Position Purpose:Lead the development, coordination, and execution of operational strategies and process improvements across shared services to support enterprise and market-level product growth, implementation, and performance objectives. Translates strategy into operating plans, facilitates cross-functional alignment, and drives delivery of new operating models, processes, and capabilities that enable compliant, accurate, and scalable product operations. This role will manage day to day issues and be a subject matter expert for the Duals Integration Office interfacing with our Enterprise Business Operation Services.
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.
Applicants for this job have the flexibility to work remote from home anywhere in the United States.
Experience in operational areas such as Claims, Configuration, Enrollment is highly preferred.
- Serve as a primary operational liaison between product leadership, shared services, and corporate partners to ensure alignment, timely decision-making, and issue resolution across enterprise and market operations.
- Partner with shared services, market leaders, and product teams to define operational strategies, annual objectives, KPIs, and standardized operating procedures that support scalable execution.
- Support enterprise due diligence, integration planning, and operational readiness activities for product expansions.
- Monitor enterprise and market operational performance, identifying gaps, risks, and opportunities to optimize operations supporting assigned product.
- Evaluate operational performance using KPIs and ensure cost effective programs are developed and maintained throughout the business unit.
- Identify operational efficiencies and develop "best practice" workflows, process improvements, policies and procedures.
- Provide operational input into the development of new products and markets.
- Utilize corporate and industry standard management tools and techniques to effectively oversee projects; collaborate with stakeholders to identify resources, resolve issues, and mitigate risks.
- Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business unit objectives.
- Provide functional and technical expertise across business units and technical areas.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience: Bachelor's Degree in Finance, Accounting or related field or equivalent work experience required. Master's Degree in a related field preferred.
6+ years experience in assigned products (Medicare or Duals) managed care operations with emphasis on optimizing operational effectiveness, government contracting and/or regulatory compliance required.
Experience with project management, administration or operations in the Healthcare industry preferred.
Pay Range: $134,600.00 - $249,000.00 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.
