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Director, Process Owner

Role overview

Qualifications

  • Bachelor's Degree in a related field or equivalent experience
  • 7+ years health care or insurance industry experience having led large scale initiatives
  • Operations experience preferred
  • CSSBB - Six Sigma Black Belt and PMP preferred

Responsibilities

  • Utilizes business expertise to facilitate and drive complex large scale work efforts
  • Analyzes and measures the effectiveness of existing business processes and develops improvements
  • Collects and analyzes process data to recommend business practices focusing on effectiveness and productivity
  • Collaborates with stakeholders for knowledge transfer and implementation

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

Position Purpose:

Utilizes business expertise to facilitate, lead and drive complex large scale work efforts across domains and/or large scale cross functional initiatives with matrixed team support. Analyzes and measures the effectiveness of existing business processes and develop sustainable, scalable and quantifiable business process improvements. Research industry best practices to ensure alignment of strategic planning, collaboration with key stakeholders, communication delivery, operational execution/implementation, and compliance and budget adherence. Delivers expertise in areas such as process improvement (end to end), vendor management, technology and scalability.

  • Support strategy for complex business transformational priority
  • Provide directional oversight for execution of complex business cases for proposed initiatives to ensure adequate assessment of feasibility, opportunities, risks and return on investment to meet key business objectives
  • Lead the activation of strategic and policy guidance on assigned initiatives so that all processes are considered for maximizing effective implementation and results
  • Perform detailed analysis of data, workflows, policies, procedures, organization of staff, and skills to execute initiatives
  • Collect and analyze process data to initiate, develop and recommend business practices and procedures that focus on enhanced effectiveness and increased productivity with a consideration for cost containment.
  • Collaborate directly with stakeholder SME’s for knowledge transfer, training and implementation
  • Drive consensus and confirm end to end integrity to accomplish project work up to and including final recommendations and implementation
  • Partner on creation of timely communication to all key stakeholders and contribute to executive level presentations for support, awareness, and effectiveness of all deliverables
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience:

Bachelor's Degree in a related field or equivalent experience required
7+ years health care or insurance industry experience having led large scale initiatives required required
Operations experience preferred

CSSBB - Six Sigma Black Belt preferred
Certified Project Management Professional (PMP)-PMI preferred

Pay Range: $148,000.00 - $274,200.00 per year

At Centene, we connect people to the care they need to live healthier lives β€” and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

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

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