Centene Corporation

Centene Corporation

15 open positions available

2 locations
1 employment type
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Centene Corporation

Program Manager IV – AWS Connect, Telephony

Centene Corporation•Anywhere•Full-time
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Compensation$90K - 130K a year

Lead enterprise-wide contact center and telephony transformation programs managing scope, schedules, budgets, and risks. | Bachelor's degree with 8+ years program/project management experience, PMP preferred, and experience leading large cross-functional initiatives. | Position Purpose: The Program Manager IV is responsible for all aspects of the planning and delivery of strategic programs and complex, large-scale enterprise-wide projects to execute defined requirements and meet company strategic objectives. This role provides leadership, direction, and hands-on support to matrixed teams to ensure the successful completion of complex integration initiatives. The Program Manager IV is also responsible for creating and presenting executive level communications to provide program updates and facilitate cross functional executive level discussion. Key Details: This highly visible, remote role offers the opportunity to lead a strategic enterprise-wide transformation as Centene migrates its contact center and telephony platforms from Avaya to AWS Connect. You'll partner with senior leaders across business and technology teams, manage complex, high-impact programs, and help shape the future of member and provider service operations. Ideal for a program leader who enjoys solving challenging problems, driving large-scale technology initiatives, and thriving in a dynamic environment where collaboration and adaptability are key. Lead large-scale, cross-functional projects for implementation, migration, and process improvement, including working with organizational leaders to support evolving business and technology strategies. Oversee all aspects of program planning, management, and execution (scope, schedule, budget, and resources). Create comprehensive timelines and ensure project teams maintain appropriate deliverables while adhering to project management standards. Drive successful delivery of enterprise telephony and contact center transformation initiatives, including AWS Connect migration programs. Drive large scale projects by coordinating the work of one or more project managers/business analysts who are managing the individual workgroups (Operations, Finance, Benefit Operations, etc.) involved in the project. Create meaningful dashboards for executive level updates and project status. Work with teams to create reports for ongoing analytics post project implementation. Create and deliver best practices and training information to indirect reports (when applicable), peers, and other employees. Partner with training teams to create and review training materials. Prepare and deliver documents for Program Steering Committees to the Executive team. Work with functional business teams’ leaders to assess program risks and issue escalate as needed to the leadership level. Proactively manage areas such as risk, budget/forecast, dependencies, etc. Prepare strategic analysis of potential business and/or operational opportunities as needed. Serve as the first escalation point for project issues and risks. Work directly with the project teams to resolve issues and create risk mitigation plans. Escalate well-formulated issues and risks to leadership. Effectively communicate business and technology issues and solutions. Education/Experience: Bachelor’s degree in related field or equivalent experience required. Master’s degree preferred. 8+ years of Program or Project Management experience required. Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including hiring, training, assigning work, and managing the performance of staff required. Proficiency in MS Office applications and project management tools required. Healthcare experience and/or managed care experience preferred. License/Certification: Project Management Professional (PMP) or Program Management Professional (PgMP) preferred. Preferred: Proven track record leading complex IT projects and programs in a high visibility, enterprise environment. AWS Connect (Amazon Connect) implementation, migration, or support experience strongly preferred. Experience with telephony platforms and contact center technologies expected. 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 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. 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

Program Management
Project Management
Product Development
Direct Apply
Posted 1 day ago
CC

Senior Manager, Operations

Centene Corporation•Anywhere•Full-time
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Compensation$70K - 120K a year

Oversee operations and business strategy by collaborating cross-functionally to meet objectives and improve quality and efficiency. | Bachelor's degree and 6+ years operations experience, preferably in managed care, insurance, Medicare, or Medicaid. | Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Oversee operations, and business strategy utilizing cross-functional departments to meet strategic objectives Applicants for this job have the flexibility to work remote from home and must reside in Florida. Perform data analysis from a variety of data sources to evolve the metrics used to measure effectiveness and return on investment of all current and new product activity Collaborate with staff to identify internal and external customers and their expectations, initiate process changes to increase quality, decrease costs and improve staff, provider and member satisfaction Oversee all work flows of the departments while maintaining production and quality standards Ensure compliance with all related laws, regulations and executive orders Review and analyze reports, records and directives, and confer with staff to obtain data required for planning work function activities Assist in the establishment of the departmental strategies and objectives Explore new approaches to work processes by utilizing quality improvement techniques to eliminate waste and re-work Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in Management, Business Administration, related field or equivalent experience. 6+ years of operations experience. Experience with managed care, insurance, Medicare or Medicaid preferred. Pay Range: $107,700.00 - $199,300.00 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 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. 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

Operations management
Business strategy
Data analysis
Process improvement
Quality improvement
Direct Apply
Posted 9 days ago
Centene Corporation

Senior Data Engineer

Centene Corporation•Anywhere•Full-time
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Compensation$85K - 130K a year

