Offer summary

Qualifications:

Bachelor’s degree in Business Administration, Marketing and Sales, or related field, or equivalent experience., 4+ years of experience managing healthcare products and/or managed care., Experience driving product implementations and managing product operational performance is preferred., Strong understanding of CMS guidance, the Social Security Act, and State Medicaid guidance..

Key responsibilities:

Ensure successful execution, maintenance, and improvement of Medicare/DSNP products.

Manage in-year issues and drive resolution for product performance.

Support definition and execution of product roadmaps and strategies to increase product value.

Serve as a subject matter expert and communicate proactively with stakeholders and cross-functional partners.

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Ensure successful execution, maintenance, and improvement of Medicare/DSNP products. Manage Medicare/DSNP and support issues that arise in the current plan year while also building the vision and strategy for future years. Drive execution of the strategy to implementation with a cross-functional team.

Own and drive resolution for in-year issues identified where the product is not operating/performing as expected
Support definition and execution of product roadmaps, and drive near and long-term strategies that increase product value over time
Track performance of the product and collaborate with cross-functional partners to mitigate performance risks across functional verticals (e.g. Rx, Network, Risk Adjustment)
Serve as subject matter expert to internal and external stakeholders on products and provide proactive communication to applicable cross-functional partners, health plans, and executive leadership team.
Reading and interpreting CMS guidance, the Social Security Act, RFPs, SMACs, and State Medicaid guidance

Education/Experience: Bachelor’s degree in Business Administration, Marketing and Sales, or related field, or equivalent experience. 4+ years of experience managing healthcare products and/or managed care, including but not limited to health plan, provider, or health system experience. Experience driving product implementations, managing product operational performance preferred.

Pay Range: $86,000.00 - $154,700.00 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. Total compensation may also include additional forms of incentives.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Required profile