Role overview

Qualifications

Bachelor's Degree in related field required
Master's Degree preferred
7+ years of senior level managed care experience
Experience in managed care and/or Medicaid

Responsibilities

Accountability for day-to-day operations, profitability, and growth
Develop relationships with network providers, area employers, and contractors
Develop and implement strategic and tactical plans
Oversee development and execution of operating plans

Key facts

Remote from: Illinois (USA)
Full time
Senior (5-10 years)
COO - Chief Operating Officer
English

Hard skills

Business Planning Financial Accounting Workforce Development Provider Network Management

Other skills

Strategic Planning
Relationship Building
Communication
Team Leadership
Problem Solving

About the company

Centene Corporation

Centene Corporation provides high-quality healthcare services to members in all 50 states. Since its founding in 1984, Centene has worked to transform the health of communities, one person at a time. Centene is the largest Medicaid managed care organization in the country and provides a portfolio of services to government sponsored healthcare programs. Centene believes that healthcare is best delivered locally. Our local health plans offer a range of health insurance solutions with a focus on providing accessible care to uninsured and under-insured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). Centene also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services. Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/

Company details

Company typeXLarge

Company size10001

Links

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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: Accountability for the day to day operations, profitability and growth. Ensure that the customers' needs are well served. Develop relationships with network providers, area employers, and contractors; ensure successful development and implementation of business plans.

Develop and implement strategic and tactical plans to ensure further growth and development of the business unit and ensure positive financial results.
Oversee development and execution of operating plans, including employee development, organization goals, and member and provider relations goals.
Establish criteria for measuring and assessing the success/performance of each component of operation.
Ensure appropriate provider network is developed and maintained.
Develop effective relationships with key stakeholders to educate providers and consumers on necessary topics.
Develop and establish operational mission statements, philosophy, policies, goals, objectives and strategy.
Provide management all necessary contractual requirement information regarding state and federal regulatory agencies.

Education/Experience: Bachelor's Degree in related field required.
Master's Degree preferred.
7+ years of senior level managed care experience, preferably as a plan operating officer and/or executive director required.
Experience in managed care and/or Medicaid.
Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

Pay Range: $207,000.00 - $392,100.00 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