Develop and operationalize scalable data pipelines using Snowflake and AWS to support reporting and advanced analytics. | Bachelor's degree and 4-6 years of data engineering experience with proficiency in SQL, Python, cloud ETL, and CI/CD. | Position Purpose: Develops and operationalizes data pipelines to make data available for consumption (reports and advanced analytics), including data ingestion, data transformation, data validation / quality, data pipeline optimization, and orchestration. Engages with the DevSecOps Engineer during continuous integration and continuous deployment. Design, develop, maintain, and optimize Snowflake and AWS data pipelines, reporting solutions, and data products. Build scalable ingestion, transformation, validation, and publishing processes. Translate business requirements into technical designs, user stories, process flows, and scalable solutions. Develop and maintain technical documentation, solution designs, operational runbooks, and supporting artifacts. Integrate data across Member, Provider, Claims/Encounter, Quality, and Financial domains. Implement data quality, monitoring, validation, reconciliation, automated testing, and exception-management frameworks. Support cloud modernization and migration of legacy platforms to Snowflake and AWS. Troubleshoot production issues, perform root-cause analysis, and implement sustainable solutions. Establish engineering best practices across source control, CI/CD, automation, testing, documentation, and cloud architecture. Collaborate effectively within Agile delivery teams through planning, estimation, testing, deployment, and continuous improvement. Partner with business and technology stakeholders to influence outcomes, improve operational efficiency, and deliver high-quality data solutions. Education/Experience: A Bachelor's degree in a quantitative/business field (e.g., statistics, mathematics, engineering, computer science). Requires 4 – 6 years of related experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: 4-6+ years of data engineering, data warehousing, or integration experience. Advanced SQL, Snowflake, data modeling, query optimization, stored procedures, and Python experience. Cloud ETL/ELT, large-scale batch processing, production support, and stakeholder solution design. AWS Glue, S3, Lambda, CloudWatch, IAM, Git/GitLab, and Control-M or equivalent scheduling. Knowledge of data quality, validation, reconciliation, automated testing, performance optimization, and monitoring. Experience developing analytical and reporting datasets across member, provider, claims, quality, and financial domains. Proficiency with Git/GitLab, CI/CD, automation, and modern engineering practices. Strong troubleshooting, root-cause analysis, and production support skills. Nice to Have Visual Studio, SSIS/SSMS, VBA/Excel automation, BI tools, Streamlit, or AI-assisted engineering. Healthcare, claims/provider, value-based care, financial, or regulated reporting experience. Cloud migration, CI/CD, data governance, data quality, and master data management. Soft Skills: Seeks to acquire knowledge in area of specialty Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Ability to work independently Poven analytical skills Established project management skills Corroborate a high level of accuracy, even under pressure Demonstrates excellent judgment and decision making skills Pay Range: $87,000.00 - $161,300.00 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 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. 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

Data engineering
Snowflake
AWS
SQL
Python
Direct Apply
Posted 10 days ago
Centene Corporation

Market Research Strategist

Centene Corporation•Anywhere•Full-time
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Compensation$70K - 120K a year

Lead pilot initiatives and conduct meta-research to optimize research investments while delivering actionable insights and strategic recommendations to senior leadership. | Bachelor's degree with at least 8 years of market research or analytics experience and proficiency in statistical tools like SPSS, R, Python, and Qualtrics. | Position Purpose: Stays current with emerging trends, methodologies, and technologies in market research to ensure Centene leverages best-in-class approaches. Proactively recommends enhancements, leads pilot initiatives, and conducts meta-research to optimize research investments and outcomes. Serves as a subject matter expert (SME) within the research team, advising on methodologies and approaches that align with business objectives. Provides strategic guidance to Marketing, business partners, and external research agencies by developing a deep understanding of the business context and shaping research initiatives that uncover actionable market and consumer insights. Synthesizes data from multiple sources—both qualitative and quantitative—to deliver clear, concise, and business-relevant recommendations. Leads and executes research independently and in collaboration with agencies, using a broad range of tools and techniques. Effectively communicates insights and opportunities to senior leadership to inform and influence business strategy. Key Details: This position is remote with up to 10% travel required. Candidates with payer and Medicaid industry experience are strongly preferred. Evaluates trends and advancements in market research methods. Synthesizes past research insights, secondary research and other data sources to establish baseline understanding to create a sharper focus for future research efforts Acts as a thought partner to recommend research, interpret results and identify action steps by leveraging deep business and category knowledge to understand their business needs and goals so research outcomes address those needs and are aligned with objectives Develops deep business and category knowledge to understand internal partner needs and goals so research outcomes address those needs and are aligned with objectives Designs and conducts qualitative and quantitative research that sheds light on new untapped opportunities and statistically valid direction on member and consumer needs, preferences, attitudes and behaviors Advises on strategic research agency relationships and leverages agencies to create flawless and insightful deliverables with rich, story driven analysis Develops and delivers story-driven presentations with clear, concise and business-focused recommendations and business opportunities for future action that are grounded in a keen understanding of business and industry dynamics Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree Market Research, Marketing, Consumer Behavior, or a related field in business, communications, or social sciences required Master's Degree in a related field preferred 8+ years relevant professional experience in market research, analytics or a related discipline required Demonstrated expertise in applying statistical tools and methods, including but not limited to SPSS, R, Python, and techniques such as correlation analysis required Experience with online data collection tools such as Qualtrics required Proven ability to coach, advise, and collaborate effectively with stakeholders across various levels of seniority required Pay Range: $107,700.00 - $199,300.00 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 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. 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

Market research
Strategic planning
Qualitative research
Quantitative research
Statistical analysis
SPSS
Python
Consumer insights
Stakeholder management
Project leadership
Direct Apply
Posted 17 days ago
Centene Corporation

HR Program Manager III

Centene Corporation•Clayton, Missouri, Missouri•Full-time
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Compensation$55K - 90K a year

