Sherilyn Fahlstrom coordinates with regional teams to implement integrated care solutions that address the physical, emotional, and social needs of members. This role involves monitoring operational performance to ensure compliance with state requirements and internal quality standards. Through the application of efficient management practices, the Chief Operating Officer, Sunflower Health Plan supports the company's mission of transforming community health. Fahlstrom drives the execution of regional initiatives, ensuring that the plan remains a reliable and high-quality provider of health coverage for individuals and families across the region, contributing to the overall success of the organization.

    Kellie Vahey - Vice President, Chief of Staff

    Kellie Vahey, the Vice President, Chief of Staff at Centene, facilitates high-level strategic alignment across the executive leadership team. Vahey manages critical communication channels and ensures that organizational priorities remain focused on the mission of providing affordable health coverage. By coordinating cross-functional projects, the Vice President, Chief of Staff enables the seamless execution of corporate initiatives that support Medicaid and commercial product growth. Kellie Vahey acts as a primary liaison for the executive office, streamlining decision-making processes and ensuring that leadership objectives translate into actionable business outcomes. This role involves synthesizing complex information from various departments to provide clear guidance for the enterprise. Through meticulous project management and stakeholder engagement, the Vice President, Chief of Staff maintains the operational rhythm necessary for the company to thrive in a competitive insurance landscape. Vahey ensures that all internal efforts remain synchronized with the overarching goal of improving health outcomes for the millions of individuals served by the organization.

    Scott Gaydos - Chief Information Officer, Marketplace & Commercial

    Scott Gaydos, the Chief Information Officer, Marketplace & Commercial at Centene, architects the digital infrastructure supporting the company's Health Insurance Marketplace and commercial product lines. Gaydos drives the development of secure, scalable technology platforms that enhance member access to integrated care solutions. By modernizing data systems, the Chief Information Officer, Marketplace & Commercial improves the efficiency of enrollment and claims processing for millions of users. Scott Gaydos collaborates with product teams to integrate advanced analytics into the service delivery model, ensuring that healthcare offerings remain competitive and responsive to market demands. This leadership role involves overseeing the technological transformation required to support nationwide operations while maintaining strict compliance with data privacy standards. Through the implementation of robust digital tools, the Chief Information Officer, Marketplace & Commercial empowers the organization to deliver personalized health experiences. Gaydos ensures that the company's technological capabilities remain at the forefront of the industry, directly supporting the mission of providing high-quality, accessible coverage.

    Lauren da Fonte - Chief of Staff To the Chief Health Officer

    Lauren da Fonte, the Chief of Staff To the Chief Health Officer at Centene, coordinates the strategic initiatives and clinical priorities of the health office. Da Fonte facilitates communication between clinical leadership and operational teams to ensure that health outcomes remain the primary focus of all service delivery. By managing the workflow of the Chief Health Officer, the Chief of Staff To the Chief Health Officer enables the effective implementation of integrated care models. Lauren da Fonte oversees the alignment of clinical programs with the company's mission to provide culturally sensitive healthcare to low-income populations. This role involves synthesizing medical data and policy updates to support informed decision-making at the executive level. Through the coordination of cross-departmental efforts, the Chief of Staff To the Chief Health Officer ensures that clinical strategies translate into tangible improvements in member health. Da Fonte maintains the operational focus necessary to drive the company's commitment to transforming community health, one person at a time.

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    Frequently Asked Questions Regarding Centene Top Executives and Leadership Team

    Who leads Centene?
    Centene is led by Sarah London (Chief Executive Officer), along with executives such as Adam Ceteznik (Chief Financial Officer, At Coordinated Care) and Kia Biller (Chief Financial Officer, Plan).
    Who is part of Centene’s executive team?
    The executive team of Centene includes leaders such as Sarah London (Chief Executive Officer), Adam Ceteznik (Chief Financial Officer, At Coordinated Care), Kia Biller (Chief Financial Officer, Plan) and other senior executives.
    How many executives does Centene have?
    Centene has 10 executives leading key business areas.
    What roles are included in Centene’s leadership team?
    The leadership team of Centene includes roles such as Chief Executive Officer, Chief Financial Officer, At Coordinated Care, Chief Financial Officer, Plan, Chief Financial Officer, North Carolina Carolina Complete Health, Chief Operating Officer.