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Vice President, Clinical Technology UM Portfolio Management

Role overview

Qualifications

  • Bachelor's Degree in related field or equivalent experience required
  • 8+ years of clinical technology experience
  • Deep understanding of the member journey
  • Product development experience

Responsibilities

  • Oversee the product development function, including formulating product vision and strategy
  • Lead enterprise UM portfolio strategy and governance, partnering with clinical technology vendors
  • Drive deployment of AI-enabled and other Tech capabilities across the UM lifecycle
  • Own the enterprise ROI and KPI measurement framework for UM technology investments

About the company

Centene Corporation logo

Centene Corporation

Health Insurance (Payers)

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
IndustryHealth Insurance (Payers)
Company size10001

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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:

Oversee the product development function, including formulating product vision and strategy, defining future product needs and enhancements, and driving the creation of profitable, highly engaging, easy-to-use products across all business units.

  • Lead enterprise UM portfolio strategy and governance, partnering with clinical technology vendors and product development partners to align roadmap priorities, enforce SLA accountability, and drive end-to-end delivery across prior authorization, concurrent review, and clinical correspondence workflows.
  • Drive deployment of AI-enabled and other Tech capabilities across the UM lifecycle, from intake through determination and correspondence, establishing operational effectiveness frameworks that measure productivity, accuracy, and throughput gains to enable scalable, compliant automation.
  • Own the enterprise ROI and KPI measurement framework for UM technology investments and strategic initiatives, delivering executive-ready reporting on financial performance, vendor outcomes, and AI impact to inform senior leadership decision-making.
  • Develop and oversee the model for managing product development strategy.
  • Develop and oversee product roadmap in alignment with company strategic goals, market trends, competitive landscape, client, and consumer needs.
  • Drive clinical, digital and data/analytics product innovation ensuring highly engaging products with high ease of use.
  • Partner with strategic business unit team leadership (Operations, Pharma sales, Provider Sales and Account Management) and portfolio management to plan and manage complex set of priorities and resources to meet dynamic business, client, and market needs.
  • Build an effective and efficient product organization, including product management, consumer engagement, strategic partnerships and innovation.
  • Drive efficiency within the RFP and client implementation processes.
  • Review market landscape, analyze usage of product offerings, and review business case and key metrics to ensure ROI.
  • Monitor and measure product competitiveness and support new business opportunities.
  • Manage, measure and monitor strategic partners.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Education/Experience:

Bachelor's Degree in related field or equivalent experience required.
8+ years of clinical technology experience

Deep understanding of the member journey.
Product development experience.

Pay Range: $188,900.00 - $359,800.00 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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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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