Lead and execute business-critical talent initiatives including leadership development and succession planning programs while managing full project lifecycle and stakeholder communication. | Bachelor's degree and 5+ years project/program management experience, preferably in managed care or prescription benefit management. | Position Purpose: The HR Program Manager III is responsible for leading and executing business-critical talent initiatives that support organizational priorities and workforce transformation. This role oversees the design, implementation, and continuous improvement of leadership development programs that build key capabilities and skills. The HR Program Manager III plays a pivotal role in advancing enterprise talent strategies through the development and delivery of talent and succession planning programs. Working closely with HR leaders and business stakeholders, this position drives transformative initiatives that strengthen leadership pipelines, enhance talent readiness, and support long-term organizational growth. The role requires strong program management, stakeholder engagement, and strategic consulting skills to deliver impactful employee and leader development experiences across the organization. Key Details: The HR Program Manager III is required to attend onsite meetings and events. Candidates must be local or within driving distance of St. Louis to be considered for the position. Responsibilities: Develop strategies to realize improvement opportunities, and ensure organizational prioritization and resource alignment Manage multiple projects through full project life cycle process including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure Utilize corporate and industry standard project management tools and techniques to effectively manage projects Maintain detailed project documentation as needed including action items, issues lists and risk mitigation plans Provide leadership and effectively communicate project status to all stakeholders, including executive summaries and presentations Negotiate with project stakeholders to identify and secure resources, resolve issues, and mitigate risks Lead cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives Provide functional and technical knowledge regarding overall program requirements and operations Education/Experience: Bachelor’s degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master’s degree preferred. 5+ years project implementation, product or program management experience. Managed care or prescription benefit management experience preferred. 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 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. 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

Program management
Talent strategy
Succession planning
Direct Apply
Posted 21 days ago
Centene Corporation

Senior Business Process Consultant

Centene Corporation•Anywhere•Full-time
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Compensation$70K - 90K a year

Lead cross-functional initiatives and develop business cases to improve performance and financial outcomes. | Bachelor's degree, 6+ years project management experience, PMP certification required, healthcare or insurance experience preferred. | Position Purpose: The Senior Business Process Consultant leads business case development for proposed initiatives, supports the strategic planning process, and leads larger scale, cross-functional initiatives. Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT. Leads business case development for proposed initiatives to ensure adequate assessment of opportunities, risks and return on investment. Provides input and supports planning and prioritization of initiatives as part of the strategic and business planning process. Ensures that initiatives support the strategic business plan, meet key business objectives and are executed well tactically. Ensures that all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative). Leads larger scale, cross-functional initiatives that are intended to drive performance improvement, financial gains, customer satisfaction and improved compliance. Provides strategic and policy guidance on assigned initiatives so that all processes are considered for maximizing effective implementation and results. Organizes work teams, drives consensus and ensures end to end policy/process integrity to accomplish project work: including identification and confirmation of participants, establishment of a project plan, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation and implementation oversight. Performs detailed analysis of data, workflows, policies, procedures, organization of staff, and skills in order to execute initiatives. Supports the project work by utilizing project management software such as, but not limited to, Excel, PowerPoint, Visio, and Microsoft Project. Leads all levels of staff who are responsible for initiatives included in the companies operating plan in order to support their success, development and effective completion and communication of their initiative. Assists other project leaders in specific areas as needed such as facilitation, analysis, process mapping, brain-storming, project management issues, etc. Writes and delivers communication to all levels of organization to ensure support, awareness and effectiveness of process improvement initiatives. Provides other related support as needed to improve the performance of the business Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in a related field or equivalent experience required Master's Degree in a related field preferred 6+ years managing projects required Experience in health care and/or insurance preferred Licenses/Certifications: Certified Project Management Professional (PMP)-PMI required Process quality certification preferred Certified Project Management Professional (PMP)-PMI For Health Net and Enterprise Business Operations only 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 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. 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

Project management
Strategic planning
Process improvement
Direct Apply
Posted 21 days ago
CC

Senior Compliance Analyst, Duals (DSNP) Products

Centene Corporation•Anywhere•Full-time
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Compensation$70K - 126K a year

Manage and lead compliance activities and reporting for Duals (D-SNP) programs including regulatory interpretation, audits, and training. | Bachelor's degree or equivalent with 4+ years in compliance or regulatory affairs, project management experience, and knowledge of Medicare and D-SNP regulations. | 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’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. Position Purpose: Partners with leadership in maintaining Centene Corporation's Compliance with Duals (D-SNP) Program requirements. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies for the D-SNPs. • Responds to external requests for information required by the organization for its Duals and SMAC regulatory filings. • Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies. • Leads Duals compliance projects or implementations. • Reviews and synthesizes Duals regulatory requirements and create policy and/or position statements. • Partners with leadership to manage annual SMAC assessment and tracking of caps. • Communicate Duals (state and federal) requirements to internal and external clients. • Provides development guidance and leads the identification, implementation, and maintenance of Duals and overlapping Medicare compliance policies, procedures and work instructions. • Leads the identification, analysis, and resolution of Duals compliance issues. • Maintains and reviews D-SNP regulatory documentation necessary to maintain corporate standards. • Partners with leadership in developing, producing and conducting Duals compliance training programs. • Perform periodic compliance audits, risk assessments and conducts related to ongoing Duals compliance monitoring activities. • Partners with Duals Manager and health plans in managing relationships with regulatory agencies and seek to confirmation and clarification of D-SNP requirements and implementations where needed. • Performs interim Duals Compliance manager responsibilities to include supporting the health plan compliance officer with D-SNP specific responsibilities. Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives. • Serves as a company-wide resource and liaison on Duals policies, SMAC items and provisions, communications, workflow, and quality improvements initiatives. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience • Bachelor's Degree Law or related field; or, equivalent experience required • 4+ years Compliance and/or regulatory affairs required • Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular Medicare, D-SNP, and state regulations required Pay Range: $70,100.00 - $126,200.00 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, 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

Compliance Management
Regulatory Affairs
Project Management
Verified Source
Posted about 1 month ago
Centene Corporation

Manager, SIU Intelligence & Innovation

Centene Corporation•Anywhere•Full-time
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Compensation$88K - 158K a year

