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Vice President, Duals Initiatives

Role overview

Qualifications

  • Bachelor's Degree in Business Administration, Health Care Management, or related field required
  • 10+ years operations, management, project management or administration experience in the healthcare or insurance industry required
  • Demonstrated leadership related to Duals and/or Medicare strongly preferred

Responsibilities

  • Oversee the establishment of new operational processes and operating models
  • Accountable for operational decision-making and guiding transformational change
  • Perform as senior liaison between product line, other business units, corporate, and external stakeholders
  • Lead integration work for the Duals line of business

Key facts

  • Remote from: Missouri (USA)
  • Full time
  • Expert & Leadership (>10 years)
  • English

Other skills

  • Transformational Leadership
  • Leadership
  • Communication
  • Teamwork
  • Problem Solving

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: As a key member of Operations, this role will oversee the establishment of new operational processes and operating models, delivery of new technical capabilities, and coordination across key stakeholders, all in support of the Duals growth strategy.
  • Accountable for operational decision-making and guiding transformational change, including process improvements, policies and operating model updates for shared services in support of the Duals product.
  • Partner with shared service leadership and market leadership to establish the operational strategic plans, annual operational objectives, and Key Performance Indicators (KPI) and expectations at enterprise and market levels.
  • Perform duties as senior liaison between product line, other business units, corporate, and external stakeholders related to operational areas.
  • Partner with program management to deliver new product implementations for the Duals area and lead improvement initiatives to ensure value delivery and risk mitigation.
  • In partnership with matrixed operational functions, facilitate Duals/DSNP Implementations including SMAC requirements, MMP Conversions, and DSNP RFPs.
  • Lead integration work for the Duals line of business.
  • Primary coordinator of the Duals capital program requests, as they relate to shared services operations.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Education/Experience: Bachelor's Degree in Business Administration, Health Care Management, or related field required. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. 10+ years operations, management, project management or administration experience in the healthcare or insurance industry required. Demonstrated leadership related to Duals and/or Medicare strongly preferred. Travel up to 25% required.

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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