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Director, Operations (Medicare)

Company: Centene Corporation
Location: Providence
Posted on: September 17, 2020

Job Description:

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 expansions.

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 risks.

Coordinatecross-functional meetings with various functional areas to meet overallstakeholder expectations and business unit objectives.

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 issues.

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 anddrivers.

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 preferred.

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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Transforming the health of the community, one person at a time.

HEALTHCARE IS BEST DELIVERED LOCALLY Our local approach allows us to help members access high-quality, culturally sensitive healthcare services.

LOCAL COMMUNITY INVOLVEMENT IS KEY We invest in local communities and the lives of our members in as many ways as we can.

Stay safe from recruitment fraud! The only way to apply for a position at Centene is via our careers website. Learn how to protect yourself from recruitment fraud.

Keywords: Centene Corporation, Providence , Director, Operations (Medicare), Other , Providence, Rhode Island

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