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Ambetter Chief Operating Officer

Roles & Responsibilities

  • Bachelor’s degree in business administration, healthcare administration or related field
  • Master’s degree preferred
  • 10+ years in business administration, healthcare administration or related field
  • Marketplace/ACA experience strongly preferred

Requirements:

  • Oversee operations for multiple support functions (configuration, claims support services, provider relations, call center and field operations) and act as chief liaison between the business unit and corporate policies and standards
  • Develop operational vision, objectives and policies and procedures to support the overall strategic plan; ensure cost-effective, client-responsive programs and oversee improvement opportunities and implementation
  • Identify operational efficiencies, meet regulatory and client expectations and develop best-practice approaches for all operations; oversee financial targets and compliance with service levels, state and contractual agreements
  • Oversee new system and product implementations for assigned areas and assess organizational strengths and weaknesses to recommend an enhanced operating model

Job description

Centene is transforming the health of our communities one person at a time.  As an Executive on our team, you could be the one who changes everything for our 28 million members.
 

Position Purpose: Oversee operations for multiple support functions, including configuration, claims support services, provider relations, call center and field operations

  • Perform duties as chief liaison between the business unit and corporate policies & standards.
  • Develop operational vision, objectives and policies and procedures to support the overall strategic plan for the business unit.
  • Ensure cost effective, client-responsive programs are developed and maintained, identify improvement opportunities and oversee successful implementation of those changes throughout shared services.
  • Identify operational efficiencies, meet regulatory and client expectations and develop a “best practice” approach for all operations.
  • Responsible for achieving business unit financial targets and requirements based on service level, state, compliance and contractual agreements.
  • Oversee new system and product implementations for assigned areas.
  • Assess organizational strengths and weaknesses to recommend enhanced operating model.

Education/Experience:

  • Bachelor’s degree in business administration, healthcare administration or related field required. Master's degree preferred.
  • 10+ years in business administration, healthcare administration or related field required.
  • Marketplace/ACA experience strongly preferred.

Pay Range: $280,000.00 - $490,000.00 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.


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

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