Position Purpose: Oversee operations, and business strategy for Complex Care products (Long-Term Services and Supports and Dual Demonstration/Medicare-Medicaid Plans) utilizing cross-functional departments to meet strategic objectives
Perform and/or oversee data analysis from a variety of data sources to evolve the metrics used to measure performance and return on investment of current and new product activity
Collaborate with staff to identify internal and external customers and their expectations, initiate process changes to increase quality, decrease costs and improve staff, provider and member satisfaction.
Ensure compliance with all related laws, regulations and executive orders
Review and analyze reports, records and directives, and confer with staff to obtain data required for planning work function activities and strategic initiatives
Assist in the establishment of the departmental strategies and objectives
Explore new approaches to service delivery and innovation for Complex Care programs.
Knowledge/Experience: Bachelor's degree in Management, Business Administration, related field or equivalent experience. 6+ years of operations or product strategy experience. Experience with managed care, health insurance, Medicare or Medicaid preferred. Previous experience working with LTSS populations (e.g., seniors, people with disabilities) and/or LTSS providers (e.g., nursing facilities, home care agencies, assisted living facilities, adult day centers) preferred. Ability to travel to local Health Plans, national conferences, and/or industry events.
Internal Number: 1101213
About Centene Corporation
Centene’s founding values and beliefs are central to our company’s success. From our beginnings as a single Medicaid plan in Milwaukee, Centene has grown into a Fortune 500, multi-national health solutions enterprise, employing over 32,000 people and serving 12.3 million beneficiaries.
With more than 30 years of experience in operating government-sponsored programs, Centene remains committed to the health and unique needs of the communities we serve. Our decentralized structure of state-based health plans allows Centene to ensure that members, providers, contractors and regulators have direct involvement with a local CEO.
In addition to being the largest Medicaid Managed Care Organization in the country, we are proud to be the largest carrier on the Health Insurance Marketplace and a national leader in managed long-term services and supports. Our work with both the TRICARE and Veterans Choice programs has positioned Centene as one of the nation’s largest providers of managed care services for military families and veterans. Through all our efforts, we hold firm to our belief that every individual deserves access to quality healthcare with dignity.