Lead strategic development and optimization of SIU analytics capabilities to detect and prevent healthcare fraud. | Requires 5+ years healthcare analytics and fraud detection experience, leadership skills, and advanced analytics expertise. | 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’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Leads the strategic direction, development, and optimization of SIU capabilities that support the detection, prevention, and investigation of fraud, waste, and abuse (FWA). Drives the effective utilization of internal and external data assets, advanced analytic tools, predictive monitoring methodologies, and emerging technologies to identify investigative opportunities and enhance organizational value realization. Partners closely with Special Investigations Unit (SIU) leadership, Medical Economics, , Pharmacy, Compliance, and other enterprise stakeholders to develop innovative detection strategies, actionable intelligence, and data-driven insights that strengthen program integrity efforts. This position provides leadership for analytics personnel, enterprise data initiatives, strategic modernization efforts, vendor relationships, and industry partnerships while ensuring alignment with organizational objectives, regulatory requirements, and emerging fraud trends. • Supports the strategic planning, development, and execution of SIU proactive anti-fraud detection and analytics programs, initiatives, and priorities. • Manages, mentor, and develop team members, including hiring, performance management, goal setting, training, coaching, and resource allocation to ensure effective execution of departmental objectives and achievement of business results. • Drives value realization and optimization of analytics resources, including HCFS PostShield, AI Shield, Pharmacy Shield, and other internal and external data assets to identify, develop, and optimize proactive analytic methodologies. • Partners with enterprise stakeholders to identify, develop, and implement proactive analytic methodologies, dashboards, reporting solutions, and predictive monitoring capabilities. • Evaluates emerging fraud schemes, industry risks, and analytical opportunities to enhance detection and investigative effectiveness. • Transforms large, complex datasets into actionable intelligence that supports lead maturation, investigative development, and fraud prevention strategies. • Supports strategic initiatives involving healthcare fraud analytics, including activities related to provider, member, pharmacy, and premium-related fraud detection. • Facilitates enterprise and external data initiatives, including data quality improvement efforts, data remediation activities, and cross-functional collaboration with industry organizations and partnerships. • Leads analytics strategy and support SIU transformation initiatives where data integration, fraud detection, and investigative analytics are critical components. • Develops and maintain an SIU analytics roadmap with measurable performance objectives, savings targets, value realization metrics, and operational outcomes. • Provides direct leadership, coaching, and development of assigned staff, ensuring appropriate resource allocation, capability development, and performance outcomes. • Supports oversight of analytics-related vendor relationships and monitor performance against established objectives and service expectations. • Represents SIU in enterprise data governance, analytics, innovation, and strategic planning forums. • Integrates regulatory developments, external intelligence sources, industry trends, and collaborative partnerships into proactive fraud detection and investigative strategies. • Communicates analytical findings, trends, risks, and recommendations to senior leadership and business stakeholders. • Develops strategies and tools to enhance the identification of fraudulent activities and improve investigative outcomes. • Leads cross-functional teams to ensure collaborative engagement in fraud investigations and intelligence efforts. • Monitors emerging trends in fraud schemes and technological advancements to proactively adapt investigative practices. • Collaborates with regulatory bodies and industry stakeholders to ensure compliance and alignment with best practices. • Manages the development and implementation of training programs to enhance team expertise and effectiveness. • Provides expertise and strategic recommendations to leadership to support decision-making and resource allocation. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience • Bachelor's Degree Bachelor's degree in Data Analytics, Data Science, Business Analytics, Business or Healthcare Administration, Information Systems, Statistics, Computer Science, Criminal Justice, or a related field; or equivalent experience required. • Master's Degree preferred. • Juris Doctor (JD) preferred. • 5+ years Healthcare analytics, fraud detection, SIU operations, program integrity, payment integrity, healthcare investigations, or related analytical functions required. • 2+ years Conducting healthcare fraud investigations and knowledge of fraud, waste, and abuse trends and schemes required. • Experience leading, mentoring, coordinating, or managing analytical resources, projects, or teams required. • Experience developing and implementing advanced analytics, predictive monitoring, reporting, data visualization, and fraud detection methodologies using large and complex healthcare datasets to generate actionable business insights and support operational decision-making required. • Experience collaborating with cross-functional stakeholders across operational, compliance, investigative, and analytics functions to drive data-informed strategies related to healthcare fraud, waste, and abuse prevention, managed care operations, and organizational performance improvement required. • Experience leading healthcare analytics, SIU, Program Integrity, Payment Integrity, Compliance, or fraud, waste and abuse (FWA) initiatives, including development of analytics strategies, roadmaps, performance metrics, value realization methodologies, and operational improvement efforts preferred. • Experience applying advanced analytics, predictive modeling, artificial intelligence, machine learning, fraud detection technologies, and external data resources to support proactive fraud identification, complex investigations, vendor and partnership oversight, and compliance with healthcare regulatory and industry requirements preferred. Licenses/Certifications • CFE, AHFI, CHC, PMP, SAS, CPC or other certifications related to healthcare fraud, analytics, investigations, project management, or data science preferred. Pay Range: $87,700.00 - $157,800.00 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, 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

fraud detection analytics
team leadership
predictive modeling
Verified Source
Posted about 1 month ago
Centene Corporation

