Category Administrative & Operations support Location
Providence, Rhode Island, US Full-time Job Id 1194899 Medicare
Position Purpose: Overseeand direct operations and complex
projects utilizing cross functional teams tomeet strategic
objectives for the Medicare Business Unit.
Performduties as senior liaison between the Medicare business
unit and corporatedepartment.
Partnerwith multiple stakeholders and business unit leadership
to establishoperational objectives and procedures.
Supportdue diligence and integration for business unit
Facilitateoperational oversight for Medicare business units and
identify opportunitiesfor maintaining effective operations.
Ensurecost effective programs are developed and maintained
throughout the businessunit.
Identifyoperational efficiencies and develop “best practice”
policies and procedures.
Contributeto the development of new products and markets.
Utilizecorporate and industry standard management tools and
techniques to effectivelyoversee projects; negotiate with project
stakeholders to identify resources,resolve issues, and mitigate
Coordinatecross-functional meetings with various functional
areas to meet overallstakeholder expectations and business unit
Providefunctional and technical expertise across multiple
business and technicalareas.
Additionalresponsibilities may include:
Drivesand formulates the business strategies and operational
plans for the Medicareline of business within their assigned State
to ensure C2C-profitability,growth, quality, network performance,
market positioning, and compliance goalsare met or exceeded.
Abilityto support the direct day-to-day operations and achieve
all performance goalsof their assigned State.
Spearheadsthe profit and loss oversight of designated State
including, networkcontracting and provider relations, sales, local
medical management, qualityimprovement initiatives and operational
Partnerwith functional Corporate Shared Services teams to drive
performance andresults across Clinical, Sales, National Network,
Quality, Risk Adjustment andFinance Teams; and works within the
Medicare Solutions Group, with the MedicareMarkets & Operations
leader, Sales Region Leaders, Medicare CFO andRegional Finance
teams, Product, Strategy, and Operations executive team andother
team members to define, align and influence business strategies
Focuseson systematically improving operational execution and
efficiency to ensure theState delivers on promises to key
stakeholders. Ensures compliance with allrelevant state and federal
contracts and regulations. Drives and supports the strategic
directionof the Medicare portfolio within assigned State.
Education/Experience: Bachelor's degree in Business
Administration, Finance, Accountancy or equivalent experience.
Master’s degree preferred. 6+ years experience in Medicare managed
care operations with emphasis on finance and information
technology. Previous management experience including
responsibilities for hiring, training, assigning work and managing
performance of staff. Experience with project management,
administration or operations in the Healthcare industry
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.
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