Position Purpose: 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.
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. Preferred experience focused on establishing clear governance structures across lines of business.
- 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%.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience: 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. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Certifications: Project Management Professional Certificate (PMP) and/or Lean Six Sigma Certification (e.g. green belt, black belt, master black belt or other) 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.