Manager, SIU Intelligence & Innovation

Centene Corporation•Anywhere•Full-time
View Job
Compensation$88K - 158K a year

Lead strategic development and optimization of SIU capabilities for fraud detection and prevention. | Requires 5+ years healthcare analytics and fraud detection experience with leadership and advanced analytics skills. | 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’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Leads the strategic direction, development, and optimization of SIU capabilities that support the detection, prevention, and investigation of fraud, waste, and abuse (FWA). Drives the effective utilization of internal and external data assets, advanced analytic tools, predictive monitoring methodologies, and emerging technologies to identify investigative opportunities and enhance organizational value realization. Partners closely with Special Investigations Unit (SIU) leadership, Medical Economics, , Pharmacy, Compliance, and other enterprise stakeholders to develop innovative detection strategies, actionable intelligence, and data-driven insights that strengthen program integrity efforts. This position provides leadership for analytics personnel, enterprise data initiatives, strategic modernization efforts, vendor relationships, and industry partnerships while ensuring alignment with organizational objectives, regulatory requirements, and emerging fraud trends. • Supports the strategic planning, development, and execution of SIU proactive anti-fraud detection and analytics programs, initiatives, and priorities. • Manages, mentor, and develop team members, including hiring, performance management, goal setting, training, coaching, and resource allocation to ensure effective execution of departmental objectives and achievement of business results. • Drives value realization and optimization of analytics resources, including HCFS PostShield, AI Shield, Pharmacy Shield, and other internal and external data assets to identify, develop, and optimize proactive analytic methodologies. • Partners with enterprise stakeholders to identify, develop, and implement proactive analytic methodologies, dashboards, reporting solutions, and predictive monitoring capabilities. • Evaluates emerging fraud schemes, industry risks, and analytical opportunities to enhance detection and investigative effectiveness. • Transforms large, complex datasets into actionable intelligence that supports lead maturation, investigative development, and fraud prevention strategies. • Supports strategic initiatives involving healthcare fraud analytics, including activities related to provider, member, pharmacy, and premium-related fraud detection. • Facilitates enterprise and external data initiatives, including data quality improvement efforts, data remediation activities, and cross-functional collaboration with industry organizations and partnerships. • Leads analytics strategy and support SIU transformation initiatives where data integration, fraud detection, and investigative analytics are critical components. • Develops and maintain an SIU analytics roadmap with measurable performance objectives, savings targets, value realization metrics, and operational outcomes. • Provides direct leadership, coaching, and development of assigned staff, ensuring appropriate resource allocation, capability development, and performance outcomes. • Supports oversight of analytics-related vendor relationships and monitor performance against established objectives and service expectations. • Represents SIU in enterprise data governance, analytics, innovation, and strategic planning forums. • Integrates regulatory developments, external intelligence sources, industry trends, and collaborative partnerships into proactive fraud detection and investigative strategies. • Communicates analytical findings, trends, risks, and recommendations to senior leadership and business stakeholders. • Develops strategies and tools to enhance the identification of fraudulent activities and improve investigative outcomes. • Leads cross-functional teams to ensure collaborative engagement in fraud investigations and intelligence efforts. • Monitors emerging trends in fraud schemes and technological advancements to proactively adapt investigative practices. • Collaborates with regulatory bodies and industry stakeholders to ensure compliance and alignment with best practices. • Manages the development and implementation of training programs to enhance team expertise and effectiveness. • Provides expertise and strategic recommendations to leadership to support decision-making and resource allocation. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience • Bachelor's Degree Bachelor's degree in Data Analytics, Data Science, Business Analytics, Business or Healthcare Administration, Information Systems, Statistics, Computer Science, Criminal Justice, or a related field; or equivalent experience required. • Master's Degree preferred. • Juris Doctor (JD) preferred. • 5+ years Healthcare analytics, fraud detection, SIU operations, program integrity, payment integrity, healthcare investigations, or related analytical functions required. • 2+ years Conducting healthcare fraud investigations and knowledge of fraud, waste, and abuse trends and schemes required. • Experience leading, mentoring, coordinating, or managing analytical resources, projects, or teams required. • Experience developing and implementing advanced analytics, predictive monitoring, reporting, data visualization, and fraud detection methodologies using large and complex healthcare datasets to generate actionable business insights and support operational decision-making required. • Experience collaborating with cross-functional stakeholders across operational, compliance, investigative, and analytics functions to drive data-informed strategies related to healthcare fraud, waste, and abuse prevention, managed care operations, and organizational performance improvement required. • Experience leading healthcare analytics, SIU, Program Integrity, Payment Integrity, Compliance, or fraud, waste and abuse (FWA) initiatives, including development of analytics strategies, roadmaps, performance metrics, value realization methodologies, and operational improvement efforts preferred. • Experience applying advanced analytics, predictive modeling, artificial intelligence, machine learning, fraud detection technologies, and external data resources to support proactive fraud identification, complex investigations, vendor and partnership oversight, and compliance with healthcare regulatory and industry requirements preferred. Licenses/Certifications • CFE, AHFI, CHC, PMP, SAS, CPC or other certifications related to healthcare fraud, analytics, investigations, project management, or data science preferred. Pay Range: $87,700.00 - $157,800.00 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, 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

fraud detection analytics
predictive modeling
team leadership
Verified Source
Posted about 1 month ago
Centene Corporation

