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Vice President, Member Enrollment & Billing

Role overview

Qualifications

  • Bachelor's Degree in business administration, healthcare management, or related field
  • 10+ years of healthcare operations experience
  • Previous experience managing staff
  • Extensive experience in health insurance enrollment and billing operations

Responsibilities

  • Lead and manage billing and enrollment processes across multiple regions
  • Ensure compliance with federal, state, and local healthcare regulations
  • Manage departmental budgets and analyze financial data
  • Develop and mentor a high-performing team

Key facts

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

Hard skills

Other skills

  • Leadership
  • Team Building

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: A key executive role responsible for leading and managing billing and enrollment processes across multiple regions. this position ensures operational efficiency, accuracy, and compliance with healthcare regulations, which driving strategic initiatives and fostering a culture of excellence.
  • Develop and implement strategic plans for enrollment and billing operations, aligning with the company's overall goals.
  • Oversee daily operations, ensuring compliance with federal, state, and local healthcare regulations.
  • Manage departmental budgets, analyze financial data, and collaborate with finance for accurate billing.
  • Implement and maintain policies to ensure regulatory compliance, conduct audits, and resolve compliance issues.
  • Maintain elevated levels of customer satisfaction and strong stakeholder relationships.
  • Manage and monitor key performance indicators (KPIs) related to enrollment, billing, and revenue.
  • Contribute to long-term strategic plans, identify growth opportunities, and stay informed on industry trends.
  • Ensure accurate and timely processing of enrollment applications, billing statements, and claims.
  • Develop and mentor a high-performing team, fostering continuous improvement and accountability.
  • Identify and implement process improvements to enhance efficiency, accuracy, and member satisfaction.
  • Oversee all aspects of enrollment and billing operations, including member enrollment, policy administration, claim processing, and revenue cycle management.
  • Performs other duties as assigned.
  • Complies with all policies and standards.
Education/Experience: Bachelor's Degree in business administration, healthcare management, or related field or equivalent experience required.
Master's Degree in a related field preferred.
10+ years 10+ years of healthcare operations experience required.
Previous experience managing staff, including hiring, training, managing workload and performance required.
Extensive experience in health insurance enrollment and billing operations required.
Experience with healthcare billing systems and revenue cycle management preferred.

Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.Pay Range: $207,000.00 - $392,100.00 per year

At Centene, we connect people to the care they need to live healthier lives — 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

m.rivera@company.com
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