Centene Corporation

Compensation

Full Description

Job Description: • Provide direction and oversight for function(s) of Enterprise Business Operations within established enterprise, state, and federal compliance guidelines with a focus on continuous improvement • Develop workforce strategy that attracts, retains, and develops talent that meets the evolving needs of the organization • Collaborate and coordinate with key stakeholders to ensure dependencies are well understood and addressed within the business operations ecosystem to allow success in operational objectives • Drive adherence to service levels and compliance with state, federal, and enterprise metrics and standards • Act as a key driver for change to support growth initiatives, continued business improvement and transformation centered on quality and operational excellence • Develop and maintain collaborative relationships with health plans, other business units, IT partners, and regulators • Direct all membership related initiatives including identification of business need, strategy recommendation, project outline, management of deliverables, and ROI • Facilitate the design, development and implementation of policies, procedures and practices related to business operations in cooperation with key stakeholders • Use data, technology and innovation to drive continuous improvement to identify, assess and resolve issues across business operations • Serve as escalation point to minimize provider and member impact and ensure that expectations are consistently met • Ability to travel up to 25%. Requirements: • Bachelor’s degree required or equivalent related experience • 7+ years of operations management required • Experience leading large-scale efforts (change, implementation, digital/technology, financial management) through data analysis and insights required • 5+ years of healthcare experience in multiple areas of operations (Enrollment/Billing, Claims, Provider Data, Configuration, Member Services, Contact Center, Medical Management, Network/IT, etc.) preferred 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