Manager, SIU Intelligence & Innovation

Centene Corporation•Anywhere•Full-time
View Job
Compensation$88K - 158K a year

Lead strategic development and optimization of SIU analytics capabilities to detect and prevent healthcare fraud. | Requires 5+ years in healthcare analytics or fraud detection, leadership experience, and advanced analytic skills with healthcare datasets. | 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’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Leads the strategic direction, development, and optimization of SIU capabilities that support the detection, prevention, and investigation of fraud, waste, and abuse (FWA). Drives the effective utilization of internal and external data assets, advanced analytic tools, predictive monitoring methodologies, and emerging technologies to identify investigative opportunities and enhance organizational value realization. Partners closely with Special Investigations Unit (SIU) leadership, Medical Economics, , Pharmacy, Compliance, and other enterprise stakeholders to develop innovative detection strategies, actionable intelligence, and data-driven insights that strengthen program integrity efforts. This position provides leadership for analytics personnel, enterprise data initiatives, strategic modernization efforts, vendor relationships, and industry partnerships while ensuring alignment with organizational objectives, regulatory requirements, and emerging fraud trends. • Supports the strategic planning, development, and execution of SIU proactive anti-fraud detection and analytics programs, initiatives, and priorities. • Manages, mentor, and develop team members, including hiring, performance management, goal setting, training, coaching, and resource allocation to ensure effective execution of departmental objectives and achievement of business results. • Drives value realization and optimization of analytics resources, including HCFS PostShield, AI Shield, Pharmacy Shield, and other internal and external data assets to identify, develop, and optimize proactive analytic methodologies. • Partners with enterprise stakeholders to identify, develop, and implement proactive analytic methodologies, dashboards, reporting solutions, and predictive monitoring capabilities. • Evaluates emerging fraud schemes, industry risks, and analytical opportunities to enhance detection and investigative effectiveness. • Transforms large, complex datasets into actionable intelligence that supports lead maturation, investigative development, and fraud prevention strategies. • Supports strategic initiatives involving healthcare fraud analytics, including activities related to provider, member, pharmacy, and premium-related fraud detection. • Facilitates enterprise and external data initiatives, including data quality improvement efforts, data remediation activities, and cross-functional collaboration with industry organizations and partnerships. • Leads analytics strategy and support SIU transformation initiatives where data integration, fraud detection, and investigative analytics are critical components. • Develops and maintain an SIU analytics roadmap with measurable performance objectives, savings targets, value realization metrics, and operational outcomes. • Provides direct leadership, coaching, and development of assigned staff, ensuring appropriate resource allocation, capability development, and performance outcomes. • Supports oversight of analytics-related vendor relationships and monitor performance against established objectives and service expectations. • Represents SIU in enterprise data governance, analytics, innovation, and strategic planning forums. • Integrates regulatory developments, external intelligence sources, industry trends, and collaborative partnerships into proactive fraud detection and investigative strategies. • Communicates analytical findings, trends, risks, and recommendations to senior leadership and business stakeholders. • Develops strategies and tools to enhance the identification of fraudulent activities and improve investigative outcomes. • Leads cross-functional teams to ensure collaborative engagement in fraud investigations and intelligence efforts. • Monitors emerging trends in fraud schemes and technological advancements to proactively adapt investigative practices. • Collaborates with regulatory bodies and industry stakeholders to ensure compliance and alignment with best practices. • Manages the development and implementation of training programs to enhance team expertise and effectiveness. • Provides expertise and strategic recommendations to leadership to support decision-making and resource allocation. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience • Bachelor's Degree Bachelor's degree in Data Analytics, Data Science, Business Analytics, Business or Healthcare Administration, Information Systems, Statistics, Computer Science, Criminal Justice, or a related field; or equivalent experience required. • Master's Degree preferred. • Juris Doctor (JD) preferred. • 5+ years Healthcare analytics, fraud detection, SIU operations, program integrity, payment integrity, healthcare investigations, or related analytical functions required. • 2+ years Conducting healthcare fraud investigations and knowledge of fraud, waste, and abuse trends and schemes required. • Experience leading, mentoring, coordinating, or managing analytical resources, projects, or teams required. • Experience developing and implementing advanced analytics, predictive monitoring, reporting, data visualization, and fraud detection methodologies using large and complex healthcare datasets to generate actionable business insights and support operational decision-making required. • Experience collaborating with cross-functional stakeholders across operational, compliance, investigative, and analytics functions to drive data-informed strategies related to healthcare fraud, waste, and abuse prevention, managed care operations, and organizational performance improvement required. • Experience leading healthcare analytics, SIU, Program Integrity, Payment Integrity, Compliance, or fraud, waste and abuse (FWA) initiatives, including development of analytics strategies, roadmaps, performance metrics, value realization methodologies, and operational improvement efforts preferred. • Experience applying advanced analytics, predictive modeling, artificial intelligence, machine learning, fraud detection technologies, and external data resources to support proactive fraud identification, complex investigations, vendor and partnership oversight, and compliance with healthcare regulatory and industry requirements preferred. Licenses/Certifications • CFE, AHFI, CHC, PMP, SAS, CPC or other certifications related to healthcare fraud, analytics, investigations, project management, or data science preferred. Pay Range: $87,700.00 - $157,800.00 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, 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

fraud detection analytics
predictive modeling
team leadership
Verified Source
Posted about 1 month ago
Centene Corporation

