Role overview

Qualifications

Bachelor’s degree in Business Administration or related field
4+ years experience in operational business processes or data analysis
Experience in the managed care or insurance industry
Practical experience implementing continuous improvement techniques

Responsibilities

Oversee operations and business strategy utilizing cross-functional departments
Develop and manage methodologies for tracking and problem-solving issues
Perform data analysis from various data sources to measure effectiveness
Collaborate with staff to improve quality and decrease costs

Key facts

Remote from: California (USA), Florida (USA), Illinois (USA), Michigan (USA), Missouri (USA), Nevada (USA)
Full time
Mid-level (2-5 years)
Operations Manager
English

Hard skills

Business Process Continuous Improvement Process Business Strategies Performance Improvement Total Quality Management

Other skills

Metric System
Collaboration
Problem Solving
Adaptability

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

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: Oversee operations, and business strategy utilizing cross-functional departments to meet strategic objectives.

Develop and manage methodologies for tracking, identifying and problem-solving issues, interpreting and presenting program results and insights, and developing data-driven analysis approach for clients
Perform data analysis from a variety of data sources to evolve the metrics used to measure effectiveness and return on investment of all 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
Facilitate and support operations staff in the planning, achievement, and tracking of the organizations key strategic initiatives to create a positive impact on organizational scorecard
Serve as an internal resource and advisor on improvement activities
Explore new approaches to work processes by utilizing quality improvement techniques to eliminate waste and re-work
Able to travel up to 25%

Education/Experience: Bachelor’s degree Business Administration, related field, or equivalent experience. 4+ years experience in operational business processes or data analysis, preferably in the managed care or insurance industry. Practical experience implementing continuous improvement via Six Sigma or Total Quality Management (TQM) is desirable. Experience working within a matrix environment preferred.

For NH Healthy Families: Oversee the auditing of team results, identify gaps in training, and implement improvements in collaboration with the Training Leader. Oversee quality monitoring program and collaborate with business partners to implement performance improvement initiatives for improved efficiencies.

Pay Range: $87,700.00 - $157,800.00 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