Manager, SIU Intelligence & Innovation

Centene Corporation•Anywhere•Full-time
View Job
Compensation$88K - 158K a year

Lead strategic development and optimization of SIU analytics capabilities to detect and prevent healthcare fraud. | Requires 5+ years in healthcare analytics or fraud detection, leadership experience, and advanced analytic skills. | 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’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Leads the strategic direction, development, and optimization of SIU capabilities that support the detection, prevention, and investigation of fraud, waste, and abuse (FWA). Drives the effective utilization of internal and external data assets, advanced analytic tools, predictive monitoring methodologies, and emerging technologies to identify investigative opportunities and enhance organizational value realization. Partners closely with Special Investigations Unit (SIU) leadership, Medical Economics, , Pharmacy, Compliance, and other enterprise stakeholders to develop innovative detection strategies, actionable intelligence, and data-driven insights that strengthen program integrity efforts. This position provides leadership for analytics personnel, enterprise data initiatives, strategic modernization efforts, vendor relationships, and industry partnerships while ensuring alignment with organizational objectives, regulatory requirements, and emerging fraud trends. • Supports the strategic planning, development, and execution of SIU proactive anti-fraud detection and analytics programs, initiatives, and priorities. • Manages, mentor, and develop team members, including hiring, performance management, goal setting, training, coaching, and resource allocation to ensure effective execution of departmental objectives and achievement of business results. • Drives value realization and optimization of analytics resources, including HCFS PostShield, AI Shield, Pharmacy Shield, and other internal and external data assets to identify, develop, and optimize proactive analytic methodologies. • Partners with enterprise stakeholders to identify, develop, and implement proactive analytic methodologies, dashboards, reporting solutions, and predictive monitoring capabilities. • Evaluates emerging fraud schemes, industry risks, and analytical opportunities to enhance detection and investigative effectiveness. • Transforms large, complex datasets into actionable intelligence that supports lead maturation, investigative development, and fraud prevention strategies. • Supports strategic initiatives involving healthcare fraud analytics, including activities related to provider, member, pharmacy, and premium-related fraud detection. • Facilitates enterprise and external data initiatives, including data quality improvement efforts, data remediation activities, and cross-functional collaboration with industry organizations and partnerships. • Leads analytics strategy and support SIU transformation initiatives where data integration, fraud detection, and investigative analytics are critical components. • Develops and maintain an SIU analytics roadmap with measurable performance objectives, savings targets, value realization metrics, and operational outcomes. • Provides direct leadership, coaching, and development of assigned staff, ensuring appropriate resource allocation, capability development, and performance outcomes. • Supports oversight of analytics-related vendor relationships and monitor performance against established objectives and service expectations. • Represents SIU in enterprise data governance, analytics, innovation, and strategic planning forums. • Integrates regulatory developments, external intelligence sources, industry trends, and collaborative partnerships into proactive fraud detection and investigative strategies. • Communicates analytical findings, trends, risks, and recommendations to senior leadership and business stakeholders. • Develops strategies and tools to enhance the identification of fraudulent activities and improve investigative outcomes. • Leads cross-functional teams to ensure collaborative engagement in fraud investigations and intelligence efforts. • Monitors emerging trends in fraud schemes and technological advancements to proactively adapt investigative practices. • Collaborates with regulatory bodies and industry stakeholders to ensure compliance and alignment with best practices. • Manages the development and implementation of training programs to enhance team expertise and effectiveness. • Provides expertise and strategic recommendations to leadership to support decision-making and resource allocation. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience • Bachelor's Degree Bachelor's degree in Data Analytics, Data Science, Business Analytics, Business or Healthcare Administration, Information Systems, Statistics, Computer Science, Criminal Justice, or a related field; or equivalent experience required. • Master's Degree preferred. • Juris Doctor (JD) preferred. • 5+ years Healthcare analytics, fraud detection, SIU operations, program integrity, payment integrity, healthcare investigations, or related analytical functions required. • 2+ years Conducting healthcare fraud investigations and knowledge of fraud, waste, and abuse trends and schemes required. • Experience leading, mentoring, coordinating, or managing analytical resources, projects, or teams required. • Experience developing and implementing advanced analytics, predictive monitoring, reporting, data visualization, and fraud detection methodologies using large and complex healthcare datasets to generate actionable business insights and support operational decision-making required. • Experience collaborating with cross-functional stakeholders across operational, compliance, investigative, and analytics functions to drive data-informed strategies related to healthcare fraud, waste, and abuse prevention, managed care operations, and organizational performance improvement required. • Experience leading healthcare analytics, SIU, Program Integrity, Payment Integrity, Compliance, or fraud, waste and abuse (FWA) initiatives, including development of analytics strategies, roadmaps, performance metrics, value realization methodologies, and operational improvement efforts preferred. • Experience applying advanced analytics, predictive modeling, artificial intelligence, machine learning, fraud detection technologies, and external data resources to support proactive fraud identification, complex investigations, vendor and partnership oversight, and compliance with healthcare regulatory and industry requirements preferred. Licenses/Certifications • CFE, AHFI, CHC, PMP, SAS, CPC or other certifications related to healthcare fraud, analytics, investigations, project management, or data science preferred. Pay Range: $87,700.00 - $157,800.00 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, 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

fraud detection analytics
predictive monitoring
team leadership
Verified Source
Posted about 1 month ago
Centene Corporation

Finance Manager

Centene Corporation•Anywhere•Full-time
View Job
Compensation$88K - 158K a year

Support regional finance lead with analysis, forecasting, and executive presentations for business leaders. | Bachelor's degree and 5+ years financial analysis experience required; CPA preferred; healthcare and Medicare experience preferred. | 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’ll have access to competitive benefits including a fresh perspective on workplace flexibility. • Note: applicants for this job have the flexibility to work remote from home anywhere in the United States. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Support the Midwest Regional Finance Lead (RFL) as Finance partner for the nine states in the region. Provide detailed analysis, participate in quarterly forecasting, and prepare executive-level presentations for business segment leaders. Duties include, but are not limited to: • Creating monthly close packages, investigating and reporting forecast variances. • Preparation and presentation of financial results to Medicare and Health Plan leaders at Monthly Operating Reviews. • Performing financial membership forecasts and providing review/input into the actuarial forecast of gross margin. • Preparation of documents for Quarterly Business Reviews with Medicare Executive leaders. • Representing Midwest Region Finance in various meetings, providing guidance and participating in initiative ideation. • Performs other duties as assigned. • Complies with all policies and standards. Education /Experience • Bachelor's Degree in Accounting, Finance, Business or related field required. • Master's Degree in Business Administration preferred. • 5+ years of experience in a related financial analysis role supporting business departments required. • 3+ years of experience in a Healthcare environment preferred. • Advanced skills in Microsoft Excel. • Medicare experience preferred. • Proficiency with Hyperion Essbase or OneStream preferred. Licenses and Certifications: Certified Public Accountant (CPA) preferred. Pay Range: $87,700.00 - $157,800.00 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, 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

financial analysis
forecasting
financial reporting
Verified Source
Posted about 2 months ago
Centene Corporation

Senior Security Governance Program Manager - Secure Configuration & Asset Management

Centene Corporation•Anywhere•Full-time
View Job
Compensation$85K - 130K a year

Lead security governance development, manage risk remediation lifecycle, and oversee enterprise security controls design and evaluation. | Bachelor's degree with 8+ years in GRC, audit, compliance, and preferred certifications like CISSP. | 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’ll have access to competitive benefits including a fresh perspective on workplace flexibility. *Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States* Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Lead development, monitoring, maintenance, and improvements of a foundational Security Governance pillar (i.e., cloud security governance, security metrics and reporting, security oversight, etc.). Subject matter expert dedicated to support enterprise governance needs for a specific area of governance to improve the enterprise security programs based on compliance and risk factors. Plan and manage requirements and track completion of objectives for security risk, compliance and assessment related to a specific area within enterprise security such as cloud, security metrics and reporting or the findings and remediation program. Drive and execute initiatives involving cross-departmental dependencies. Manage projects to improve and strengthen the enterprise security posture and reduce security risk including requirements collection, initiation, planning, execution, status reporting and closure. Maintain awareness of existing and proposed enterprise security policies and standards. Provides support in security policy and standard development. Utilize expert knowledge in multiple security domains, while maintaining in-depth across all security domains. Identify regulatory changes that will affect information security policies, standards and procedures, and recommends appropriate changes. Support security control owners with control design and implementation. Lead the design, evaluation, and oversight of controls for key security and security IT projects, programs, applications, and systems, e.g., the Enterprise Control Framework. Lead activities related to the lifecycle of remediation activities including, delivery timeline tracking, action plan development, gathering and review of evidence artifacts, providing feedback regarding appropriateness of evidence artifacts, and development of documentation to submit for closure. Drive the direction, development, and maturity of the enterprise GRC tool(s). Prepare governance documentation for Senior Management including team, Board, and other reporting initiatives as needed. Continue to look for ways to improve processes and contributes to excellence in team. Lead complex projects, on time and on budget, escalating concerns and providing weekly updates. Develop and implement best practices regarding gathering, reporting and representation of security KPIs and KRIs to various stakeholders. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor’s degree in Business, Information Technology, related field, or equivalent experience. 8+ years of experience in GRC, audit, compliance, and regulatory. License/Certification: CISA, CGEIT, CRISC CISM, CISSP preferred Pay Range: $107,700.00 - $199,300.00 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, 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 Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Security Governance
Risk Management
Compliance Monitoring
Direct Apply
Posted 3 months ago
Centene Corporation

Senior Security Governance Program Manager – Secure Configuration, Asset Management

Centene Corporation•Anywhere•Full-time
View Job
Compensation$85K - 130K a year

Lead and manage security governance programs, compliance initiatives, and control oversight to improve enterprise security posture. | Requires 8+ years in GRC, audit, compliance, relevant certifications preferred, and a bachelor's degree or equivalent. | Job Description: • Lead development, monitoring, maintenance, and improvements of a foundational Security Governance pillar • Plan and manage requirements and track completion of objectives for security risk, compliance and assessment • Drive and execute initiatives involving cross-departmental dependencies • Manage projects to improve and strengthen the enterprise security posture • Maintain awareness of existing and proposed enterprise security policies and standards • Provide support in security policy and standard development • Identify regulatory changes that will affect information security policies, standards and procedures • Lead the design, evaluation, and oversight of controls for key security and security IT projects, programs, applications, and systems Requirements: • Bachelor’s degree in Business, Information Technology, related field, or equivalent experience • 8+ years of experience in GRC, audit, compliance, and regulatory • License/Certification: CISA, CGEIT, CRISC CISM, CISSP preferred • Must be authorized to work in the U.S. without the need for employment-based visa sponsorship Benefits: • competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules

security governance
risk compliance
project management
Verified Source
Posted 3 months ago
Centene Corporation

Senior Process Improvement Manager

Centene Corporation•Anywhere•Full-time
View Job
Compensation$75K - 120K a year

Lead enterprise-wide process improvement activities using Lean and Six Sigma methodologies to enhance business infrastructure and performance. | Experience in workflow redesign and operating model transformation within complex healthcare or business environments, with ability to standardize pilots and influence stakeholders. | 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’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Identify, facilitate and lead enterprise wide process improvement activities utilizing LEAN/Six Sigma methodologies to design and improve processes that support business infrastructure and performance. Identify, develop, and execute process improvement opportunities utilizing continuous improvement principles and LEAN/Six Sigma methodologies Prioritize and lead process improvement activities across the enterprise in support of all departments and functional areas Monitor process improvement projects and facilitate cross functional process improvement project teams ensuring deadlines and objective are met and return on investment is realized Consult with senior leadership and provide analysis and advice on a variety of performance and process related topics Provide training and guidance to project teams and functional areas to assist with the implementation and maintenance of process improvement activities Negotiate with project stakeholders to identify resources, mitigate risks, resolve issues and provide key performance indicators and project status Identify, communicate, and correct gaps in process performance and provide guidance to address these gaps Evaluate completed process improvement projects to identify and implement best practices and lessons learned Highly preferred that candidate possess experience in the following: Experience leading hands-on workflow redesign, process improvement, or operating model transformation in complex healthcare or business environments. Ability to assess current-state operations, identify root causes, and translate findings into practical future-state solutions. Demonstrated ability to standardize and scale pilots, local processes, or improvement concepts into measurable operating models. Strong facilitation and stakeholder partnership skills, including the ability to influence without direct authority in matrixed environments. Experience defining success measures, supporting adoption, monitoring performance, and validating sustained operational, quality, or financial improvement. Pay Range: $87,700.00 - $157,800.00 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, 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 Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Lean
Six Sigma
Process Improvement
Workflow Redesign
Operating Model Transformation
Root Cause Analysis
Stakeholder Management
Performance Monitoring
Facilitation
Change Management
KPI Definition
Cross-functional Leadership
Direct Apply
Posted 3 months ago

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